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The nurse educator is preparing an education module for the nursing staff on the epidermal layer of
skin. Which of these statements would be included in the module? The epidermis is: ✔Correct
Answer-Replaced every 4 weeks.
The nurse educator is preparing an education module for the nursing staff on the dermis layer of
skin. Which of these statements would be included in the module? The dermis: ✔Correct Answer-
Contains sensory receptors.
The nurse is examining a patient who tells the nurse, I sure sweat a lot, especially on my face and
feet but it doesnt have an odor. The nurse knows that this condition could be related to: ✔Correct
Answer-Eccrine glands.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This
finding would be related to which factor in the older adult? ✔Correct Answer-An increased loss of
elastin and a decrease in subcutaneous fat
During the aging process, the hair can look gray or white and begin to feel thin and fine. The nurse
knows that this occurs because of a decrease in the number of functioning: ✔Correct Answer-
Melanocytes.
During an examination, the nurse finds that a patient has excessive dryness of the skin. The best term
to describe this condition is: ✔Correct Answer-Xerosis.
A 22-year-old woman comes to the clinic because of severe sunburn and states, I was out in the sun
for just couple of minutes. The nurse begins a medication review with her, paying special attention to
which medication class? ✔Correct Answer-Tetracyclines for acne
A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination the
nurse learns that she has diabetes and takes oral hypoglycemic agents. The patient needs to be
concerned about which possible effect of her medications? ✔Correct Answer-Importance of
sunscreen and avoiding direct sunlight
A 13-year-old girl is interested in obtaining information about the cause of her acne. The nurse
should share with her that acne: ✔Correct Answer-Is caused by increased sebum production.
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. The nurse will encourage her to
stop trying to remove the corn with scissors because: ✔Correct Answer-The woman could be at
increased risk for infection and lesions because of her chronic disease.
The nurse keeps in mind that a thorough skin assessment is extremely important because the skin
holds information about a persons: ✔Correct Answer-Circulatory status.
,A patient comes in for a physical examination and complains of freezing to death while waiting for
her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
✔Correct Answer-Peripheral vasoconstriction.
A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for
approximately 3 days with his feet down and he asks the nurse to evaluate his feet. During the
assessment, the nurse might expect to find: ✔Correct Answer-Distended veins
A patient is especially worried about an area of skin on her feet that has turned white. The health
care provider has told her that her condition is vitiligo. The nurse explains to her that vitiligo is:
✔Correct Answer-Caused by the complete absence of melanin pigment
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? ✔Correct Answer-Color variation
A patient comes to the clinic and states that he has noticed that his skin is redder than normal. The
nurse understands that this condition is due to hyperemia and knows that it can be caused by:
✔Correct Answer-Excess blood in the dilated superficial capillaries
During a skin assessment, the nurse notices that a Mexican-American patient has skin that is
yellowish- brown; however, the skin on the hard and soft palate is pink and the patients scleras are
not yellow. From this finding, the nurse could probably rule out: ✔Correct Answer-Jaundice
A black patient is in the intensive care unit because of impending shock after an accident. The nurse
expects to find what characteristics in this patients skin? ✔Correct Answer-Ashen, gray, or dull.
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? ✔Correct Answer-Dry mucous membranes and cracked lips
A 42-year-old woman complains that she has noticed several small, slightly raised, bright red dots on
her chest. On examination, the nurse expects that the spots are probably: ✔Correct Answer-Senile
angiomas.
A 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? ✔Correct Answer-
Clubbing of the nails
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 aware that another finding may be: ✔Correct Answer-
Chloasma.
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 prediction? ✔Correct Answer-Seborrheic keratoses,
which do not become cancerous
, A 70-year-old woman who loves to garden has small, flat, brown macules over her arms and hands.
She asks, What causes these liver spots? The nurse tells her, They are: ✔Correct Answer-Clusters of
melanocytes that appear after extensive sun exposure.
The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in
diameter. When documenting this finding, the nurse reports this as a: ✔Correct Answer-Papule.
The nurse just noted from the medical record that the patient has a lesion that is confluent in nature.
On examination, the nurse expects to find: ✔Correct Answer-Lesions that run together.
A patient has had a terrible itch for several months that he has been continuously scratching. On
examination, the nurse might expect to find: ✔Correct Answer-Lichenification.
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. The nurse should say, The physician is
referring to the: ✔Correct Answer-Confluent and extensive patch of petechiae and ecchymoses on
the feet.
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. The nurse
recognizes these lesions as: ✔Correct Answer-Kaposis sarcoma.
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. The nurse begins the
examination suspecting: ✔Correct Answer-Tinea capitis.
The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in
which condition? ✔Correct Answer-Severe dehydration
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? ✔Correct Answer-Heart failure
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. The nurse would: ✔Correct Answer-
Refer the patient because of the suggestion of melanoma on the basis of her symptoms.
The nurse is assessing for clubbing of the fingernails and expects to find: ✔Correct Answer-Nail
bases with an angle of 180 degrees or greater and nail bases that feel spongy.
The nurse is assessing a patient who has liver disease for jaundice. Which of these assessment
findings is indicative of true jaundice? ✔Correct Answer-Yellow color of the sclera that extends up
to the iris
The nurse is assessing for inflammation in a dark-skinned person. Which technique is the best?
✔Correct Answer-Palpating the skin for edema and increased warmth