Exam 48: Assessment of the Integumentary System

When the nurse lifts the client's foot to clean it during bathing, the nurse notices that it is cool to the touch. The nurse's most appropriate initial action would be to

The nurse would explain to a client that an "allergy" differs from an "irritation" in that an allergy

In a highly pigmented client, the nurse would best assess for erythema by

The nurse observes crusty brown lesions covering a client's back. To assist in identifying a possible cause, the most helpful question the nurse would ask the client is

After tape is applied for skin patch testing, the nurse would include in the client's instructions to return to the clinic for tape removal and initial reading in

On examination of a client, the nurse notes elevated, solid, brown skin lesions that are each 0.5 cm in size. The nurse would describe these lesions as

The nurse caring for a child with impetigo notes that some of the lesions on the child's skin appear elevated and contain purulent material. Secondary lesions are also present and are honey colored. The nurse would document these lesions as

After a client's surgical excisional biopsy, the nurse would apply

The nurse would record the presence of a lichenification as a

The nurse would explain to a client that examples of primary skin lesions include (Select all that apply)

When the client taking chlorpromazine (Thorazine), phenytoin (Dilantin), penicillin, and a multivitamin complains of a sunburn-like rash on the face and arms, the nurse would suspect the cause to be the

A client is undergoing a lengthy series of treatments for a skin disorder. The best method of documenting the client's experience with the treatments is for the nurse to

A client has elevated lesions that contain serous fluid. The nurse would document these as