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Exam 8: Assessing the Skin, Hair, and Nails

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Question 21

Short Answer

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The nurse is staging the patient's pressure ulcer and determines full thickness loss with extensive involvement of muscle. This ulcer is almost completely covered in eschar. The nurse determines this ulcer to be ____________________.

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Question 22

Multiple Choice

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During an assessment, the nurse notices a lesion on the patient's leg that is round with central clearing. This would be documented as a(n) :

A) Discrete lesion.
B) Confluent lesion.
C) Iris lesion.
D) Circular lesion.

E) B) and C)
F) All of the above

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Question 23

Multiple Choice

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Intertriginous areas trap moisture and can easily become infected. These areas include which of the following? Select all that apply.

The layer of the skin that adds strength and elasticity, and gives individuals the ability to feel is the:

A patient is at his dermatologist's office to have a skin lesion on his face evaluated. The health-care provider tells that patient that she is going to do a biopsy to rule out ___________________ cell carcinoma, a malignant cutaneous malignancy arising from keratinocytes of the skin.

The nurse assesses a skin lesion that is elevated, encapsulated, and filled with fluid. The nurse knows that this is a:

You are inspecting and palpating a patient's fingernails. The patient has chronic obstructive pulmonary disease related to smoking for the past 30 years. You look at his nails and note an increased nail base angle. You know that the normal nail base angle is __________ degrees.

You are performing a skin assessment on a patient's face and inspect many freckles on both sides. A freckle is a:

The skin is involved in several functions of the body, including which of the following? Select all that apply.

While assessing the patient's fingernails, the nurse notices a thickening, yellow discoloration and scaling of the nail bed. The nurse would suspect:

Sebum is secreted through hair follicles in which areas of the body? Select all that apply.

Yellowing of the skin without yellowing of the sclera of the eye might indicate:

Keloid formation is commonly seen in:

A patient comes to the clinic to have an elevated brown mole removed. You measure the mole and it is 0.9 mm. The nurse knows that this is a:

Using the Braden Scale for Predicting Pressure Sore Risk, the nurse assesses several factors. Select all that apply.

During your assessment of a 17-year-old female, you determine that she uses tanning beds on a regular basis. You should inform her that:

If lice are found during an inspection of the hair, the best way to pick them up is with a:

The skin assessment indicates a mole on the patient's back. The nurse will assess it for which of the following? Select all that apply.

A bruise caused by bleeding under the skin or mucous membranes after a local trauma is called:

The patient presents with redness, swelling, and spider-like blood vessels on the middle of the face. The nurse suspects this is a condition called: