A nurse assesses a client who has a chronic skin disorder. Which finding indicates the client is effectively coping with the disorder?
a. Clean hair and nails
b. Poor eye contact
c. Disheveled appearance
d. Drapes a scarf over the face
Question 2A nurse assesses a client who has open lesions. Which action should the nurse take first?
a. Put on gloves.
b. Ask the client about his or her occupation.
c. Assess the client's pain.
d. Obtain vital signs.
Question 3A nurse cares for an older adult client who has a chronic skin disorder. The client states, I have not been to church in several weeks because of the discoloration of my skin. How should the nurse respond?
a. I will consult the chaplain to provide you with spiritual support.
b. You do not need to go to church; God is everywhere.
c. Tell me more about your concerns related to your skin.
d. Religious people are nonjudgmental and will accept you.
Question 4While assessing a client's lower extremities, a nurse notices that one leg is pale and cooler to the touch. Which assessment should the nurse perform next?
a. Ask about a family history of skin disorders.
b. Palpate the client's pedal pulses bilaterally.
c. Check for the presence of Homans' sign.
d. Assess the client's skin for adequate skin turgor.
Question 5A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size of a nickel, flat, and darker in color than the client's skin. How should the nurse document these lesions?
a. Two 2-cm hyperpigmented patches
b. Two 1-inch erythematous plaques
c. Two 2-mm pigmented papules
d. Two 1-inch moles
Question 6After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses the client's understanding. Which statement indicates the client has a good understanding of this condition?
a. This rash is probably due to fluid overload.
b. I need to wash this daily with antibacterial soap.
c. I can use powder to keep this area dry.
d. I will schedule a mammogram as soon as I can.
Question 7A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the nurse ask first?
a. Are you using lotion on your skin?
b. Do you have a family history of this?
c. Do your arms itch?
d. What medications are you taking?
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