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WorksheetsHealth assessment Skin
Total questions: 11
Worksheet time: 21mins
The nurse is assessing for the presence of cyanosis in a dark skinned client. The nurse understands that which body area would provide the best assessment?
Lips
Sacrum
Earlobes
Back of the hands
Which of the following clients would least likely be at risk of developing skin breakdown?
A client incontinent of urine and feces
A client with chronic nutritional deficiencies
A client with decreased sensory perception
A client who is unable to move about and is confined to bed.
The clinic nurse assesses the skin of white client with a diagnosis of psoriasis. The nurse understands that which characteristics is associated with this skin disorder?
Clear, thin nail beds
Red-purplish scaly lesions
oily skin and no episodes of pruritus
Silver-white scaly patches on the scalp, elbows, knees and sacral regions
The clinic nurse notes that the physicians have documented a diagnosis of herpes zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?
Patch test
Skin Biopsy
Culture of the lesion
Wood's Light examination
The nurse is assigned to care for a client with herpes zoster (shingles). Which of the following characteristics would the nurse expect to note when assessing the lesions of this infection?
Clustered skin vesicles
Generalized body rash
Small blue-white spots with a red base
A fairy red, edematous rash on the cheeks
When assessing a lesion diagnosed as malignant melanoma, the nurse most likely expects to note which of the following?
An irregular shaped lesion
A small papule with a dry, rough scale
A firm, nodular lesion topped with crust
A pearly papule with a central and waxy border
The clinic nurse reviews the client's chart and notes that the physician has documented a diagnosis of Paronychia, which of the following would the nurse expect to note during the assessment?
Red shiny skin around the nail bed
White taut skin in the popliteal area
white silvery patches on the elbows
Swelling of the skin near the parotid gland
The client arrives at the emergency room and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?
A pink, edematous hand
A fiery red skin with edema in the nail beds
Black fingers surrounded by an erythematous rash
A white color to the skin, which is insensitive to touch.
The clinic nurse inspects the skin of a client suspected of having scabies. Which assessment findings would the nurse note if this disorder was present?
Patchy hair loss and round red macules with scales
The presence of white patches scattered about the trunk
Multiple straight or wavy, thread-like lines beneath the skin
the appearance of vesicles or pustules with a thick honey-colored crust
The home health nurse visits a client suspected of having scabies. Which of the following precautions will the nurse institute during the assessment of the client?
Wear gloves only
Wear a mask and gloves
Wear a gown and gloves
Avoid touching the client's home furnishings
The nurse is administering fluids intravenously as prescribed to a client who sustained superficial partial-thickness burn injuries of the back and legs. In evaluating the adequacy of fluid resuscitation, the nurse understands that which of the following would provide the most reliable indicator for determining the adequacy?
Vital signs
Urine output
Mental Status
Peripheral pulses
