Deck 16: The Integumentary System

Question 1

How should the nurse describe stratum basale layer of epidermis? Select all that apply.

A) It is relatively waterproof
B) It provides a barrier against light, heat, bacteria, and other foreign substances
C) It is the innermost layer of the epidermis
D) It plays a role in germinating new cells
E) It prevents the invasion of foreign substances

Answer 1

It is the innermost layer of the epidermis
It plays a role in germinating new cells

Question 2

What are the primary functions of the integumentary system? Select all that apply.

A) Protection
B) Thermoregulation
C) Metabolism
D) Sensation
E) Maintain pH balance

Answer 2

Protection
Thermoregulation
Metabolism
Sensation

Question 3

Which statement describes the skin's dermis layer?

A) Is the skin's thin, superficial outer layer
B) Contains hair, glands, blood vessels, and nerves
C) Cushions, supports, nourishes, and insulates the skin
D) Anchors the skin to underlying tissues and organs

Answer 3

Contains hair, glands, blood vessels, and nerves

Question 4

Which statements accurately describe the function of keratin in the skin? Select all that
Apply.

A) It provides a barrier to external water
B) Makes unbroken skin impenetrable to most microorganisms
C) Gives color to human hair
D) Help detect foreign substances to defend against infection
E) Source of skin color

Question 5

What statement about sweat glands is true?

A) Sudoriferous glands are located in the epidermis.
B) Apocrine glands are stimulated by anxiety or fear.
C) Mammary glands secrete sweat into numerous ducts that empty into pores.
D) Eccrine glands respond to external and internal heat.

Question 6

What information should the nurse include when discussing the function of ceruminal glands?

A) They secrete a thick, oily, milky sweat into the hair follicle
B) They are distributed widely over the body
C) They regulation body temperature by providing a cooling effect
D) They protect the tympanic membrane

Question 7

The loss of body heat via convection is described by which statement?

A) The body gives off waves of heat from uncovered surfaces.
B) An oscillating fan blows currents of cool air across the surface of a warm body.
C) Body fluid in the form of perspiration is vaporized from the skin.
D) The body transfers heat to an ice pack, causing the ice to melt.

Question 8

What information concerning "goose bumps" should the nurse provide a client? Select all that apply.

A) Triggered by fear
B) Result of voluntary muscles contract
C) Resulting erect hairs provide an "air cushion" for the skin
D) Also referred to as the pilomotor reflex
E) Can be a result of skin exposure to the cold environment

Question 9

What nursing intervention should be implemented to minimize the risk of injury to a client who has lost sensation to the integumentary system over the lower portion of the body?

A) Exercise extreme care when handling the client's legs.
B) Inspect the entire affected area for skin tears.
C) Inspect skin frequently, especially bony prominences.
D) Preserve elasticity by minimizing the skin's exposure to the sun.

Question 10

What teaching consideration should the nurse incorporate when reviewing changes that occur normally in aging skin?

A) Epidermal and dermal layers of the skin are raised.
B) Melanin is either lost or migrates and clusters in the dermal layer.
C) Capillary bed in epidermis becomes more friable.
D) Capillaries leak small amount of blood into tissues.

Question 11

What information should the nurse review with a client when discussing ways to protect the skin from sun damage by applying sunscreen? Select all that apply.

A) SPF determines the amount of UV rays that reach the skin.
B) SPF 45-70 is most often used.
C) Apply sunscreen thoroughly and evenly.
D) Reapply sunscreen after sweating
E) Sunscreens help prevent skin cancers

Question 12

Which instructions should the nurse review with the client when discussing measures to maintain healthy skin? Select all that apply.

A) Consume a well-balanced diet.
B) Drink plenty of fluids every day.
C) Limit exposure to the sun.
D) Use only herbal products on the skin.
E) Use a sunscreen with sufficient ultraviolet light protection.

Question 13

What is a possible reason the nurse could identify as a cause of a client's alopecia?

A) High secretion of melanin
B) Hereditary factors
C) Use of inexpensive hair care products
D) Active lifestyle

Question 14

What is the appropriate nursing intervention for a client diagnosed with cyanotic skin?

A) The nurse should give the client a tepid bath.
B) The nurse should monitor for a sudden increase in temperature.
C) The nurse should monitor the oxygen level in the client's bloodstream.
D) The nurse should place a cool cloth on the client's forehead.

Question 15

What should the nurse review with the client about the importance of sebum?

A) It prevents hardening of collagen
B) It prevents drying of skin
C) It keeps skin bacteria free
D) It minimizes diaphoresis

Question 16

A nurse is caring for a client with vitiligo. The client wants to know the reason for the white patches on his skin. What information should the nurse provide?

A) "The white patches are caused by a deficiency of vitamin D."
B) "The white patches occur when melanocytes stop making melanin."
C) "The white patches occur when there is a low carotene level."
D) "The white patches occur as a result of the lack of calcitriol in the body."

Question 17

A 65-year-old client reports often feeling cold. What is the primary reason for older adults to feel cold?

A) The skin of an elderly person tends to be more fragile.
B) Elderly people usually have impaired circulation.
C) Elderly people have less subcutaneous fat.
D) Epidermal turnover decreases in elderly people.

Question 18

A 55-year-old female client reports increased coarse facial hair growth. What should the nurse identify as the cause of this situation?

A) Decrease of female hormones
B) Excess exposure to sunlight
C) Loss of skin turgor
D) Unhealthy diet

Question 19

What is the role of the hypodermis?

A) Acts as a waterproof barrier protecting the inside of the body
B) Restricts penetration from microorganisms
C) Nourishes and supports the epidermis
D) Anchors the skin to the underlying tissues and organs

Question 20

What information is essential for the nurse to include when teaching clients about the importance of having sufficient amounts of vitamin D?

A) It prevents aging of skin
B) It facilitates absorption of calcium and phosphorus
C) It helps in the heat loss mechanism
D) It helps increases body metabolism

Question 21

A client questions why the skin appears to lose color when in a cold environment. What should the nurse identify as being the cause of this phenomenon?

A) Low level of calcitriol
B) Lack of oxygen in blood stream
C) Constriction of capillary blood flow
D) Loss of subcutaneous fat

Question 22

What cause should the nurse identify as the most likely trigger for the development of an ear infection?

A) Insertion of a pointed object in the ear
B) Infection in the sebaceous gland
C) Secretion from the eccrine glands
D) Accumulation of cerumen