Thomas Warren, Age 72:
Assessment and Treatment of an
Unusual Mole – i-Human Week #2
Case
, The Braden Scale for Predicting Pressure Sore Risk® assesses which of the
following? Select all that apply.
Mobility
Moisture
Sensory perception
Nutrition
What is a function of the skin?
Temperature regulation
According to the Skin Cancer Foundation (2020), 1 in -- people in the United States
will develop skin cancer before the age of 70.
5
The nurse is assessing an infant's skin and notices a small red rash as in the picture.
This lesion is called a
pustule
To determine if a client with darker skin has cyanosis, the examiner should assess
the color in which locations? Select all that apply.
Nailbeds
Mucous membranes
The components of a nail examination include
shape, consistency, and color
A 65-year-old client presents to the emergency room with shortness of breath due to
chronic lung disease. On inspection, the nurse might expect to see which of the
following assessment findings?
Clubbing of the nails
Which intervention can help a client maintain healthy skin?
Keep the client well hydrated
The elderly are at high risk for skin breakdown due to
decreased elasticity
-- is at the greatest risk for development of an integumentary disorder.
An outdoor construction worker
Use the scenario below to fill in the Braden Scale for Predicting Pressure Sore
Risk®.
John (pronouns: he/him/his) is a 78-year-old resident at a local nursing home. Due to
a stroke, he has decreased sensation on his left lower leg, which makes it difficult for
him to walk long distances without assistance. He can shift his weight to change
positions slightly and can reposition his left leg independently. Although he maintains
a good position in a chair or bed, he does require an assist for sitting up. John has
issues with incontinence and frequently requires linen changes once a shift. He
doesn't completely eat all his food and leaves about 1/2 of the food on his plate at
every meal.
Responds to verbal commands, but cannot always communicate discomfort or need
to be turned.OR has some sensory impairment which limits ability to feel pain or
discomfort in 1 or 2 extremities.
Skin is often, but not always, moist. Linen must be changed at least once a shift.
Walks occasionally during day, but for very short distances, with or without
assistance. Spends majority of each shift in bed or chair.
Makes frequent though slight changes in body or extremity position independently.
Assessment and Treatment of an
Unusual Mole – i-Human Week #2
Case
, The Braden Scale for Predicting Pressure Sore Risk® assesses which of the
following? Select all that apply.
Mobility
Moisture
Sensory perception
Nutrition
What is a function of the skin?
Temperature regulation
According to the Skin Cancer Foundation (2020), 1 in -- people in the United States
will develop skin cancer before the age of 70.
5
The nurse is assessing an infant's skin and notices a small red rash as in the picture.
This lesion is called a
pustule
To determine if a client with darker skin has cyanosis, the examiner should assess
the color in which locations? Select all that apply.
Nailbeds
Mucous membranes
The components of a nail examination include
shape, consistency, and color
A 65-year-old client presents to the emergency room with shortness of breath due to
chronic lung disease. On inspection, the nurse might expect to see which of the
following assessment findings?
Clubbing of the nails
Which intervention can help a client maintain healthy skin?
Keep the client well hydrated
The elderly are at high risk for skin breakdown due to
decreased elasticity
-- is at the greatest risk for development of an integumentary disorder.
An outdoor construction worker
Use the scenario below to fill in the Braden Scale for Predicting Pressure Sore
Risk®.
John (pronouns: he/him/his) is a 78-year-old resident at a local nursing home. Due to
a stroke, he has decreased sensation on his left lower leg, which makes it difficult for
him to walk long distances without assistance. He can shift his weight to change
positions slightly and can reposition his left leg independently. Although he maintains
a good position in a chair or bed, he does require an assist for sitting up. John has
issues with incontinence and frequently requires linen changes once a shift. He
doesn't completely eat all his food and leaves about 1/2 of the food on his plate at
every meal.
Responds to verbal commands, but cannot always communicate discomfort or need
to be turned.OR has some sensory impairment which limits ability to feel pain or
discomfort in 1 or 2 extremities.
Skin is often, but not always, moist. Linen must be changed at least once a shift.
Walks occasionally during day, but for very short distances, with or without
assistance. Spends majority of each shift in bed or chair.
Makes frequent though slight changes in body or extremity position independently.
