Exam 25: Nursing Assessment Integumentary System

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The nurse is preparing for a teaching session with older-adult clients. Which of the following changes is an age-related change in the hair?

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B

The nurse is caring for a client in the dermatology clinic who is scheduled for removal of a 15-mm multicoloured and irregular mole from the upper back. Which of the following biopsies would the nurse teach to this client?

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C

The nurse is caring for a client who has several angiomas on their legs. Which of the following actions should the nurse take next?

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A

The nurse is caring for a client who 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 of the following conditions?

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The nurse is conducting a health assessment on an older-adult client and is assessing the client's nails. Which of the following assessments are age-related changes? (Select all that apply.)

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

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The nurse is caring for a client who has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. Which of the following actions would the nurse implement to determine whether the lesion is related to blood vessel dilation?

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The nurse is admitted an older-adult client to an assisted-living facility and notes abnormalities on the skin. Which of the following abnormalities is the priority to discuss immediately with the health care provider?

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The nurse is caring for a client who is dark-skinned and has been admitted to the hospital in severe respiratory distress. Which of the following actions should the nurse implement to determine whether the client is cyanotic?

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The nurse is conducting an assessment of the client's skin and observes a ring of small, raised, discrete lesions filled with serous fluid on the client's right temple. Which of the following descriptions would the nurse use when documenting the lesions?

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Aclient asks the nurse why a potassium hydroxide test needs to be done. The nurse's response is based upon the knowledge that which of the following is the purpose of this test?

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The nurse is conducting a health history with a client and the nurse discovers that the client works as a roofer. The nurse will plan to teach the client about how to self-assess for clinical manifestations of which of the following integument conditions? (Select all that apply.)

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