Dermatology
The nurse educator is preparing an education module on skin, hair, and nails for the nursing staff. Which of these statements about the epidermal layer of the skin should be included in the module?
A. Highly vascular
B. Thick and tough
C. Thin and nonstratified
D. Replaced every 4 weeks
D. Replaced every 4 weeks
A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. Why is it important that the nurse encourage her to stop trying to remove the corn with scissors?
A. The woman could be at increased risk for infection and lesions because of her chronic disease.
B. With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding.
C. She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors.
D. With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.
A. The woman could be at increased risk for infection and lesions because of her chronic disease.
42-year-old woman states that she has noticed several small, slightly raised, bright red dots on her chest. On examination, the nurse confirms the presence of these “dots.” How should the nurse document these findings?
A. Anasarca
B. Scleroderma
C. Senile angiomas
D Latent myeloma
C. Senile angiomas
a lesion that is confluent in nature.
Lesions that run together
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. What does the nurse suspect?
The nurse educator is preparing an education module on skin, hair, and nails for the nursing staff. Which of these statements about the dermal layer of the skin should be included in the module?
A. Contains mostly fat cells
B. Consists mostly of keratin
C. Is replaced every 4 weeks
D. Contains sensory receptors
D. Contains sensory receptors
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 medication class?
A. Tetracyclines for acne
B. Proton pump inhibitors for heartburn
C. Nonsteroidal anti-inflammatory drugs for pain
D. Thyroid replacement hormone for hypothyroid
A. Tetracyclines for acne
65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which finding?
A. Anasarca
B. Scleroderma
C. Pedal erythema
D. Clubbing of the nails
D. Clubbing of the nails
A patient has had a “terrible itch” for several months that he has been continuously scratching. What might the nurse expect to find upon physical examination?
Lichenification
While performing an assessment of a 65-year-old man with a history of hypertension and coronary artery disease, the nurse notices the presence of bilateral pitting edema in the lower legs. The skin is puffy and tight but normal in color. No increased redness or tenderness is observed over his lower legs, and the peripheral pulses are equal and strong. In this situation, the nurse suspects that the likely cause of the edema is which condition?
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 odor.” The nurse knows that this is likely r/t a disorder with what part of the body?
Eccrine glands
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. Color variation
B. Border regularity
C. Symmetry of lesions
D. Diameter of less than 6 mm
A. Color variation
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 continues the skin assessment. What other finding should the nurse expect?
A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the nurse what the physician saw that led to that diagnosis. What is the best response by the nurse?
“Confluent and extensive patch of petechiae and ecchymoses on the feet.” Correc
A 40-year-old woman reports a change in mole size, accompanied by color 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. What is the best response by the nurse?
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be r/t which factor in the older adult?
A. Increased vascularity of the skin
B. Increased numbers of sweat and sebaceous glands
C. An increase in elastin and a decrease in subcutaneous fat
D. An increased loss of elastin and a decrease in subcutaneous fat
D. An increased loss of elastin and a decrease in subcutaneous fat
black patient is in the intensive care unit because of impending shock after an accident. The nurse expects to find what characteristics in this patient’s skin?
A. Ruddy blue
B. Generalized pallor
C. Ashen, gray, or dull
D. Patchy areas of pallor
C. Ashen, gray, or dull
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. Which is the best description of these?
A mother has noticed that her son, who has been to a new babysitter, has some blisters and scabs on his face and buttocks. On examination, the nurse notices moist, thin-roofed vesicles with a thin erythematous base. What does the nurse suspect?
Impetigo
The nurse is assessing for clubbing of the fingernails. Which is the best description of clubbing?
During an examination, the nurse finds that a patient has excessive dryness of the skin. How should the nurse document this finding?
Xerosis
An older adult woman is brought to the emergency department after being found lying on the kitchen floor for 2 days; she is extremely dehydrated. What would the nurse expect to see during the examination?
A. Pale mucous membranes
B. Smooth mucous membranes and lips
C. White patches on the mucous membranes
D. Dry mucous membranes and cracked lips
Dry mucous membranes and cracked lips
a solid, elevated, circumscribed lesion that is less than 1 cm in diameter.
A papule
The nurse is assessing the skin of a patient who has acquired immunodeficiency syndrome (AIDS) and notices multiple patchlike lesions on the temple and beard area that are faint pink in color. What does the nurse suspect?
The nurse is assessing for inflammation in a dark-skinned person. Which technique is the best?