Exam 12: Skin, Hair, and Nails

A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment,the nurse might expect to see which finding?

A patient is especially worried about an area of skin on her feet that has turned white.The health care provider has told her that her condition is vitiligo.The nurse explains to her that vitiligo is:

A patient has been admitted for severe psoriasis.The nurse expects to see what finding in the patient's fingernails?

A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors.The nurse will encourage her to stop trying to remove the corn with scissors because:

A 42-year-old woman complains that she has noticed several small,slightly raised,bright red dots on her chest.On examination,the nurse expects that the spots are probably:

The nurse just noted from the medical record that the patient has a lesion that is confluent in nature.On examination,the nurse expects to find:

A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for approximately 3 days with his feet down and he asks the nurse to evaluate his feet.During the assessment,the nurse might expect to find:

A newborn infant is in the clinic for a well-baby checkup.The nurse observes the infant for the possibility of fluid loss because of which of these factors?

A black patient is in the intensive care unit because of impending shock after an accident.The nurse expects to find what characteristics in this patient's skin?

The nurse is assessing for inflammation in a dark-skinned person.Which technique is the best?

A 70-year-old woman who loves to garden has small,flat,brown macules over her arms and hands.She asks,"What causes these liver spots?" The nurse tells her,"They are:

A few days after a summer hiking trip,a 25-year-old man comes to the clinic with a rash.On examination,the nurse notes that the rash is red,macular,with a bull's eye pattern across his midriff and behind his knees.The nurse suspects:

A man has come in to the clinic for a skin assessment because he is worried he might have skin cancer.During the skin assessment the nurse notices several areas of pigmentation that look greasy,dark,and "stuck on" his skin.Which is the best prediction?

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled,thin,lax,and dry.This finding would be related to which factor in the older adult?

A newborn infant has Down syndrome.During the skin assessment,the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room.The infant's mother also notices the mottling and asks what it is.The nurse knows that this mottling is called:

During a skin assessment,the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however,the skin on the hard and soft palate is pink and the patient's scleras are not yellow.From this finding,the nurse could probably rule out:

A mother brings her child into the clinic for an examination of the scalp and hair.She states that the child has developed irregularly shaped patches with broken-off,stublike hair in some places; she is worried that this condition could be some form of premature baldness.The nurse tells her that it is:

A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area.The nurse examines the pressure ulcer and determines that it is a stage II ulcer.Which of these findings are characteristic of a stage II pressure ulcer? Select all that apply.

A woman is leaving on a trip to Hawaii and has come in for a checkup.During the examination the nurse learns that she has diabetes and takes oral hypoglycemic agents.The patient needs to be concerned about which possible effect of her medications?

The nurse notices that a patient has a solid,elevated,circumscribed lesion that is less than 1 cm in diameter.When documenting this finding,the nurse reports this as a: