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Exam 13: Skin, hair, and Nails

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Question 1

Multiple Choice

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During assessment, the nurse notices that the skin of a patient of Asian descent is yellowish brown in colour. The skin on the hard and soft palate is, however, pink in colour. From this finding, the nurse could probably rule out:

A) pallor.
B) jaundice.
C) cyanosis.
D) iron deficiency.

E) B) and D)
F) A) and B)

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Question 2

Multiple Choice

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A 13-year-old girl is interested in obtaining information about the cause of her acne.The nurse would tell her that acne:

A) is contagious.
B) is caused by a poor diet.
C) is found in about 70% of all teens.
D) has been found to be related to poor hygiene.

E) None of the above
F) A) and D)

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C

Question 3

Multiple Choice

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A 32-year-old female patient complains that she has noticed several small, slightly raised, bright-red dots on her chest. On examination, the nurse thinks that the spots are probably:

A patient of African descent is in the critical care unit to be monitored for shock after an accident. What skin characteristics would the nurse expect to find in this patient?

The nurse is discussing epidermal appendages with a patient.Which of the following would be included in the discussion?

MATCHING The nurse needs to be familiar with the various lesions that may be identified during skin assessment. Match each description given below with the appropriate term. -Also known as a friction blister

When performing an assessment of a 65-year-old man with a history of hypertension and coronary artery disease, the nurse notices bilateral pitting edema in the lower legs. The skin is puffy and tight but of normal colour. There is no increased redness or tenderness, and the peripheral pulses are equal and strong. In this situation, which of the following is the most likely cause of the edema?

A patient comes in for a physical examination and complains that she was "freezing to death" while waiting for her examination.The nurse notes that her skin is pale and cool,and attributes this finding to:

A patient tells the nurse that he has noticed that one of his nevi has started to burn and bleed.When assessing his skin,the nurse would pay special attention to danger signs such as pigmented lesions.Which additional finding would the nurse be concerned about?

A 35-year-old pregnant woman comes to the clinic for her monthly appointment. During assessment, the nurse notices that she has a brown patch of hyperpigmentation on her face. The nurse continues the skin assessment aware that another finding may be:

MATCHING The nurse needs to be familiar with the various lesions that may be identified during skin assessment. Match each description given below with the appropriate term. -A hypertrophic scar

Which of the following assessment findings is most consistent with clubbing of the fingernails?

A semiconscious woman is brought to the emergency department after being found on the floor in her kitchen.Her face,nail beds,lips,and oral mucosa are a bright cherry-red colour.The nurse suspects that this colouring is due to:

MATCHING The nurse needs to be familiar with the various lesions that may be identified during skin assessment. Match each description given below with the appropriate term. -A large patch showing capillary bleeding into tissues

A newborn infant is found to have Down syndrome. During skin assessment, the nurse notices a transient mottling on the trunk and extremities in response to the cooler temperature in the examination room. The infant's mother has also noticed the mottling and wants to know what it is. The nurse knows that this mottling is called:

MATCHING The nurse needs to be familiar with the various lesions that may be identified during skin assessment. Match each description given below with the appropriate term. -Tiny punctate hemorrhages,1-3 mm,round and discrete,dark red,purple,or brown in colour

During the aging process,the hair can look grey or white and become thin and fine.The nurse knows that this is because of a decrease in the number of functioning:

An Inuit person from the Yukon who is visiting Toronto has come to the clinic during the hottest part of the day in July.It so happens that the clinic's air conditioning is not functioning,so the temperature inside the clinic is very high.Which of the following statements about sweating tendencies in the Inuit is true?

A patient is experiencing tingling sensations in her feet and has also noticed that her tongue has become very red and painful. The nurse suspects that she has:

A 75-year-old woman who has a history of diabetes and peripheral vascular disease reports that she has tried to remove a corn on the bottom of her foot with a pair of scissors.The nurse will urge her to stop doing this because: