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Exam (elaborations)

Chapter 9: Skin, Hair, And Nails — Health Assessment (2025/2026

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Here’s a comprehensive and well-structured summary of Chapter 9 – Skin, Hair, and Nails from a Health Assessment textbook (such as Jarvis, Physical Examination and Health Assessment, 9th Edition). This chapter is essential for nursing and medical students — it covers the assessment techniques, normal findings, and key abnormalities for the integumentary system.

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HEALTH ASSESSMENT : CHARPTER 9-
SKIN HAIR, AND NAILS HEALTH




A nurse assessing a patient with liver disease expects to find which manifestation during the
examination?



a. Yellowish color in the axilla and groin

b. Yellow pigmentation in the sclera

c. Very pale skin on the palms

d. Ashen-gray color in the oral mucous membranes - ANSWER✔✔✨---b. Yellow pigmentation in the
sclera



How does the nurse recognize jaundice in a dark-skinned patient?



a. Inspect the conjunctiva for ashen-gray color.

b. Inspect the nail beds for a deeper brown or purple skin tone.

c. Inspect the palms and soles for yellowish-green color.

d. Inspect the oral mucous membrane for yellow color. - ANSWER✔✔✨---c. Inspect the palms and
soles for yellowish-green color.



What signs of cyanosis does a nurse inspect for in a dark-skinned patient?



a. Ashen-gray color of the oral mucous membranes

b. Blue color in the nail beds

c. Ashen-blue color in the palms and soles

, d. Blue-gray color in the ear lobes and lips - ANSWER✔✔✨---a. Ashen-gray color of the oral mucous
membranes



When the patient's chart includes a notation that petechiae are present, what finding does a nurse
expect during inspection?



a. Purplish-red pinpoint lesions

b. Deep purplish or red patches of skin

c. Small raised fluid-filled pinkish nodules

d. Generalized reddish discoloration of an area of skin - ANSWER✔✔✨---a. Purplish-red pinpoint
lesions



When performing a skin assessment of an adult patient, the nurse expects what finding?



a. Reddened area does not blanch when gentle pressure is applied

b. Indentation of the finger remains in the skin after palpation

c. Flaking or scaling of the skin

d. Return of skin to its original position when pinched up slightly - ANSWER✔✔✨---d. Return of skin
to its original position when pinched up slightly



A nurse notices a patient's nails are thin and depressed with the edges turned up. What additional
abnormal data should the nurse expect to find on this patient?



a. Pale conjunctiva

b. Jaundice

c. Ecchymosis

d. Rashes - ANSWER✔✔✨---a. Pale conjunctiva



A 45-year-old woman tells the nurse she is distressed by the presence of dark, coarse hair on her face
that has recently developed. What is the nurse's most appropriate response to this patient?

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