Deck 30: Integumentary Function

Question 1

The presence of which skin assessment finding, if noted on an older adult client, should cause the nurse to suspect a premalignancy?

A)Numerous small red papules on the chest and back
B)An oozing, rough, reddish macule on the ear
C)An irregularly shaped mole on the face or shoulders
D)Brown, greasy lesions on the neck

Answer 1

An oozing, rough, reddish macule on the ear

Question 2

The nurse explains that the plan of care for an older adult client with seborrheic dermatitis of the scalp should include:

A)cleaning lesions with a weak hydrogen peroxide solution daily.
B)cleaning the scalp with a low-dose steroidal shampoo.
C)applying hydrocortisone 10% to scalp lesions.
D)applying selenium shampoo to scalp.

Answer 2

applying selenium shampoo to scalp.

Question 3

When assessing for squamous cell cancer, a home health nurse is particularly concerned about a suspicious lesion on the:

A)leg of a 60-year-old Asian female.
B)neck of a 73-year-old Hispanic female.
C)Lower lip of a 70-year-old African-American male.
D)back of a 90-year-old Caucasian male.

Answer 3

Lower lip of a 70-year-old African-American male.

Question 4

An older adult client has an open, draining wound on the medial aspect of his right leg.The skin surrounding the wound is reddish-brown with surrounding erythema and edema.Based on this information, the nurse edits the client's care plan to include Impaired skin integrity:

A)related to altered venous circulation.
B)peripheral related to arterial insufficiency.
C)related to diabetic neuropathy.
D)open wound related to pressure ulcer.

Question 5

An older adult client reports simple xerosis with mild pruritus.The nurse educates her on the importance of:

A)Applying an lanolin rich cream and avoiding scratching the areas.
B)Taking warm baths and gently rubbing of affected areas with a terry cloth towel.
C)Minimizing ingestion of fried foods and use of an antihistamine cream.
D)Avoiding bath oils and allowing the skin to air dry after bathing.

Question 6

An older adult client has been taught measures to prevent the development of skin cancer.Which statement, if made by the client, indicates that he needs more teaching?

A)"I will certainly miss my vegetable and flower gardening."
B)"I should buy a sunscreen with an SPF of 15 or higher."
C)"Now I have a good excuse to wear the straw hat my wife hates."
D)"My cool long-sleeved shirts will work just fine while I'm golfing."

Question 7

The nurse plans to assess for candidiasis as a priority intervention for a:

A)60-year-old with a history of bacterial pneumonia.
B)72-year-old incontinence of urine and feces.
C)58-year-old with a casted left foot.
D)90-year-old receiving antihypertensives.

Question 8

The nurse of a bedridden 74-year-old woman is evaluating whether the family members understand how to position the client correctly.The nurse is confident the family is capable of effective positioning when it is observed that the client's:

A)arms and legs are supported on two pillows.
B)position is changed at least every 2 hours.
C)neck is hyperflexed.
D)elbows rest on the bed.

Question 9

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

A)Impaired skin integrity related to immunologic deficit.
B)Self-care deficit related to severe pain and fatigue.
C)Risk for infection related to impaired skin integrity.
D)Pain related to inadequate pain relief from analgesia.

Question 10

A 65-year-old man is seen in the outpatient clinic for treatment of psoriasis.The nurse educates the client to the possibility that he may develop:

A)alopecia.
B)orange-tinged urine.
C)yellow-brown nails.
D)cherry angiomas.

Question 11

An older adult client newly diagnosed with peripheral vascular disease is being educated on the possibility of developing a foot ulcer.The nurse describes the possible lesion as being:

A)deep, necrotic, and painless.
B)shiny, dry, with cyanotic skin.
C)shallow, crusty with warm skin.
D)dull, oozing and painful.

Question 12

When assessing the older adult client's skin for indications of melanoma, the nurse should inspect for a(n):

A)thick, adherent scale with a soft center.
B)small, inflamed lesion that bleeds easily.
C)irregularly shaped multicolored mole.
D)small, purple, hard nodule beneath the skin surface.