Integumentary System.

A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the client's condition?

Drug Allergy

During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the following is the correct indication of this sign?

Fluid retention

Which of the following pigments influences hair color?

Melanin

Which of the following conditions is the cause of thickening of the nail?

Fungal infection

5. Which of the following causes odor in perspiration?

Bacteria on the skin

6. A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of which of the following types of heat loss?

Conduction

7. Which medication classification is prescribed when allergy is a factor causing the skin disorder?

Antihistamines

8. A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response?

Through the application of extreme cold, the tissue is destroyed

9. Plantar warts may be treated with which of the following modalities?

Electrodesiccation

10. Which stage of a pressure sore is exhibited by deeply ulcerated tissue exposing muscle and bone?

IV

11. A client has joined a rowing team and has been enjoying the activity for approximately 1 month. The client comes to the clinic for a routine physical examination and shows the nurse the hands, which are observed to have thickened areas in several area

Calluses

12. The nurse is administering a medication to a client who is suffering from pain related to partial thickness burns. The medication will interrupt the sensation and transmission of pain stimuli. What type of receptors will this medication block?

Nociceptors

13. An older adult client is prescribed a topical antifungal medication to treat a skin infection. The client comes back to the clinic in 7 days and informs the nurse that the treatment was not effective. What does the nurse know can occur in the older ad

Age-related changes to the skin could decrease the absorption of topical drugs.

14. A female client comes to the clinic and tells the nurse"I am getting all these little hairs on my chin. I never had them before I turned 50." What does the nurse understand is the cause of the terminal hairs on the face?

Decreased ratio of estrogen to androgen hormones.

15. An older adult client is brought to the emergency department with the complaint that he became overheated while sitting in the sun. The client states"But I wasn't even perspiring!" What occurs with the older adult that decreases spontaneous sweating a

Decrease in the number of eccrine glands

16. The nurse is assessing a client in the clinic and observes a fine skin rash over the arms and trunk. What question is a priority that the nurse asks related to the rash?

What medication are you taking?

17. An older adult client is being seen in the dermatology clinic for lesions on the hands and forearm. The client is concerned that he has melanoma and wants to be evaluated. The nurse documents the lesions as small brown lesions of the hands and forearm

Senile lentigines

18. The nurse is assessing a client who is hospitalized for dehydration from persistent vomiting. How would the nurse assess that the client's skin turgor is related to the state of dehydration?

The nurse grasps the skin over the sternum between the thumb and forefinger with slow recoil observed.

19. When admitting a client to the hospita lwhat should the nurse do initially to prevent pressure sores?

Identify if the client is at risk for the development of pressure sores.

20. The nurse and nursing assistant are moving a client who slid down in the chair. What does the nurse encourage the assistant to avoid shearing when moving the client to a higher position in the chair?

Lift the client, do not slide them.

21. The nurse is performing a skin assessment on a client that is admitted to the hospital and observes an area over the left heel that is reddened but intact. How would the nurse stage this pressure sore?

stage I

22. The nurse is changing a brief for a client that has been incontinent of stool and observes an area over the left trochanter that is reddened and in the center of the area is a shallow skin tear. The nurse takes a picture of the wound for the chart. Ho

Stage II

23. The nurse is caring for a client in the long-term care facility that was living in their home with a family member caring for them. The family member states that they had a difficult time getting the client to eat or drink and he developed a "bed sore

stage III

24. The home health nurse is going to visit a client w is being cared for by family members in the home that has a pressure ulcer. The nurse is going to change the dressing and observe the healing status. The wound is 6 � 7 cm and 2 cm deep and exposes mu

Stage IV

25. The nurse is assisting an older adult client with performing activities of daily living (ADL) and is brushing her hair. What does the nurse document as an abnormal finding?

Pearly white substance that is attached to the hair shaft that ia not removed with brushing

26. The nurse observes a client's fingernails have a concave shape. What laboratory studies should the nurse review?

Hemoglobin and Hematocrit

27. The nurse is caring for a client who has had emphysema for 10 years. When performing a fingernail assessment what does the nurse anticipate the client's nails will be documented as?

Clubbing

28. A client has a rash on the arm that has been treated with an antibiotic without eradicating the rash. What type of examination can be used to determine if the rash is a fungal rash using ultraviolet light?

A Wood's light examination

29. A client has a wart on the left knee but wants to try an over-the-counter medication to dissolve the wart. What type of solution would the nurse educate the client about?

Keratolytics

30. A client has been prescribed an antibiotic to treat a bacterial skin infection. What should the nurse inform the client is most important to do when taking the medication?

Be sure to complete the prescription even if the infection appears to resolve

31. A client is having cryosurgery to remove a growth on the leg. How long will the client be informed that healing will take?

4 to 6 weeks

32. A client has severe psoriasis and is scheduled to receive photochemotherapy. The client is to take psoralen methoxsalen prior to exposure to the ultraviolet A. When is the client informed that the medication should be taken?

1 to 2

33. A client has a boil that is located in the left axillary area and is elevated with a raised border and filled with pus. How would the nurse document this type of lesion?

Pustule