A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
a. Use lots of moisturizer several times a day to minimize dryness.
b. Take a cold shower instead of soaking in the bathtub.
c. Use antimicrobial soap to avoid infection of cracked skin.
d. After you bathe, put lotion on before your skin is totally dry.
Question 2A nurse teaches a client to perform total skin self-examinations on a monthly basis. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. Look for asymmetry of shape and irregular borders.
b. Assess for color variation within each lesion.
c. Examine the distribution of lesions over a section of the body.
d. Monitor for edema or swelling of tissues.
e. Focus your assessment on skin areas that itch.
Question 3A nurse plans care for a client who has a wound that is not healing. Which focused assessments should the nurse complete to develop the client's plan of care? (Select all that apply.)
a. Height
b. Allergies
c. Alcohol use
d. Prealbumin laboratory results
e. Liver enzyme laboratory results
Question 4A nurse assesses an older adult's skin. Which findings require immediate referral? (Select all that apply.)
a. Excessive moisture under axilla
b. Increased hair thinning
c. Increased presence of fungal toenails
d. Lesion with various colors
e. Spider veins on legs
f.
Asymmetric 6-mm dark lesion on forehead
Question 5A nurse assesses an older adult client with the skin disorder shown below:
How should the nurse document this finding?
a.
Petechiae
b.
Ecchymoses
c.
Actinic lentigo
d.
Senile angiomas
Question 6During skin inspection of a client, a nurse observes lesions with wavy borders that are widespread across the client's chest. Which descriptors should the nurse use to document these observations?
a. Clustered and annular
b. Linear and circinate
c. Diffuse and serpiginous
d. Coalesced and circumscribed
Question 7A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused assessment should the nurse complete next?
a. Partial thromboplastin time
b. Hemoglobin and hematocrit
c. Liver enzymes
d. Basic metabolic panel
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