Exam 23: Nursing Assessment: Integumentary System

Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?

Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?

A patient reports chronic itching of the ankles and continuously scratches the area.Which assessment finding will the nurse expect?

A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back.The nurse should prepare the patient for which type of biopsy?

When examining an older patient in the home,the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body.Which action should the nurse take first?

When taking the health history of an older adult,the nurse discovers that the patient has worked in the landscaping business for 40 years.The nurse will plan to teach the patient about how to self-assess for which clinical manifestations ?

During assessment of the patient's skin,the nurse observes a similar pattern of small,raised lesions on the left and right upper back areas.Which term should the nurse use to document these lesions?

Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN)?

A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face.Which additional assessment information will be most important for the nurse to obtain?

When performing a skin assessment,the nurse notes several angiomas on the chest of an older patient.Which action should the nurse take next?

A dark-skinned patient has been admitted to the hospital with chronic heart failure.How would the nurse best assess this patient for cyanosis?

The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot.Which items should the nurse gather for this procedure?

The nurse assesses a circular,flat,reddened lesion about 5 cm in diameter on a middle-aged patient's ankle.How should the nurse determine if the lesion is related to intradermal bleeding?