Lewis Ch22 Nursing Assessment Integumentary System

The primary function of the skin is

• insulation.

• protection.

• sensation.

• absorption.

Age-related changes in the hair and nails include (select all that apply)

• oily scalp.

• scaly scalp.

• thinner nails.

• thicker, brittle nails.

• longitudinal nail ridging.

When assessing the nutritional-metabolic pattern in relation to the skin, the nurse asks the patient about

• joint pain.

• the use of moisturizing shampoo.

• recent changes in wound healing.

• self-care habits related to daily hygiene.

Tags

NGSS.HS-LS1-3

The nurse assessed the patient’s skin lesions as firm, edematous, irregularly shaped with a variable diameter. They would be called

• Wheals

• Papules

• Pustules

• Plaques

During the physical examination of a patient’s skin, the nurse would

• use a flashlight in a poorly lit room.

• note cool, moist skin as a normal finding.

• pinch up a fold of skin to assess for turgor.

• perform a lesion-specific examination first and then a general inspection.

Persons with dark skin are more likely to develop

• Keloids

• Wrinkles

• Skin rashes

• Skin cancer

On inspection of a patient’s dark skin, the nurse notes a blue-gray birthmark on the forehead and eye area. This assessment finding is called

• Vitiligo

• Intertrigo

• Nevus of Ota

• Telangiectasia

Diagnostic testing is recommended for skin lesions when

• a health history cannot be obtained.

• a more definitive diagnosis is needed.

• percussion reveals an abnormal finding.

• treatment with prescribed medication has failed.