Exam 23: Nursing Assessment: Integumentary System

During assessment of the patient's skin, the nurse observes a ring of small, raised, blister-like lesions filled with serous fluid on the patient's right temple. The nurse should document the configuration and distribution of these lesions as

A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will

When taking the health history for a patient, the nurse discovers that the patient works as a roofer. The nurse will plan to teach the patient about how to self-assess for clinical manifestations of (Select all that apply.)

When examining an 87-year-old home health patient, the nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to

The nurse notes all these changes in the skin of a 95-year-old patient who is being admitted to an assisted-living facility. Which change will be of most concern to the nurse?

A patient in the dermatology clinic is scheduled for removal of a 10-mm, multicolored, irregular mole from the upper back. The nurse will plan to teach the patient about a (an)

A patient reports chronic itching of the ankles and cannot keep from continuously scratching them. The nurse will plan to implement interventions to decrease the risk for

Which assessment information documented in a patient's chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?

A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will

When obtaining a health history related to the skin, which question will assess the patient's health perception-health maintenance pattern?

When reading the admission assessment for a patient, the nurse notes that the patient has an excoriated area on the skin of the right forearm. Which nursing action will be included in the plan of care?

The nurse is preparing to send a culture for a patient who has a possible herpes zoster infection on the chest. Which action is appropriate?

A 73-year-old asks the nurse to inspect some large reddened lumps that have recently appeared on the legs. The nurse recognizes the lesions as angiomas and tells the patient,