Deck 53: Integumentary Function, Assessment, and Therapeutic Measures

Question 1

The nurse notices small purplish dots on the abdomen of a patient. Which of the following demonstrates the best way for the nurse to document the finding?

A)"Multiple petechiae noted across the abdomen."
B)"Scattered ecchymoses noted on abdomen."
C)"Diffuse erythema of the abdomen."
D)"Purpura scattered across abdomen."

Answer 1

"Multiple petechiae noted across the abdomen."

Question 2

Which of the following are functions of the subcutaneous tissue of the skin? (Select all that apply.?

A)To destroy pathogens that passed through broken skin
B)To provide nourishment to tissues
C)To cushion bones
D)To store energy
E)To provide insulation from the cold
F)To support hair growth

Answer 2

To destroy pathogens that passed through broken skin
To cushion bones
To store energy
To provide insulation from the cold

Question 3

The epidermis receives its nourishment from what source?

A)Melanocytes
B)Epithelial cells
C)Dermis
D)Epidermal capillaries

Answer 3

Dermis

Question 4

A patient with cancer is experiencing hair loss from chemotherapy treatments. Which of the following terms would the nurse use to document this finding?

A)Keratopenia
B)Ecchymosis
C)Allopathy
D)Alopecia

Question 5

The nurse is preparing wet dressings for a patient who has a weeping skin lesion. What is the maximum length of time the wet dressings should be used?

A)24 hours
B)36 hours
C)48 hours
D)72 hours

Question 6

The nurse is assisting a patient who has a suspected diagnosis of tinea capitis (ringworm). For which of the following diagnostic tests should the nurse prepare the patient?

A)Skin biopsy
B)Scratch test
C)Wood's light examination
D)Patch test

Question 7

During report, the nurse is told that a patient "has moderate jaundice." Which of the following assessment findings would the nurse expect to see?

A)Bluish tinge to the fingers and toes
B)Flushing in the face
C)Yellow discoloration of the skin
D)Pale mucous membranes

Question 8

The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which of the following findings indicate complications related to prolonged application of the dressings? (Select all that apply.?

A)Cyanosis
B)Maceration
C)Skin atrophy
D)Folliculitis
E)Lichenification
F)Hyperpigmentation

Question 9

The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which of the following assessment findings would be most concerning to the nurse?

A)Excessive skin oiliness
B)Edema formation
C)Dry, macerated skin
D)Increased lesion oozing

Question 10

Which of the following are classified as sudoriferous glands? (Select all that apply.?

A)Apocrine glands
B)Eccrine glands
C)Sebaceous glands
D)Ceruminous glands
E)Melanocytes

Question 11

The nurse notes small (less than 0.5 cm), raised areas that contain serous fluid on a patient's arm. What term would the nurse use to document this finding?

A)Macule
B)Papule
C)Cyst
D)Vesicle

Question 12

The nurse is applying a medicated plastic wrap dressing to a patient's leg. What intervention should the nurse include in the plan of care to prevent development of complications?

A)Remove the dressing for 24 hours every other day.
B)Remove the dressing for 12 hours a day.
C)Apply the dressing twice a day.
D)Apply the dressing four times daily.

Question 13

What term should a nurse use to document transverse depressions in the nails?

A)Splinter hemorrhages
B)Koilonychia
C)Paronychia
D)Beau's lines

Question 14

Which of the following are functions of the epidermal layers of the skin? (Select all that apply.?

A)Provide a barrier against pathogens
B)Prevent loss of water and dehydration
C)Contain sensory receptors
D)Present foreign antigens to helper T cells
E)Prevent entry of excess water into the body

Question 15

Which of the following are normal changes associated with aging? (Select all that apply.?

A)Sweat glands become more active.
B)Epidermal cell division slows.
C)Hair follicles become inactive.
D)Subcutaneous fat increases.
E)Fibroblasts in dermis die.
F)Sebaceous gland becomes more active.

Question 16

Which of the following secretions prevents drying of skin and hair?

A)Sebum
B)Cerumen
C)Sweat
D)Melanin

Question 17

Which of the following are proteins found in the dermis? (Select all that apply.?

A)Keratin
B)Collagen
C)Elastin
D)Adipose tissue
E)Sebum
F)Cerumen

Question 18

The nurse notes a thickening and hardening of the skin from continued irritation on an individual who is wheelchair-bound. What term should the nurse use to describe this finding?

A)Crust
B)Papule
C)Lichenification
D)Excoriation

Question 19

What structure provides an effective cooling mechanism for the body?

A)Capillaries
B)Adipose tissue
C)Ceruminous glands
D)Eccrine glands

Question 20

While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other areas should the nurse assess to confirm presence of jaundice?

A)Mucous membranes
B)Sclerae
C)Conjunctivae
D)Nailbeds

Question 21

The nurse is caring for a dark-skinned African American patient. In which of the following sites can the nurse best evaluate the presence or absence of cyanosis? (Select all that apply.?

A)Nailbeds
B)Soles of the feet
C)Hard palate
D)Sclera
E)Inner aspect of the arm