The nurse is caring for a patient diagnosed with oculocutaneous albinism. What does the nurse understand this health problem to be?
1. hypopigmentation of the skin, hair, and eyes as a result of an inability to synthesize melanin
2. disorder characterized by elevated scars and a familial tendency that is found more commonly in African Americans
3. sudden appearance of white patches on the skin, with a familial tendency
4. autosomal-dominant inheritance disorder that causes hyperpigmentation of the skin, hair, and eyes
Question 2While conducting a patient's health history, the nurse learns that the patient has worked at a landfill for the last 35 years. Why should the nurse find this information significant?
1. Explains possible exposure to environmental toxins
2. Helps understand the patient's lack of communication skills
3. Validates that the patient is an older adult
4. Confirms the patient's level of education
Question 3A patient being seen for an elevated, darkened area of excess scar tissue asks the nurse what caused it. How should the nurse respond?
1. This scar was caused by the wearing away of the superficial epidermis, which left a moist, shallow depression.
2. This scar was caused by excessive collagen formation during healing.
3. This scar was caused by skin loss extending into the dermis or subcutaneous tissue.
4. This scar was caused by wasting of the skin due to loss of collagen.
Question 4A patient is seen for an erythematous generalized rash. Which questions should the nurse ask regarding the rash?
Select all that apply.
1. Have you recently eaten any new foods?
2. What medications do you take?
3. Have you changed your soap?
4. Have you changed skin care lotions?
5. How often do you walk outside?
Question 5The nurse is performing an assessment of a patient's nails. What should be included in this examination?
Select all that apply.
1. nail thickness
2. nail color
3. nail curvature
4. nail length
5. for grooves
Question 6A Caucasian patient is admitted with possible carbon monoxide poisoning. What skin color can the nurse expect to find that would support this diagnosis?
1. bluish
2. dusky red
3. cherry red
4. orange green
Question 7The nurse is caring for an African American patient who has a serum bilirubin of 6 mg/100 mL. What is the best way of assessing skin color changes in this patient?
1. Assess the sclera.
2. Assess the palms of the hands.
3. Assess the fingernails.
4. Assess the skin of the inner arms.