Question 1

A 13-year old girl is interested in obtaining information about the cause of her acne.The nurse would share with her that acne is:

Accepted Answer

About 70% of teens will have acne,and,although the cause is unknown,it is not caused by poor diet,oily complexion,or contagion.

Question 2

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled,thin,lax,and dry.This finding would be related to:

Accepted Answer

An accumulation of factors place the aging person at risk for skin disease and breakdown: the thinning of the skin,the decrease in vascularity and nutrients,the loss of protective cushioning of the subcutaneous layer,a lifetime of environmental trauma to skin,the social changes of aging,the increasingly sedentary lifestyle,and the chance of immobility.

Question 3

The nurse is discussing epidermal appendages with a patient.Which of the following would be included in the discussion?

Accepted Answer

Epidermal appendages include hair,sebaceous glands,sweat glands,and nails.

Question 4

A 22-year-old-woman comes to the clinic because of a severe sunburn and states,"I was just out in the sun for a couple of minutes." The nurse begins a medication review with her,paying special attention to the medication she is taking for:

Accepted Answer

Drugs that may increase sunlight sensitivity and give burn response include sulfonamides,thiazide diuretics,oral hypoglycemic agents,and tetracycline.

Question 5

A patient comes to the clinic and tells the nurse that he has been confined to his recliner chair for about 3 days with his feet down and he wants the nurse to evaluate his feet.During the assessment,the nurse might expect to find:

Accepted Answer

Keeping the feet in a dependent position causes venous pooling,resulting in redness,warmth and distended veins.See Table 12-1.

Question 6

The nurse is caring for a black child who has been diagnosed with marasmus.The nurse would expect to find:

Accepted Answer

The hair of black children with severe malnutrition (e.g. ,marasmus)frequently changes not only in texture but in color-the child's hair becomes less kinky and assumes a copper-red color.

Question 7

A thorough skin assessment is very important because the skin holds information about:

Accepted Answer

The skin holds information about the body's circulation,nutritional status,and signs of systemic diseases as well as topical data on the integument itself.

Question 8

A newborn infant is in the clinic for a well-baby check.The nurse observes the infant for the possibility of fluid loss because of which of the following?

Accepted Answer

The newborn's skin is thin,smooth,and elastic and is relatively more permeable than that of the adult,so the infant is at greater risk for fluid loss.

Question 9

During an examination,the nurse finds that a patient has excess dryness of the skin.The best term to describe this condition is:

Accepted Answer

Xerosis is the term used to describe skin that is excessively dry.

Question 10

A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors.The nurse will encourage her to stop trying to remove the corn with her scissors because:

Accepted Answer

A personal history of diabetes and peripheral vascular disease increases a person's risk for skin lesions in the feet or ankles.

Question 11

The nurse educator is preparing an education module for the nursing staff on the dermis layer of skin.Which of the following would be included in the module?

Accepted Answer

The dermis consists mostly of collagen,has resilient elastic tissue that allows the skin to stretch,contains nerves,sensory receptors,blood vessels,and lymphatics.

Question 12

A patient comes in for a physical,and she complains of "freezing to death" while waiting for her examination.The nurse notes that her skin is pale and cool and attributes this finding to:

Accepted Answer

A chilly or air-conditioned environment causes vasoconstriction,which results in false pallor and coolness.See Table 12-1.

Question 13

The nurse is examining a patient who tells the nurse,"I sure sweat a lot,especially on my face and feet but it doesn't have an odor." The nurse knows that this could be related to:

Accepted Answer

The eccrine glands are coiled tubules that open directly onto the skin surface and produce a dilute saline solution called sweat.Apocrine glands are located mainly in the axillae,anogenital area,nipples,and naval and mix with bacterial flora to produce characteristic musky body odor.

Question 14

A woman is leaving on a trip to Hawaii and has come in for a checkup.During the examination the nurse notices that she is diabetic and takes oral hypoglycemic agents.She needs to be concerned about which of the following?

Accepted Answer

Drugs that may increase sunlight sensitivity and give burn response include sulfonamides,thiazide diuretics,oral hypoglycemic agents,and tetracycline.

Question 15

During the aging process,the hair can look gray or white and begin to feel thin and fine.The nurse knows that this is because of a decrease in the number of functioning:

Accepted Answer

In the aging hair matrix,the number of functioning melanocytes decreases so the hair looks gray or white and feels thin and fine.

Question 16

A black patient is in the intensive care unit because of impending shock after an accident.The nurse would expect to find what characteristics in this patient's skin?

Accepted Answer

Pallor in black-skinned people will appear ashen,gray,or dull.See Table 12-2.

Question 17

An Inuit visiting Nevada from Anchorage has come to the clinic in July during the hottest part of the day.It so happens that the clinic's air conditioning is broken and the temperature is very hot.The nurse knows that which of the following is true about the Inuit sweating tendencies?

Accepted Answer

Inuits have made an interesting environmental adaptation whereby they sweat less than whites on their trunks and extremities but more on their faces.

Question 18

During a skin assessment,the nurse notices that a Mexican-American patient has skin that is yellowish-brown in color.However,the skin on the hard/soft palate is a pink in color.From this finding,the nurse could probably rule out:

Accepted Answer

Jaundice is exhibited by a yellow color,indicating rising amounts of bilirubin in the blood and is first noticed in the junction of the hard and soft palate in the mouth and in the sclera.

Question 19

Because hair for humans is no longer needed for protection from cold or trauma,it is called:

Accepted Answer

Hair is vestigial for humans.It no longer is needed for protection from cold or trauma.

Question 20

A patient is especially worried about an area of skin on her feet that has turned white.The health care provider has told her that her condition is vitiligo.The nurse explains to her that vitiligo is:

Accepted Answer

Vitiligo is the complete absence of melanin pigment in patchy areas of white or light skin on the face,neck,hands,feet,body folds,and around orifices-otherwise the depigmented skin is normal.

Quiz 12: Skin, hair, and Nails