Exam 13: Skin, Hair, and Nails

A 40-year-old woman reports a change in mole size, accompanied by colour changes, itching, burning, and bleeding over the past month.She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past.The nurse would:

The nurse is preparing for a certification course in skin care and needs to be familiar with the various lesions that may be identified on assessment of the skin.Which of the following definitions are correct? (Select all that apply.)

The nurse is performing a Braden Scale assessment on a 65-year-old bedbound patient with limited mobility.The patient is unable to communicate needs or discomfort but does respond to verbal commands.The nurse notes that the patient's skin is moist and will likely require a linen change each shift.The patient is confined to the bed with no ability to walk and makes very limited changes to body extremities occasionally.The patient requires frequent repositioning with maximum assistance.The patient eats about half of the food offered.The nurse charts the findings as:

A 35-year-old pregnant woman comes to the clinic for a monthly appointment.During the assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face.The nurse will chart this finding as:

A man has come in to the clinic for a skin assessment because he is worried 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.The nurse informs the patient that they are:

The nurse is assessing for inflammation in a dark-skinned person.Which technique is the best?

The nurse is performing an assessment for jaundice in a patient who has liver disease.Which of these assessment findings is indicative of true jaundice?

A patient comes in for a physical examination and 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:

A woman is leaving on a trip to Hawaii and has come in for a checkup.During the health history interview, the patient informs the nurse that she takes an oral hypoglycemic medication for diabetes.The nurse provides teaching about the medication and:

A patient comes to the clinic and states that he has noticed that his skin is redder than normal.The nurse understands that this condition results from hyperemia and knows that it can be caused by:

A 70-year-old woman who loves to garden has small, flat, brown macules over her arms and hands.She asks, "What causes these liver spots?" The nurse tells her, "They are:

The nurse is assessing the skin of a patient who has AIDS and notices multiple patchlike lesions on the temple and beard area that are faint pink in colour.The nurse recognizes these lesions as:

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 colour.The nurse suspects that this colouring is caused by:

The nurse is examining a patient who tells the nurse, "I sure sweat a lot, especially on my face and feet but it doesn't have an odour." The nurse knows that this condition could be related to:

A mother brings her child into the clinic for an examination of the scalp and hair.She states that the child has developed irregularly shaped patches with broken-off, stublike hair in some places; she is worried that this condition could be some form of premature baldness.The nurse tells her that it is:

A 22-year-old woman comes to the clinic because of severe sunburn and states, "I was out in the sun for just a couple of minutes." The nurse begins a medication review with her, paying special attention to which class of medications?

The nurse is assessing a 50-year-old patient who is restricted to the bed.The patient has limited mobility and needs to be frequently repositioned.The nurse will use the Braden Scale to assess for:

The nurse is assessing a patient with emphysema for clubbing of the fingernails, which is confirmed by:

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 pays special attention to the danger signs for pigmented lesions and is concerned with which additional finding?

A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in his sacral area.The nurse examines the pressure ulcer and determines that it is a stage II ulcer.Which of these findings are characteristic of a stage II pressure ulcer? (Select all that apply.)