Module 7 ch55 (1st 30) test bank

A nurse is aware that the outer layer of the skin consists of dead cells that contain large amounts of keratin. The physiologic functions of keratin include which of the following? Select all that apply.

• Producing antibodies

• Absorbing electrolytes

• Maintaining acidbase balance

• Physically repelling pathogens

• Preventing fluid loss

When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?

• The scalp

• The elbows

• The palms of the hands

• The knees

A young student is brought to the school nurse after falling off a swing. The nurse is documenting that the child has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in documentation?

• Telangiectasias

• Ecchymoses

• Purpura

• Urticaria

The nurse in an ambulatory care center is admitting an older adult patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?

• Cherry angiomas

• Solar lentigo

• Seborrheickeratoses

• Xanthelasma

While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?

• Cyanosis

• Addisons disease

• Polycythemia

• Vitiligo

While waiting to see the physician, a patient shows the nurse skin areas that are flat, nonpalpable, and have had a change of color. The nurse recognizes that the patient is demonstrating what?

• Macules

• Papules

• Vesicles

• Pustules

An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration?

• Elbows

• Lips

• Nail beds

• Sclerae

A nurse is doing a shift assessment on a group of patients after first taking report. An elderly patient is having her second dose of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new rash on the patients chest. The nurse should ask what priority question regarding the presence of a reddened rash?

• Is the rash worse at a particular time or season?

• Are you allergic to any foods or medication?

• Are you having any loss of sensation in that area?

• Is your rash painful?

A gerontologic nurse is teaching a group of nursing students about integumentary changes that occur in older adults. How should these students best integrate these changes into care planning?

• By avoiding the use of moisturizing lotions on older adults skin

• By protecting older adults against shearing injuries

• By avoiding the use of ice packs to treat muscle pain

• By protecting older adults against excessive sweat accumulation

A patient is diagnosed with atrial fibrillation and the physician orders Coumadin (warfarin). For what skin lesion should the nurse monitor this patient?

• Ulcer

• Ecchymosis

• Scar

• Erosion