Med Surg - ed 9 - chapter 23: nursing assessment - integumentary system

Exit

Question 1 of 1

  Time Left


0 [{"id":125115,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"When 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?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"The nurse should note irregular patterns of bruising, especially in the shapes of hands or fingers, in different stages of resolution. These may be indications of other health problems or abuse, and should be further investigated. It is important that the","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125114,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"The 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?","questionTimeSeconds":"0","questionTimeMinutes":"5","questionImagePath":null,"position":null,"explanation":"If the lesion is caused by intradermal or subcutaneous bleeding or a nonvascular cause, the discoloration will remain when direct pressure is applied to the lesion. If the lesion is caused by blood vessel dilation, blanching will occur with direct pressur","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125120,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"During assessment of the patient?s skin, the nurse observes a similar pattern of small, raised lesions on the left and right upper back areas. Which term should the nurse use to document these lesions?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"The description of the lesions indicates that they are grouped. The other terms are inconsistent with the description of the lesions.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125119,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"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?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"An incisional biopsy would remove the entire mole and the tissue borders. The appearance of the mole indicates that it may be malignant. A shave biopsy would not remove the entire mole. The mole is too large to be removed with punch biopsy. Excisional bio","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125121,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Lichenification is likely to occur in areas where the patient scratches the skin frequently. Lichenification results in thickening of the skin with accentuated normal skin markings. Vitiligo is the complete absence of melanin in the skin. Keloids are hype","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125122,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"Which abnormality on the skin of an older patient is the priority to discuss immediately with the health care provider?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Petechiae are caused by pinpoint hemorrhages and are associated with a variety of serious disorders such as meningitis and coagulopathies. The nurse should contact the patient?s health care provider about this finding for further diagnostic follow-up. The","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125112,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"A 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?","questionTimeSeconds":"0","questionTimeMinutes":"5","questionImagePath":null,"position":null,"explanation":"Because fluorouracil is teratogenic, it is essential that the patient use a reliable method of birth control. The other information is also important for the nurse to obtain, but lack of reliable birth control has the most potential for serious adverse me","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125116,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"A dark-skinned patient has been admitted to the hospital with chronic heart failure. How would the nurse best assess this patient for cyanosis?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Cyanosis in dark-skinned individuals is more easily seen in the mucous membranes. Earlobe color may change in light-skinned individuals, but this change in skin color is difficult to detect on darker skin. Application of pressure to the palms of the hands","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125123,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"When taking the health history of an older adult, the nurse discovers that the patient has worked in the landscaping business for 40 years. The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select all that apply)?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"A patient who has worked as a landscaper is at risk for skin lesions caused by sun exposure such as erythema and actinic keratosis. Vitiligo, alopecia, and intertrigo are not associated with excessive sun exposure.","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125124,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"Which activities can the nurse working in the outpatient clinic delegate to a licensed practical\/vocational nurse (LPN\/LVN) (select all that apply)?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Skills such as administration of patch testing and sterile dressing technique are included in LPN\/LVN education and scope of practice. Obtaining a health history and patient education require more critical thinking and registered nurse (RN) level educatio","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125113,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?","questionTimeSeconds":"0","questionTimeMinutes":"4","questionImagePath":null,"position":null,"explanation":"Because the patient will be receiving antibiotics to treat the pneumonia, the nurse should be most concerned about her history of allergic rashes. The nurse needs to do further assessment of possible causes of the allergic rashes and whether she has ever ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125117,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"The 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?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Fungal cultures are obtained by swabbing the affected area of the skin with cotton-tipped applicators. Sterile gloves are not needed because it is not a sterile procedure. Local injection is not needed because the swabbing is not usually painful. The patc","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":125118,"quiz_id":"8435","answer_id":null,"answerType_id":"0","created_at":"2016-11-13 17:23:43","updated_at":"2016-11-13 17:23:43","questionName":"When performing a skin assessment, the nurse notes several angiomas on the chest of an older patient. Which action should the nurse take next?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Angiomas are a common occurrence as patients get older, but they may occur with systemic problems such as liver disease. The patient may want to see a dermatologist to have the angiomas removed, but this is not the initial action by the nurse. The nurse m","question_score_id":null,"lang":null,"questionAudioPath":null}]
125115
0
120
block

When 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?

Select the Correct Answers  

(0/0)












125114
0
300
none
125120
0
120
none
125119
0
120
none
125121
0
120
none
125122
0
120
none
125112
0
300
none
125116
0
120
none
125123
0
120
none
125124
0
120
none
125113
0
240
none
125117
0
120
none
125118
0
120
none