Exam 17: Integumentary Function

A 65-year-old man is seen in the outpatient clinic for treatment of psoriasis.The nurse educates the patient to the possibility of developing which other manifestation?

An older adult patient has an open,draining wound on the lower medial aspect of the right leg.The skin surrounding the wound is reddish brown with surrounding erythema and edema.Based on this information,the nurse edits the patient's care plan to include impaired skin integrity related to which factor?

The nurse of a bedridden 74-year-old woman is evaluating whether the family members understand how to position the patient correctly.The nurse is confident the family is capable of effective positioning when it is observed that the family members perform which action?

When assessing the older adult patient's skin,what finding would indicate the need to notify the provider as the priority?

The nurse explains that the plan of care for an older adult patient with seborrheic dermatitis of the scalp should include which actions?

The nurse knows that several age-related changes in the integumentary system increase older adults' risk for pressure ulcers.Which factors does this include? (Select all that apply. )

An older adult patient newly diagnosed with peripheral vascular disease (PVD).What assessment finding indicates the patient may have an arterial ulcer resulting from this disease?

The presence of which skin assessment finding should cause the nurse to suspect a premalignancy?

An older adult patient has been taught measures to prevent the development of skin cancer.Which statement,if made by the patient,indicates the need for more teaching?

An older diabetic patient reports a candidiasis infection.When asked,the patient states all blood sugars have been within the target range.What action by the nurse is best?

In creating community education on various types of skin cancer,the nurse places the highest priority on early diagnosis of melanoma because

The nurse plans to assess for candidiasis as a priority intervention for which patient?

An older adult patient reports pruritus.The nurse educates the patient on the importance of which action?

The nurse assesses a patient using the Braden scale.The patient scores a 13.What action is most important to add to the patient's care plan?

When assessing for squamous cell cancer (SCC),a home health nurse is particularly concerned about which suspicious lesion?

An 87-year-old patient developed herpes zoster after surgical repair of a hip fracture.The priority nursing diagnosis is

An older diabetic patient has impaired mobility and decreased vision.The nurse examines the patient's feet at each clinical visit.The patient asks why this is necessary.What response by the nurse is best?

A patient has a wound that is a shallow lesion with a red,moist wound bed.What stage pressure ulcer does the nurse chart?

For which patient does the nurse add compression therapy to the nursing care plan?

An older patient has been treated for a small basal cell carcinoma on the face.What assessment finding indicates to the nurse that the goals for a priority diagnosis have been met?