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destiny_remy destiny_remy
wrote...
Posts: 511
Rep: 1 0
6 years ago
A client is being evaluated for a scabies infection. To confirm the diagnosis, the nurse informs the client that which test needs to be performed?
 
  1. Wood's light examination
  2. Skin scraping
  3. Patch test
  4. Tzanck test

Question 2

Which assessment finding on an African-American client should be reported to the primary nurse?
 
  1. Pigmented bands on the fingernails
  2. A pustule on the right hand
  3. Red splinter hemorrhages on the nails
  4. Keloid formation over an appendectomy scar

Question 3

The nurse observes that a client has a deep, irregularly shaped area of skin loss extending into the dermis on the lower extremity. How should the nurse document this finding?
 
  1. Fissure.
  2. Ulcer.
  3. Wheal.
  4. Macule.

Question 4

When performing an assessment of the integumentary system on a client, the nurse should:
 
  1. palpate for edema over the knee.
  2. inspect the inside of the mouth for skin tags.
  3. check color, quantity, and distribution of hair.
  4. check for skin turgor on the forearm.

Question 5

The nurse is assisting in the collection of fluid from a client's blister. The nurse should explain that the specimen will be sent for a Tzanck test, which is done to:
 
  1. diagnose fungal infections.
  2. diagnose scabies.
  3. identify bacterial infections.
  4. identify herpes infections.

Question 6

While bathing an elderly client, the nurse observes the presence of various age-related skin changes. Which skin change should be of concern to the nurse?
 
  1. Senile lentigines
  2. Actinic keratosis
  3. Seborrheic keratosis
  4. Skin tags

Question 7

A client is admitted with third-degree burns of the upper arms and chest. When assessing the client, the nurse should expect the skin to appear as:
 
  1. white with patches of blackened skin.
  2. bluish-purple with blisters.
  3. diffusely bright red and swollen.
  4. reddened and covered with blisters.

Question 8

A client recently started on steroids has been reading about the medication, and asks the nurse: The book says I could have hirsutism as a side effect. How will I know if this happens? What should the nurse explain to the client?
 
  1. You will notice excess facial and body hair.
  2. You will notice a pinpoint red rash on your chest.
  3. Your hair will start to come out in clumps.
  4. Your breasts will become enlarged and swollen.
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bev
wrote...
6 years ago
The answer to question 1

Answer: 2

1. The Wood's light exam distinguishes hyperpigmented from hypopigmented lesions.
2. Tissue samples are scraped from the lesion and examined for the presence of the mite.
3. Patch tests are done to diagnose allergies.
4. The Tzanck test identifies herpes infections.

The answer to question 2

Answer: 2

1. Nail abnormalities are normal in 90 of African-Americans.
2. A pustule is a pus-filled vesicle and could be indicative of an infection.
3. Nail abnormalities are normal in 90 of African-Americans.
4. Keloids develop more easily in this race as well, and are benign.

The answer to question 3

Answer: 2

1. Fissures are linear cracks with sharp edges.
2. The description defines the characteristics of an ulcer.
3. A wheal is elevated and fluid-filled, with an irregular border.
4. A macule is a flat, non-palpable change in skin color.

The answer to question 4

Answer: 3

1. Edema is palpated best over the ankle.
2. Skin tags are found on the external surface of skin.
3. Overall assessment of the hair is part of the integumentary system.
4. Turgor should be checked on the forehead or collarbone.

The answer to question 5

Answer: 4

1. Identification of fungal infections requires a skin scraping.
2. Identification of scabies requires a skin scraping.
3. Bacterial infections are identified through culture and sensitivity testing.
4. The Tzanck test identifies herpes infection.

The answer to question 6

Answer: 2

1. Senile lentigines (liver spots) are normal with aging, and benign.
2. Actinic keratoses are reddish, raised plaques that can become malignant and should be checked frequently.
3. Seborrheic keratosis (dark, raised lesions) is normal with aging, and benign.
4. Skin tags (excess flaps of skin) are normal with aging, and benign.

The answer to question 7

Answer: 1

1. Third-degree burns produce charring of the skin, appearing as white with black necrotic patches.
2. Blisters occur in second-degree burns.
3. First-degree burns are bright red and swollen.
4. Blisters occur in second-degree burns.

The answer to question 8

Answer: 1

1. Hirsutism is a growth of fine downy body hair, usually seen on the face and chest.
2. Small pinpoint areas describe a rash.
3. Hair falling out in clumps describes the start of alopecia.
4. Enlarged swollen breasts describe gynecomastia.
destiny_remy Author
wrote...
6 years ago
All correct!
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