Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55Assessment Of The Integumentary System
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- Health Promotion and Disease PreventionHealth AssessmentCritical ThinkingComplementary and Alternative TherapiesAmbulatory Health CareAcute Health CareCritical CareHome Health CareLong-Term CareRehabilitationClients with Fluid ImbalancesClients with Electrolyte ImbalancesAcid-Base BalanceClients Having SurgeryPerspectives in GeneticsPerspectives in OncologyClients with CancerClients with WoundsPerspectives on Infectious Disease and BioterrorismClients with PainPerspectives in Palliative CareClients with Sleep and Rest Disorders and FatigueClients with Psychosocial and Mental Health ConcernsClients with Substance Abuse DisordersAssessment of the Musculoskeletal SystemManagement of Clients with Musculoskeletal DisordersManagement of Clients with Musculoskeletal Trauma or OveruseAssessment of Nutrition and the Digestive SystemManagement of Clients with MalnutritionManagement of Clients with Ingestive DisordersManagement of Clients with Digestive DisordersAssessment of EliminationManagement of Clients with Intestinal DisordersManagement of Clients with Urinary DisordersManagement of Clients with Renal DisordersManagement of Clients with Renal FailureAssessment of the Reproductive SystemManagement of Men with Reproductive DisordersManagement of Women with Reproductive DisordersManagement of Clients with Breast DisordersManagement of Clients with Sexually Transmitted InfectionsAssessment of the Endocrine and Metabolic SystemsManagement of Clients with Thyroid and Parathyroid DisordersManagement of Clients with Adrenal and Pituitary DisordersManagement of Clients with Diabetes MellitusManagement of Clients with Exocrine Pancreatic and Biliary DisordersManagement of Clients with Hepatic DisordersAssessment of the Integumentary SystemManagement of Clients with Integumentary DisordersManagement of Clients with Burn InjuryAssessment of the Vascular SystemManagement of Clients with Hypertensive DisordersManagement of Clients with Vascular DisordersAssessment of the Cardiac SystemManagement of Clients with Structural Cardiac DisordersManagement of Clients with Functional Cardiac DisordersManagement of Clients with DysrhythmiasManagement of Clients with Myocardial InfarctionAssessment of the Respiratory SystemManagement of Clients with Upper Airway DisordersManagement of Clients with Lower Airway and Pulmonary VesselManagement of Clients with Parenchymal and Pleural DisordersManagement of Clients with Acute Pulmonary DisordersAssessment of the Eyes and EarsManagement of Clients with Visual DisordersManagement of Clients with Hearing and Balance DisordersAssessment of the Neurologic SystemManagement of Comatose or Confused ClientsManagement of Clients with Cerebral DisordersManagement of Clients with StrokeManagement of Clients with Peripheral Nervous System DisordersManagement of Clients with Degenerative Neurologic DisordersManagement of Clients with Neurologic TraumaAssessment of the Hematopoietic SystemManagement of Clients with Hematologic DisordersManagement of Clients with Immune DisordersManagement of Clients with Rheumatic DisordersManagement of Clients with Acquired Immunodeficiency SyndromeManagement of Clients with Leukemia and LymphomaManagement of Clients Requiring TransplantationManagement of Clients with Shock and Multisystem DisordersManagement of Clients in the Emergency Department
Question 1
Free
Multiple Choice
When the client taking chlorpromazine (Thorazine), phenytoin (Dilantin), penicillin, and a multivitamin complains of a sunburn-like rash on the face and arms, the nurse would suspect the cause to be the
Choose correct answer/s
dilantin.
multivitamin.
penicillin.
tetracycline.
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Question 2
Free
Multiple Choice
On examination of a client, the nurse notes elevated, solid, brown skin lesions that are each 0.5 cm in size. The nurse would describe these lesions as
Choose correct answer/s
papules.
plaques.
macules.
nodules.
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Question 3
Free
Multiple Choice
A client has elevated lesions that contain serous fluid. The nurse would document these as
Choose correct answer/s
nodules.
pustules.
vesicles.
wheals.
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Question 4
Free
Multiple Choice
The nurse caring for a child with impetigo notes that some of the lesions on the child's skin appear elevated and contain purulent material. Secondary lesions are also present and are honey colored. The nurse would document these lesions as
Choose correct answer/s
cysts and bullae.
nodules and scales.
pustules and crusts.
vesicles and excoriations.
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Question 5
Free
Multiple Choice
The nurse observes crusty brown lesions covering a client's back. To assist in identifying a possible cause, the most helpful question the nurse would ask the client is
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"Have you recently changed laundry detergents?"
"How much does the rash itch?"
"What did the rash look like when you first noticed it?"
"What did you eat last night?"
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Question 6
Multiple Choice
When the nurse lifts the client's foot to clean it during bathing, the nurse notices that it is cool to the touch. The nurse's most appropriate initial action would be to
Choose correct answer/s
compare the temperature of the foot with the client's other foot.
document the finding on the client's chart.
inspect hair distribution on the lower half of the leg.
Place the extremity under a blanket and continue the bath.
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Question 7
Multiple Choice
After tape is applied for skin patch testing, the nurse would include in the client's instructions to return to the clinic for tape removal and initial reading in
Choose correct answer/s
24 hours.
48 hours.
3 days.
7 days.
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Question 8
Multiple Choice
After a client's surgical excisional biopsy, the nurse would apply
Choose correct answer/s
antibiotic ointment and a dry dressing.
Band-Aids only.
hydrocolloid dressing only.
petrolatum gauze and paper tape.
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Question 9
Multiple Choice
The nurse would explain to a client that an "allergy" differs from an "irritation" in that an allergy
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affects the skin and mucous membranes only.
is an immune response.
is inconsistent.
can be totally desensitized.
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Question 10
Multiple Choice
The nurse would record the presence of a lichenification as a
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complicated lesion.
primary lesion.
secondary lesion.
simple lesion.
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Question 11
Multiple Choice
In a highly pigmented client, the nurse would best assess for erythema by
Choose correct answer/s
follicular accentuation.
induration.
reddening of the skin.
striation.
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Question 12
Multiple Choice
A client is undergoing a lengthy series of treatments for a skin disorder. The best method of documenting the client's experience with the treatments is for the nurse to
Choose correct answer/s
document the lesions clearly at each visit using proper terminology.
draw the distribution and characteristics of the lesions occasionally.
have the client record ongoing changes and include them in the record.
photograph the lesions at each clinic visit and use them for comparison.
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Question 13
Multiple Choice
The nurse would explain to a client that examples of primary skin lesions include (Select all that apply)
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cysts.
macules.
scales.
plaque.
pustules.
wheals.
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