Question 1

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it.

-Fluoresces under Wood's light

Accepted Answer

A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid 
A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid

Question 2

The nurse lists the age-related changes to the integumentary system,which include: (Select all that apply.)

Accepted Answer

A) elastic fibers and adipose tissue diminish. 
B) skin thins and becomes transparent. 
C) hair thins as follicles decrease. 
D) skin becomes dry. 
E) thinned skin leads to intolerance of cold.
F)None of the above. 
A) elastic fibers and adipose tissue diminish. 
B) skin thins and becomes transparent. 
C) hair thins as follicles decrease. 
D) skin becomes dry. 
E) thinned skin leads to intolerance of cold.
F)None of the above.

Question 3

The nurse is aware that the gradual graying of an older adult's hair is related to:

Accepted Answer

A) reduced hair follicles. 
B) less sebaceous gland activity. 
C) loss of collagen fibers in dermis. 
D) decreased melanocytes at hair follicle. 
A) reduced hair follicles. 
B) less sebaceous gland activity. 
C) loss of collagen fibers in dermis. 
D) decreased melanocytes at hair follicle.

Question 4

The nurse best describes a "shave biopsy" of a skin lesion as:

Accepted Answer

A) removal of the central core of the lesion. 
B) excising the entire lesion with a 1/4-inch border around it. 
C) removal of the top of the lesion that stands above the skin line. 
D) excising the lesion down to the dermis. 
A) removal of the central core of the lesion. 
B) excising the entire lesion with a 1/4-inch border around it. 
C) removal of the top of the lesion that stands above the skin line. 
D) excising the lesion down to the dermis.

Question 5

Matching
The nurse uses a picture to show the structure of the integument.Match the options with the characteristic that best describes them.(Each option may be used once, more than once, or not at all.)

-Squamous epithelium,no blood vessels

Accepted Answer

A) Epidermis 
B) Dermis 
C) Sebaceous glands 
D) Sweat glands 
A) Epidermis 
B) Dermis 
C) Sebaceous glands 
D) Sweat glands

Question 6

The nurse includes in the discharge teaching of a person with a skin condition that in order to reduce the soap in bed linens and sleeping garments,the patient should:

Accepted Answer

A) use fabric softener sheets in the dryer. 
B) use vinegar in the rinse water. 
C) use a fragrant detergent. 
D) send linens to a professional laundry. 
A) use fabric softener sheets in the dryer. 
B) use vinegar in the rinse water. 
C) use a fragrant detergent. 
D) send linens to a professional laundry.

Question 7

The nurse assesses several risk factors for skin tears on the admission of a 90-year-old resident,which include: (Select all that apply.)

Accepted Answer

A) incontinence. 
B) bruised areas. 
C) obesity. 
D) prolonged use of corticosteroids. 
E) history of congestive heart disease. 
A) incontinence. 
B) bruised areas. 
C) obesity. 
D) prolonged use of corticosteroids. 
E) history of congestive heart disease.

Question 8

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it.

-Benign wartlike lesions on trunk,arms,and scalp

Accepted Answer

A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid 
A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid

Question 9

The nurse assesses that the older adult is not dehydrated when a fold of skin pinched up on the upper chest of the patient returns to normal position in _____ seconds.

Accepted Answer

A) 6 
B) 8 
C) 9 
D) 10 
A) 6 
B) 8 
C) 9 
D) 10

Question 10

To decrease the threat of a pressure ulcer,the nurse instructs a person who is in a wheelchair for long periods to:

Accepted Answer

A) reposition self every 2 hours. 
B) lift weight on the arms of the chair every 15 minutes. 
C) massage bony prominences of the buttocks and hips. 
D) use a donut device to keep weight off of the buttocks. 
A) reposition self every 2 hours. 
B) lift weight on the arms of the chair every 15 minutes. 
C) massage bony prominences of the buttocks and hips. 
D) use a donut device to keep weight off of the buttocks.

Question 11

A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs.There are small,punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?

Accepted Answer

A) Senile purpura, and employs skin tear precautions 
B) Scabies, and employs Standard Precautions 
C) Senile itch, and employs use of emollient 
D) Allergy, and employs focused assessment for cause 
A) Senile purpura, and employs skin tear precautions 
B) Scabies, and employs Standard Precautions 
C) Senile itch, and employs use of emollient 
D) Allergy, and employs focused assessment for cause

Question 12

The nurse advises the older adult to alter bathing practices to include: (Select all that apply.)

Accepted Answer

A) using lotion-based soaps. 
B) using hot water to stimulate skin. 
C) strenuous toweling to dry skin. 
D) applying lotion twice a day. 
E) using talcum to dry out skin. 
A) using lotion-based soaps. 
B) using hot water to stimulate skin. 
C) strenuous toweling to dry skin. 
D) applying lotion twice a day. 
E) using talcum to dry out skin.

Question 13

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it.

-Smooth,elevated area that is pale or reddened

Accepted Answer

A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid 
A) Erythrasma 
B) Wheal 
C) Fungal infection 
D) Keratosis 
E) Keloid

Question 14

The student nurse is preparing to document a suspicious area over a bony prominence.Which description would be most appropriate?

Accepted Answer

A) Reddened area on left hip 
B) Reddened, nonblanching area approximately 1 cm ´ 1 cm 
C) Suspicious area over left trochanter 
D) Nonblanching area over left trochanter 0.8 cm ´ 1.2 cm 
A) Reddened area on left hip 
B) Reddened, nonblanching area approximately 1 cm ´ 1 cm 
C) Suspicious area over left trochanter 
D) Nonblanching area over left trochanter 0.8 cm ´ 1.2 cm

Question 15

An 86-year-old resident struck her forearm on a table,causing a category I L-shaped skin tear 6 cm ´ 2 cm.The nurse should: (Select all that apply.)

Accepted Answer

A) clean the tear with alcohol. 
B) approximate the edges of the tear. 
C) secure the skin flap with Steri-Strips. 
D) cover with a nonadherent dressing. 
E) assess closely for 5 days for signs of infection. 
A) clean the tear with alcohol. 
B) approximate the edges of the tear. 
C) secure the skin flap with Steri-Strips. 
D) cover with a nonadherent dressing. 
E) assess closely for 5 days for signs of infection.

Question 16

The nurse is aware that an order for an "open dressing" requires that:

Accepted Answer

A) the lesion is left open to air. 
B) wet compresses are changed frequently enough to keep them wet. 
C) medicated ointment is placed directly in the open wound. 
D) dressings are redampened to keep wet, but not changed. 
A) the lesion is left open to air. 
B) wet compresses are changed frequently enough to keep them wet. 
C) medicated ointment is placed directly in the open wound. 
D) dressings are redampened to keep wet, but not changed.

Exam 42: the Integumentary System

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it. -Fluoresces under Wood's light

The nurse lists the age-related changes to the integumentary system,which include: (Select all that apply.)

The nurse is aware that the gradual graying of an older adult's hair is related to:

The nurse best describes a "shave biopsy" of a skin lesion as:

Matching The nurse uses a picture to show the structure of the integument.Match the options with the characteristic that best describes them.(Each option may be used once, more than once, or not at all.) -Squamous epithelium,no blood vessels

The nurse includes in the discharge teaching of a person with a skin condition that in order to reduce the soap in bed linens and sleeping garments,the patient should:

The nurse assesses several risk factors for skin tears on the admission of a 90-year-old resident,which include: (Select all that apply.)

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it. -Benign wartlike lesions on trunk,arms,and scalp

The nurse assesses that the older adult is not dehydrated when a fold of skin pinched up on the upper chest of the patient returns to normal position in _____ seconds.

To decrease the threat of a pressure ulcer,the nurse instructs a person who is in a wheelchair for long periods to:

A newly admitted 86-year-old patient has scratch marks in the groin and axilla and on her limbs.There are small,punctate red lesions that the patient says itch "like crazy." Which is the most likely cause and the best nursing action?

The nurse advises the older adult to alter bathing practices to include: (Select all that apply.)

The nurse clarifies the descriptive terms for skin disorders.Match each option with the characteristic that best describes it. -Smooth,elevated area that is pale or reddened

The student nurse is preparing to document a suspicious area over a bony prominence.Which description would be most appropriate?

An 86-year-old resident struck her forearm on a table,causing a category I L-shaped skin tear 6 cm ´ 2 cm.The nurse should: (Select all that apply.)

The nurse is aware that an order for an "open dressing" requires that:

Caring for Medical surgical Patients

Critical Thinking and Nursing Process

Fluid, electrolytes, acid-base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Surgical Patients

Infection Prevention and Control

Care of Patients With Pain

Care of Patients With Cancer

Chronic Illness and Rehabilitation

the Immune and Lymphatic Systems

Care of Patient With Hiv/aids

Care of Patients With Immune and Lymphatic Disorders

the Respiratory System

Care of Patients With Disorders of the Upper Respiratory System

Care of Patients With Disorders of the Lower Respiratory System

the Hematologic System

Care of Patients With Hematologic Disorders

the Cardiovascular System

Care of Patients With Hypertension and Peripheral Vascular Disease

Care of Patients With Cardiac Disorders

Care of Patients With Coronary Artery Disease and Cardiac Surgery

the Neurologic System

Care of Patients With Head and Spinal Cord Injuries

Care of Patients With Disorders of the Brain

Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

the Sensory System: Eye and Ear

Care of Patients With Disorders of the Eyes and Ears

the Gastrointestinal System

Care of Patients With Disorders of the Upper Gastrointestinal System

Care of Patients With Disorders of the Lower Gastrointestinal System

Care of Patients With Disorders of the Gallbladder,liver,and Pancreas

the Musculoskeletal System

Care of Patients With Musculoskeletal and Connective Tissue Disorders

the Urinary System

Care of Patients With Disorders of the Urinary System

the Endocrine System

Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Care of Patients With Diabetes and Hypoglycemia

Care of Women With Reproductive Disorders

Care of Men With Reproductive Disorders

Care of Patients With Sexually Transmitted Infections

Care of Patients With Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients With Trauma or Shock

Care of Patients With Anxiety, mood, and Eating Disorders

Care of Patients With Substance Abuse Disorders

Care of Patients With Cognitive Disorders

Care of Patients With Thought and Personality Disorders

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