Exam 12: Skin, Hair, and Nails

A patient tells the nurse that he has noticed that one of his moles has started to burn and bleed.When assessing his skin,the nurse would pay special attention to the danger signs for pigmented lesions and would be concerned with which additional finding?

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?

A patient's mother has noticed that her son,who has been to a new babysitter,has some blisters and scabs on his face and buttocks.On examination,the nurse notices moist,thin-roofed vesicles with a thin erythematous base and suspects:

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 patient comes in for a physical,and she complains of "freezing to death" while waiting for her examination.The nurse notes that her skin is pale and cool and attributes this finding to:

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:

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 would report this as a:

A 42-year-old female patient 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:

A 13-year old girl is interested in obtaining information about the cause of her acne.The nurse would share with her that acne:

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

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

A patient has had a "terrible itch" for several months that he has been scratching continuously.On examination,the nurse might expect to find:

A semiconscious woman is brought to the emergency department after she was found on the floor in her kitchen.Her face,nail beds,lips,and oral mucosa are a bright cherry-red color.The nurse suspects that this coloring is due to:

During the aging process,the hair can look gray or white and begin to feel thin and fine.The nurse knows that this occurs because of a decrease in the number of functioning:

A man has come in to the clinic for a skin assessment because he is afraid 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? He probably has:

The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin.Which of these statements would be included in the module? The epidermis is:

During an examination,the nurse finds that a patient has excessive dryness of the skin.The best term to describe this condition is:

A physician has diagnosed a patient with purpura.After leaving the room,a nursing student asks the nurse what the physician saw that led to that diagnosis.The nurse should say,"The physician is referring to:

An Inuit visiting Nevada from Anchorage has come to the clinic in July during the hottest part of the day.It so happens that the clinic's air conditioning is broken and the temperature is very hot.The nurse knows that which of these statements is true about the Inuit sweating tendencies?

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: