FULL TEST BANK For Seidel's Guide to Physical Examination An Interprofessional Approach 9th Edition by Jane W. Ball, Joyce E. Latet Update Graded A+

24. You have just completed a skin assessment on Mr. Baker. During your assessment, you have trselected answerilluminated a skin lesion. During the physical examination, you know that skin lesions are trselected answerilluminated to distinguish: a. vascular from nonvascular lesions. b. furuncles from folliculitis lesions. c. fluid-filled lesions from solid cysts or masses. d. herpes zoster from varicella. SELECTED ANS;C Trselected answerillumination is used to determine the presence of fluid in cysts and masses. Fluid-filledlesions will trselected answerilluminate with a red glow, and solid masses will not trselected answerilluminate. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 25. Fluorescing lesions are best distinguished using a(n): a. incandescent lamp. b. magnifying glass. c. trselected answerilluminat or. d. Wood's lamp. SELECTED ANS;D LATEST TEST BANK Fluorescing lesions (e.g., some tinea lesions) show a characteristic yellow-green color under a Wood's lamp. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 26. Women with terminal hair growth in a male distribution pattern should receive further evaluation for a(n): a. circulation condition. b. endocrine disorder. c. inflammatory state. d. nutritional deficit. SELECTED ANS;B Hirsutism in women (growth of terminal hair in a male distribution) can be a clinical sign of an endocrine disorder. Hair loss can be associated with poor circulation, inflammation, or nutritional deficits. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 27. Which nail change found on examination would be most alarming? a. Dark bands seen on all fingernails of a dark-skinned person b. Yellow discoloration of the great toe of an older adult c. Single dark band in a white adult d. Pits in both index fingernails of an adult SELECTED ANS;C Dark bands in a dark-skinned person are normal; yellow in the toe of an older adult can represent a nail disease or a chronic respiratory condition; and pits are related to psoriasis. A single dark band in a white adult indicates a more serious condition—melanoma. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 28. Trselected answerient mottling of the patient's skin in a cool room is a common finding in: a. menopausal women. b. newborn infants. c. pregnant women. d. sedentary adults. SELECTED ANS;B Cutis marmorata, a mottled appearance, is part of the newborn's response to changes in temperature. DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 29. A single trselected answerverse line seenNin tRhe pIalmGof Ba .smCallMchild may imply: a. Down syndrome. b. Turner syndrome. c. systemic sclerosis. d. profound dehydration. SELECTED ANS;A U S N T O The simian line, a single trselected answerverse crease, is seen on the palm of children with Downsyndrome. DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 30. Cafe au lait patches are numbered with each assessment of infants and young children because: a. the numbers are expected to increase each year. b. coalescent lesions are a more serious finding. c. the presence of six or more patches suggests neurofibromatosis. d. decreasing numbers are expected with growth. SELECTED ANS;C The presence of six or more patches with diameters larger than 1 cm in children younger than 5 years of age suggests neurofibromatosis. Fewer than five patches is usually considered harmless. The numbers of cafe au lait patches are not expected to increase each year. Coalescent lesions are not a more serious finding. Decreasing numbers are not expected with growth. DIF: Cognitive Level: Analyzing (Analysis) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 31. A Dennie-Morgan fold is probably caused by: a. birth trauma. b. high fever. c. excess adipose tissue. d. chronic rubbing. SELECTED ANS;D Persons with chronic aTOPICic or allergic conditions tend to rub the eyes sufficiently to cause anextra crease or pleat of skin below the eye, called the Dennie-Morgan fold. DIF: Cognitive Level: Applying (Application) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 32. Linea nigra is commonly found on the abdomens of: a. infants and children. b. adolescents. c. pregnant patients. d. older adults. SELECT ED ANSWE R: C LATEST TEST BANK Pregnant patients commonly develop pigmentation of the abdomen from the symphysis pubis to the TOPIC of the fundus in the midline. DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 33. Cherry angiomas are a common finding in: a. adults older than 30 years. b. newborns. c. pregnant women. d. sunbathers. SELECTED ANS;A Cherry angiomas occur in almost everyone older than 30 years and increase numerically with age. DIF: Cognitive Level: Remembering (Knowledge) OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation 34. Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish: a. cutaneous tags from lentigines. b. furuncles from folliculitis. c. sebaceous hyperplasia from eczema. d. seborrheic keratoses from actinic keratoses. SELECTED ANS;D