NUR 612 Advanced Health Assessment EXAM 2 REVIEW

NUR 612 Advanced Health Assessment EXAM 2 REVIEWExam 2 8, 9, 10, 13 1. Questions 1. 1.ID: Select the correct statement regarding skin turgor. A. It reflects the elasticity of the skin. Correct B. It is measured by using skin calipers. C. It is used to assess hydration status in elderly patients. D. It is assessed in the dorsum of the hand in elderly patients. Skin turgor reflects the elastic quality of the skin. The skin is pinched up and then released. Calipers are used to measure skinfold thickness in the triceps to estimate body fat stores. Elderly persons naturally have decreased skin turgor because of loss of subcutaneous fat. Skin turgor does not reflect hydration status in elderly patients. Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: Upon inspecting the hands, the nurse observes that the patient has a black discoloration of one fingernail. The patient states the nail is painful. What is this finding? A. Ganglion cyst B. Subungual hematoma Correct C. Fungal infection of the nail. D. Pseudomonas aeruginosa infection of the nail Subungual hematoma blackens the nail because of a collection of blood under the fingernail. A ganglion cyst is a nodule that overlies tendon sheaths often in the wrist area. Fungal infections cause the nail to crumble. A bacterial infection caused by P. aeruginosa causes the nail to appear black green but is not painful. Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: A patient is being treated for Lyme disease based on what assessment finding? A. Skin inflamed from a mosquito bite B. Rash with vesicles that follows a dermatome C. Skin lesions that are circular with clear centers