Exam 11: Skin, Hair Nails

The adult client is visiting the outpatient clinic.The client states,"I have sores in my mouth and on my lips." The nurse notes the presence of crusted lesions on the lips and inside the client's mouth along the cheek.The client states that the lesions do not itch.These findings are most consistent with the development of which of the following conditions?

The nurse is assessing the client's nail.Identify the lunula by drawing an arrow pointing toward this area on the following figure.

The nurse is completing a focused interview to assess the skin,hair,and nails of a pregnant client.Which of the following questions would be most important for the nurse to include in the interview?

During the assessment of a client's integumentary status the nurse notes "vitiligo present bilateral hands." This documentation indicates which of the following information?

The nurse is caring for a client who had abdominal surgery several months ago.The client has verbalized concern that the scar from the surgery is purplish in color.Which of the following statements is the nurse's best response?

The nurse is conducting a focused interview on the client's integumentary system and prepares to obtain data related to risk factors for the development of integumentary disorders.Which of the following questions by the nurse would be unexpected based on the specific data the nurse is attempting to gain during the interview?

The nurse is preparing to assess the client's skin,hair,and nails.Which of the following techniques will the nurse use initially during this assessment?

The nurse is caring for a client with dark skin and needs to assess the skin for jaundice.Which of the following actions would be appropriate for the nurse in this situation?

The nurse is assessing the skin of a newborn infant and notes a bright red,raised lesion on the lateral aspect of the thigh.The lesion is 4.5 centimeters in diameter.When light pressure is applied to the lesion,the site does not blanch.The mother expresses concern about the appearance of this site,and asks the nurse if it should be removed.Which of the following would be the best response for the nurse in this situation?

The nurse is admitting a newly admitted client and notes skin vitiligo,which is highly visible even from a distance.The client asks the nurse to place a "No Visitors" sign on the door the patient's room.The client states,"I hate the way my skin looks.Some people just stare at me." Which of the following nursing diagnoses should be incorporated into the client's plan of care?

The nurse is performing a skin assessment on a client and notes an oval-shaped,elevated,fluid-filled mass that is approximately 1.5 centimeter in size.The nurse would correctly document this finding as which of the following?

The nurse is caring for a client who has smoked for many years and documents that "clubbing is present." Which of the following techniques is the best way for the nurse to determine the presence of clubbing?

The nurse is performing a skin assessment on an African American client and notes an elevated,irregular band of jagged tissue on the client's left arm.The client states,"I had a burn here a long time ago,but it seemed to keep on getting bigger." The nurse would correctly document this finding in which of the following ways?

The nurse is assessing a client's skin and notes that the color of the skin,nails,and the client's mucous membranes are very light.Which of the following descriptions would the nurse use when documenting this finding?

The nurse is assessing the skin of a teenage male client and notes the presence of a musky odor.The client states that this is embarrassing for him and that he showers daily.Which of the following actions should the nurse take in this situation?

The nurse has performed a focused interview with the client and is preparing to perform a skin assessment while the student nurse observes.The student nurse asks,"Where exactly is the stratum basale located?" Identify the stratum basale in the following figure by placing an arrow pointing toward this area.[Please insert figure 11-1 from D'Amico 2nd edition: Skin structure,3-dimensional view of skin….Remove all labels]

The nurse is preparing an educational program regarding the objectives listed in Healthy People 2020.Which of the following are specifically related to these objectives?

During the assessment of an elderly client's skin,the nurse notes small areas of hyperpigmentation on the dorsal aspect of the client's hands.The client states,"I've been getting more of these big freckles as I get older." The nurse realizes this finding is due to:

The nurse received a phone call from a mother who was discharged with her newborn several days ago.The mother completed the infant care teaching prior to discharge.The nurse would determine that the teaching had been effective if the mother reported which of the following?

The client visits the outpatient clinic.During the assessment of the client's skin,the nurse notes the presence of several abdominal lesions that appear in distinct clusters.The nurse would document these lesions in which of the following ways?