Exam 2: Assessing the Integumentary System

The nurse assessing a patient who is experiencing renal failure. Which change to the integumentary system does the nurse anticipate for this patient?

The nurse is assessing a patient with a skin condition. Which condition is the most common during the fall?

The nurse is assessing a patient who presents with a lesion. When distinguishing between a primary lesion and a secondary lesion, which rationale is correct?

Which primary lesion is a flat area of color change, less than 1 cm in size, that is often referred to as a freckle?

The nurse is conducting a skin assessment for a patient who has a mole. Which question is most appropriate during this assessment?

A student nurses asks the nursing instructor why an infant's skin appears reddened. Which response by the nursing instructor is most appropriate?

The nurse is assessing the skin of an adult patient and notes a wound. The patient states, "I just can't seem to get this sore to heal." Which is the priority assessment question by the nurse?

Which pressure ulcer presents as a full-thickness loss with extensive involvement of supporting structures?

Which is the best location for the nurse to assess cyanosis for a dark-skinned patient with congestive heart failure?

The nurse is assessing a patient who is experiencing a pruritic rash. Which is a cause of this assessment finding?

During a skin assessment, the nurse notes an extravasation of blood into the skin layers that was caused by an injury. Which is most appropriate when documenting this finding?

The nurse is assessing the skin of several patients at the community clinic. Which patient is at the greatest risk for developing skin cancer?

The nurse is assessing the skin of a patient who believes that a new lesion may be melanoma. Which finding would support this patient's concern?

The nurse is assessing an adolescent patient who presents with acne. When teaching the patient why this occurs, which reason will the nurse provide?

Which vascular lesion is red and blanches with palpation?

The nurse is providing care to an African American patient. Which is a common skin assessment finding for a patient of this ethnicity?

The nurse is assessing an adolescent client who is experiencing increased perspiration. Which location will the nurse assess to determine apocrine gland functioning?