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Skin, Hair and Nails Study Guide Test.

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Skin, Hair and Nails Study Guide Test. Ashen - CORRECT ANSWER To assess anemia on a dark skinned client, the nurse should observe the client's skin for a colour that appears A great degree of cyanosis - CORRECT ANSWER The nurse is assessing a dark skinned client who has been transported to the emergency room by ambulance. When the nurse observes the client's skin appears pale, with blue tinged lips and oral mucosa, the nurse should document the presence of Sclera - CORRECT ANSWER A dark skinned client visits the clinic because he "hasn't been feeling well ". To assess the client's skin for jaundice, the nurse should inspect the client's Caused by aging of the skin in older adults - CORRECT ANSWER While assessing the skin of an older adult client, the nurse observed that the client has small yellowish brown patches on her hands. The nurse should instruct the client that these spots are Blue - CORRECT ANSWER While assessing an adult client's feet for fungal disease using a Wood's light, the nurse documents the presence of a fungus when the fluorescence is Stage II - CORRECT ANSWER The nurse assesses an older adult bedridden client in her home. While assessing the client's buttocks, the nurse observed that a small area of the skin is broken and resembles an erosion. The nurse should document the client's pressure ulcer as Use two fingers to pinch the skin under the clavicle - CORRECT ANSWER To assess an adult client's skin turgor, the nurse should A recent illness - CORRECT ANSWER While assessing the nails of an adult client, the nurse observed Beau's lines. The nurse should ask the client if he has had Hypoxia - CORRECT ANSWER While assessing the nails of an older adult, the nurse observes early clubbing. The nurse should further evaluate the client for signs and symptoms of Macules - CORRECT ANSWER While assessing an adult client, the nurse observed freckles on the client's face. The nurse should document the presence of Plaque - CORRECT ANSWER While assessing an adult client, the nurse observed an elevated, palpable, solid mass with a circumscribed border that measures 1 cm. The nurse documents this as a Vesicles - CORRECT ANSWER The nurse is preparing to examine the skin of an adult client with a diagnosis of herpes simplex. The nurse plan to measure the client's symptomatic lesions and measure the size of the client's


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