Question 1

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

Accepted Answer

A)  Assess the patient for evidence of liver disease. 
B)  Discuss the adverse effects of sun exposure on the skin. 
C)  Teach the patient about possible skin changes with aging. 
D)  Suggest that the patient make an appointment with a dermatologist. 
A)  Assess the patient for evidence of liver disease. 
B)  Discuss the adverse effects of sun exposure on the skin. 
C)  Teach the patient about possible skin changes with aging. 
D)  Suggest that the patient make an appointment with a dermatologist. A

Question 2

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

Accepted Answer

A)  Reports a history of allergic rashes 
B)  Scattered macular brown areas on extremities 
C)  Skin brown and wrinkled, skin tenting on forearm 
D)  Longitudinal nail bed ridges noted; sparse scalp hair 
A)  Reports a history of allergic rashes 
B)  Scattered macular brown areas on extremities 
C)  Skin brown and wrinkled, skin tenting on forearm 
D)  Longitudinal nail bed ridges noted; sparse scalp hair A

Question 3

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?

Accepted Answer

A)  Elevate the patient's leg. 
B)  Press firmly on the lesion. 
C)  Check the temperature of the skin around the lesion. 
D)  Palpate the dorsalis pedis and posterior tibial pulses. 
A)  Elevate the patient's leg. 
B)  Press firmly on the lesion. 
C)  Check the temperature of the skin around the lesion. 
D)  Palpate the dorsalis pedis and posterior tibial pulses. B

Question 4

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

Accepted Answer

A)  Several dry, scaly patches on the face 
B)  Numerous varicosities noted on both legs 
C)  Dilation of small blood vessels on the face 
D)  Petechiae present on the chest and abdomen 
A)  Several dry, scaly patches on the face 
B)  Numerous varicosities noted on both legs 
C)  Dilation of small blood vessels on the face 
D)  Petechiae present on the chest and abdomen

Question 5

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?

Accepted Answer

A)  History of sun exposure by the patient 
B)  Method of birth control used by the patient 
C)  Length of time the patient has used fluorouracil 
D)  Appearance of the treated areas on the patient's face 
A)  History of sun exposure by the patient 
B)  Method of birth control used by the patient 
C)  Length of time the patient has used fluorouracil 
D)  Appearance of the treated areas on the patient's face

Question 6

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

Accepted Answer

A)  Hypertrophied scars on both ankles 
B)  Thickening of the skin around the ankles 
C)  Yellowish-brown skin around both ankles 
D)  Complete absence of melanin in both ankles 
A)  Hypertrophied scars on both ankles 
B)  Thickening of the skin around the ankles 
C)  Yellowish-brown skin around both ankles 
D)  Complete absence of melanin in both ankles

Question 7

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?

Accepted Answer

A)  Shave biopsy 
B)  Punch biopsy 
C)  Incisional biopsy 
D)  Excisional biopsy 
A)  Shave biopsy 
B)  Punch biopsy 
C)  Incisional biopsy 
D)  Excisional biopsy

Question 8

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?

Accepted Answer

A)  Sterile gloves 
B)  Patch test instruments 
C)  Cotton-tipped applicators 
D)  Local anesthetic, syringe, and intradermal needle 
A)  Sterile gloves 
B)  Patch test instruments 
C)  Cotton-tipped applicators 
D)  Local anesthetic, syringe, and intradermal needle

Question 9

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?

Accepted Answer

A)  Discourage the use of throw rugs throughout the house. 
B)  Ensure the patient has a pair of shoes with non-slip soles. 
C)  Talk with the patient alone and ask about what caused the bruising. 
D)  Notify the health care provider so that x-rays can be ordered as soon as possible. 
A)  Discourage the use of throw rugs throughout the house. 
B)  Ensure the patient has a pair of shoes with non-slip soles. 
C)  Talk with the patient alone and ask about what caused the bruising. 
D)  Notify the health care provider so that x-rays can be ordered as soon as possible.

Question 10

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?

Accepted Answer

A)  Confluent 
B)  Zosteriform 
C)  Generalized 
D)  Symmetric 
A)  Confluent 
B)  Zosteriform 
C)  Generalized 
D)  Symmetric

Question 11

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 (select all that apply)?

Accepted Answer

A)  Vitiligo 
B)  Alopecia 
C)  Intertrigo 
D)  Erythema 
E)  Actinic keratosis 
A)  Vitiligo 
B)  Alopecia 
C)  Intertrigo 
D)  Erythema 
E)  Actinic keratosis

Question 12

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

Accepted Answer

A)  Administer patch testing to a patient with allergic dermatitis. 
B)  Interview a new patient about chronic health problems and allergies. 
C)  Apply a sterile dressing after the health care provider excises a mole. 
D)  Teach a patient about site care after a punch biopsy of an upper arm lesion. 
E)  Explain potassium hydroxide testing to a patient with a superficial skin infection. 
A)  Administer patch testing to a patient with allergic dermatitis. 
B)  Interview a new patient about chronic health problems and allergies. 
C)  Apply a sterile dressing after the health care provider excises a mole. 
D)  Teach a patient about site care after a punch biopsy of an upper arm lesion. 
E)  Explain potassium hydroxide testing to a patient with a superficial skin infection.

Question 13

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

Accepted Answer

A)  Assess the skin color of the earlobes. 
B)  Apply pressure to the palms of the hands. 
C)  Check the lips and oral mucous membranes. 
D)  Examine capillary refill time of the nail beds. 
A)  Assess the skin color of the earlobes. 
B)  Apply pressure to the palms of the hands. 
C)  Check the lips and oral mucous membranes. 
D)  Examine capillary refill time of the nail beds.

Exam 19: Nursing Assessment: Integumentary System

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

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

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?

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

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?

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?

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?

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?

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?

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 (select all that apply)?

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

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 Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Hypertension

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,pancreas and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urological Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

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