A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
a. Shave biopsy
b. Punch biopsy
c. Incisional biopsy
d. Excisional biopsy
Question 2A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse best assess this patient for cyanosis?
a. Assess the skin color of the earlobes.
b. Apply pressure to the palms of the hands.
c. Check the lips and oral mucous membranes.
d. Examine capillary refill time of the nail beds.
Question 3The nurse assesses a circular, flat, reddened lesion about 5 cm in diameter on a middle-aged patient's ankle. How should the nurse determine if the lesion is related to intradermal bleeding?
a. Elevate the patient's leg.
b. Press firmly on the lesion.
c. Check the temperature of the skin around the lesion.
d. Palpate the dorsalis pedis and posterior tibial pulses.
Question 4The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?
a. Sterile gloves
b. Patch test instruments
c. Cotton-tipped applicators
d. Local anesthetic, syringe, and intradermal needle
Question 5When examining an older patient in the home, the home health nurse notices irregular patterns of bruising at different stages of healing on the patient's body. Which action should the nurse take first?
a. Discourage the use of throw rugs throughout the house.
b. Ensure the patient has a pair of shoes with non-slip soles.
c. Talk with the patient alone and ask about what caused the bruising.
d. Notify the health care provider so that x-rays can be ordered as soon as possible.
Question 6Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?
a. Reports a history of allergic rashes
b. Scattered macular brown areas on extremities
c. Skin brown and wrinkled, skin tenting on forearm
d. Longitudinal nail bed ridges noted; sparse scalp hair
Question 7A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
a. History of sun exposure by the patient
b. Method of birth control used by the patient
c. Length of time the patient has used fluorouracil
d. Appearance of the treated areas on the patient's face
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