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Exam 12: Skin, hair, and Nails

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Question 21

Multiple Choice

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A mother brings her child in to the clinic for an examination of the scalp and hair.She states that the child has developed some places where there are irregularly shaped patches with broken-off,stub-like hair and she is worried that this could be some form of premature baldness.She tells the nurse that the child's hair is always kept very short.The nurse reassures her by telling her that it is:

A) folliculitis and that it can be treated with an antibiotic.
B) traumatic alopecia that can be treated with antifungal medications.
C) tinea capitis and that it is highly contagious and needs immediate attention.
D) trichotillomania and that her child probably has a habit of twirling her hair absent-mindedly.

E) A) and C)
F) A) and B)

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Question 22

Multiple Choice

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

A) Heart failure
B) Venous thrombosis
C) A local inflammation
D) Blockage of lymphatic drainage

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

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Question 23

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The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin.Which of the following would be included in the module?

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

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 expects that the spots are probably:

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled,thin,lax,and dry.This finding would be related to:

A woman is leaving on a trip to Hawaii and has come in for a checkup.During the examination the nurse notices that she is diabetic and takes oral hypoglycemic agents.She needs to be concerned about which of the following?

The nurse notices that a patient has bluish-white,red-based spots in her mouth that are elevated about 1 mm to 3 mm.What other signs would the nurse expect to find in this patient?

A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about 3 days with his feet down and he wants the nurse to evaluate his feet.During the assessment,the nurse might expect to find:

A 40-year-old woman reports a change in mole size,accompanied by color changes,itching,burning,and bleeding over the past month.She has a dark complexion and has no family history of skin cancer,but she has had many blistering sunburns in the past.The nurse would would:

A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors.The nurse will encourage her to stop trying to remove the corn with her scissors because:

A physician has diagnosed a patient with purpura.After leaving the room,a nursing student asks the nurse what the physician saw that led to that diagnosis.The nurse should say:

A black patient is in the intensive care unit because of impending shock after an accident.The nurse would expect to find what characteristics in this patient's skin?

A 52-year-old woman has a papule on her nose that has rounded,pearly borders and a central red ulcer.She said she has noticed it for several months and it has slowly grown larger.The nurse suspects which condition?

A man has come in to the clinic for a skin assessment because he is afraid he might have skin cancer.During the skin assessment the nurse notices several areas of pigmentation that look greasy,dark,and "stuck on" his skin.Which is the best prediction?

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

The nurse is examining a patient who tells the nurse,"I sure sweat a lot,especially on my face and feet but it doesn't have an odor." The nurse knows that this could be related to:

The nurse has discovered decreased skin turgor in a patient and knows that this is an expected finding in which of the following conditions?

A newborn infant is in the clinic for a well-baby check.The nurse observes the infant for the possibility of fluid loss because of which of the following?

MATCHING The nurse needs to be familiar with the various lesions that may be identified on assessment of the skin.Match each description given below with the appropriate term. -Petechiae