Exam 13: Skin, Hair, and Nails

A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the past 24 hours.He says his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours.The nurse suspects dehydration and tests skin mobility and turgor over the infant's:

During the aging process, the hair can look grey or white and begin to feel thin and fine.The nurse knows that this occurs because of a decrease in the number of functioning:

A 13-year-old girl is interested in obtaining information about the cause of her acne.The nurse should inform her that acne:

A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment.On assessment, the nurse notes:

The nurse notices that a school-aged child has bluish-white, red-based spots in her mouth and that the lesions are raised approximately 1 to 3 mm.The nurse will assess the child for:

While assessing a patient's skin, the nurse notes multiple skin fissures on the hands.The nurse recognizes this as:

From reviewing the patient's medical record, the nurse notes that the patient has a lesion that is confluent in nature.During assessment, the nurse observes:

The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin.Which of these statements would be included in the module? The dermis:

The nurse recognizes the importance of assessing the patient's skin as the skin has many protective and adaptive functions which include: (Select all that apply.)

A 62-year-old patient with heart failure comes to the clinic for his annual examination.During skin assessment, the nurse notes slight swelling to the patient's feet, and indentations which quickly fade when both feet are palpated.The nurse will chart this finding as:

An older adult woman is brought to the emergency department after she was found lying on the kitchen floor for 2 days; she is extremely dehydrated.What would the nurse expect to see during the examination?

A patient is especially worried about the white coloration of an area of skin on her feet, and she has been told it is vitiligo.The nurse explains that vitiligo is:

A 42-year-old woman is concerned about several small, slightly raised, bright red dots that have appeared on her chest.On examination, the nurse explains that the spots are probably:

A patient has been admitted for severe psoriasis.The nurse expects to see what finding in the patient's fingernails?

A newborn infant has Down's syndrome.During the skin assessment, the nurse notices a transient mottling in the trunk and extremities in response to the cool temperature in the examination room.The infant's mother also notices the mottling and asks what it is.The nurse knows that this mottling is called:

The nurse educator is preparing an education module for the nursing staff on the epidermal layer of skin.Which of these statements would be included in the module? The epidermis is:

A patient has had a "terrible itch" for several months and states that he has been continuously scratching it.During examination, the nurse finds:

During a skin assessment, the nurse initially is concerned that the patient who is of East Asian origin has skin that is yellowish-brown.On further assessment, the nurse notes that the skin on the hard and soft palate is pink and the patient's sclerae are not yellow.From this finding, the nurse recognizes that the patient likely does not have:

The nurse is working with the older adult population, and recognizes that the aging process can increase: (Select all that apply.)

A 45-year-old farmer comes in for a skin evaluation and complains of hair loss on his head.His hair seems to be breaking off in patches, and he notices some scaling on his head.The nurse begins the examination suspecting: