Correct Solutions.
The nurse is preparing to complete a skin, hair, and nail examination. What equipment should
the nurse gather before beginning the assessment? - Answer Penlight , Magnifying glass ,
Centimeter ruler
The nurse is assessing a shallow, open ulcer with a red-pink wound bed that is located on a
patient's sacrum. How would the nurse document this wound? - Answer Stage II
The nurse is interviewing a patient who is reporting itching and a rash. Which question(s) would
be appropriate for the nurse to include in the nursing health history? - Answer What other
symptoms occur with it? , How much does it bother you? , When did it begin?
The nurse is assessing for skin texture, thickness, and moisture. Which technique would the
nurse use to perform these assessments? - Answer Palpation
The nurse is providing patient teaching about prevention of pressure injuries. Which statement,
if made by the patient, indicates that the teaching was successful?
• Because I have dry skin, I should avoid cold air & use moisturizers
• I should reposition myself every 2 hours when sitting on a chair
• To promote circulation, I should vigorously massage skin
• Bathe with hot water - Answer • Because I have dry skin, I should avoid cold air & use
moisturizers
A patient with a history of skin cancer reports an "itchy mole" on the back. Which characteristics
should the nurse inspect for when evaluating the lesion? Select all that apply
• Depth
• Exudate
• Borders
• Asymmetry
• Color - Answer Asymmetry, color, & borders
The nurse is inspecting a patient's cheek and finds a palpable, 0.4-cm mass containing clear