ATI Chapter 16- The Integumentary System/ Questions and Answers with Explanations, All Correct, Download to Score A

Chapter 16- The Integumentary System 1. The nurse answers a client's questions regarding the integumentary system. The client asks about the epidermis layer of the skin. Based on this informati on, how would the nurse best describe stratum basale or stratum germinativum? 1. Relatively waterproof 2. Provides a barrier against light, heat, bacteria, and other foreign substances 3. Innermost layer of the epidermis 4. Plays a role in germinating new cells A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4 2. The nurse answers a client's questions regarding the integumentary system and helps the client understand its primary functions. Based on this information, what should the nurse tell the client are the primary functions of the integumentary system? 1. Protection 2. Thermoregulation 3. Metabolism 4. Sensation 5. Maintain pH balance A) 1, 2, 3, 4 B) 1, 2, 4, 5 C) 1, 2, 3, 5 D) 2, 3, 4, 5 3. The student nurse is reviewing with a client that the skin is divided into layers. Which information is the best description of the dermis layer? A) Made up of the skin's thin, superficial outer layer B) Contains important structures of hair, glands, blood vessels, and nerves C) Cushions, supports, nourishes, and insulates the skin D) Anchors the skin to underlying tissues and organs 4. The nurse is collecting data from a client and is completing a review of the client's skin. The client asks the nurse what the term keratin means in the pamphlet on skin given by the primary care provider. Based on this information, what would be the best response by the nurse? 1. Body's true protector 2. Most microorganisms cannot penetrate unbroken skin 3. Gives color to the hair, skin, and other structures in the body 4. Help detect foreign substances to defend against infection A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4 5. The nurse is collecting data from a client and is completing a review of the client's skin. The client asks the nurse what the term melanin means in the pamphlet on skin given by the primary care provider. Based on this information, what would be the best response by the nurse? A) Body's true protector B) Most microorganisms cannot penetrate unbroken skin C) Gives color to the hair, skin, and other structures in the body D) Help detect foreign substances to defend against infection 6.A client is complaining about having to do frequent public presentations. The client tells the nurse of breaking into a “cold sweat” before the presentation. Based on this information, what is the best description for the sweat glands that the nurse can share with the client that causes the “cold sweat?” A) Sudoriferous glands are located in the epidermis. B) Apocrine sweat glands are stimulated by anxiety or fear. C) Mammary sweat glands secrete sweat into numerous ducts that empty into pores. D) Eccrine sweat glands respond to external and internal heat. 7.A student nurse is reviewing information on the sudoriferous glands and the ceruminal glands for a postclinical presentation. The student nurse has to provide a chart that outlines information about these glands. Based on this information, what information should the nurse include about the ceruminal glands? A) Secrete a thick, oily, milky sweat into the hair follicle B) Distributed widely over the body, especially numerous on the upper lip, forehead, back, palms, and soles C) Regulation of body temperature by providing a cooling effect D) Protect the tympanic membrane 8. One important nursing technique is the measurement of accurate body temperature. The body loses heat through four processes. The nurse is reviewing the four processes with her high school child. Based on the nurse's information, which is an example of convection that the nurse can provide to the high school child? A) The body gives off waves of heat from uncovered surfaces. B) An oscillating fan blows currents of cool air across the surface of a warm body. C) Body fluid in the form of perspiration and insensible loss is vaporized from the skin. D) The body transfers heat to an ice pack, causing the ice to melt. 9. The nurse answers a client's questions regarding the integumentary system and helps the client learn about the mechanisms of heat loss, heat production, and heat conservation. Based on this information, what is an example of the mechanism of heat transfer by conduction? A) The body gives off waves of heat from uncovered surfaces. B) An oscillating fan blows currents of cool air across the surface of a warm body. C) Body fluid in the form of perspiration and insensible loss is vaporized from the skin. D) The body transfers heat to an ice pack, causing the ice to melt. 10. A client complains to the nurse about getting “goose bumps.” The client wants to know what causes the “goose bumps.” Based on this information, what would be the best information the nurse could give to the client about “goose bumps”? 1. Stimulated by cold or fear 2. Voluntary muscles contract 3. Erect hairs provide an “air cushion” for the skin 4. Pilomotor reflex A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4 11. The skin receives stimuli from the outside world, providing a dynamic interaction between external and internal environments. Based on this information, what is the best nursing action that a nurse can implement for a client who has a loss of sensation to the integumentary system? A) Be careful when handling the arms of clients. B) Inspect for skin tears. C) Inspect skin frequently, especially bony prominences. D) Discourage smoking and exposure to the sun. 12. An older client asks the nurse about changes that occur in aging skin. Based on this information, what teaching consideration should the nurse incorporate into her plan of care for review with this client about changes that occur in aging skin? A) Epidermal and dermal layers of the skin are raised. B) Melanin is either lost or migrates and clusters in the dermal layer. C) Capillary bed in epidermis becomes more friable. D) Capillaries leak small amount of blood into tissues. 13. A 55-year-old woman likes to play golf every day during the summer months. Based on this information what should the nurse review with the client about ways to protect the skin from damage? 1. SPF determines the amount of UV rays that reach the skin. 2. SPF 45–70 is most often used. 3. Apply sunscreen thoroughly and evenly. 4. Reapply sunscreen after sweating. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4 14. The nurse is reviewing with a client the ways for the client to maintain healthy skin. Which instructions are the most important for the nurse to review with the client to help maintain healthy skin? 1. Consume a well-balanced diet. 2. Drink plenty of fluids every day. 3. Limit exposure to the sun. 4. Use herbal products on the skin. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4 15.A client meets a former classmate at a 10-year college reunion. The client tells the nurse that the classmate was bald. The classmate had a full head of red hair when they graduated from college. Based on this information, the client asks the nurse what might cause alopecia. What could be a possible reason the nurse could identify as a cause of the classmate's alopecia? A) High secretion of melanin B) Hereditary factors C) Use of hair care products D) Active lifestyle 16.A client whose skin has developed a bluish hue is diagnosed by the primary care provider as having cyanosis. What action should the nurse take in this case ? A) The nurse should give the client a tepid bath. B) The nurse should monitor for a sudden increase in temperature. C) The nurse should monitor the oxygen level in the client's bloodstream. D) The nurse should place a cool cloth on the client's forehead. 17.The nurse is teaching the client about various aspects of the skin. What should the nurse review with the client about the importance of sebum? A) Prevents hardening of collagen B) Prevents drying of skin C) Keeps skin bacteria free D) Prevents diaphoresis 18.A nurse is caring for a client with vitiligo. The client wants to know the reason for the white patches on his skin. What is the best response by the nurse to the client about the white patches? A) “The white patches are caused by a deficiency of vitamin D.” B) “The white patches occur when melanocytes stop making melanin.” C) “The white patches occur when there is a low carotene level.” D) “The white patches occur as a result of the lack of calcitriol in the body.” 19.A 65-year-old male client complains to the nurse about often feeling cold and wants to know the reason. What would be the best reason that the nurse could provide in the response to the client's question? A) The skin of an elderly person tends to be more fragile. B) Elderly people usually have impaired circulation. C) Elderly people have less subcutaneous fat. D) Epidermal turnover decreases in elderly people. 20.A 55-year-old female client complains of increased facial hair growth in her nose, ears, and eyebrows. The hair has also become coarser. What would be the best reason that the nurse could provide in the response to the client's concern about the increase in facial hair? A) Loss of female hormones B) Excess exposure to sunlight C) Loss of skin turgor D) Unhealthy diet 21.A nurse on the burn unit is reviewing with a group of nursing students the role of the hypodermis. Based on this information, what would be the best explanation to the nursing students about the role of the hypodermis? A) Acts as a waterproof barrier protecting the inside of the body B) Restricts penetration from microorganisms C) Nourishes and supports the epidermis D) Anchors the skin to the underlying tissues and organs 22.The nurse is educating a client about vitamins and their importance to the body. The nurse is reviewing with the client about blood tests and reasons to maintain adequate vitamin D in the body. What information is essential for the nurse to include when client teaching about vitamin D? A) Prevents aging of skin B) Facilitates absorption of calcium and phosphorus C) Helps in the heat loss mechanism D) Increases body metabolism 23.A 35-year-old female client complains of a lightening of her skin color when she moves to a city where the temperature is very low. Based on this information, what can the nurse explain as the best reason for the cause of changes in skin color in the client? A) Low level of calcitriol B) Lack of oxygen in blood stream C) Constriction of capillaries D) Loss of subcutaneous fat 24.A client with an infection in the ears visits a healthcare facility. The client wants to know the cause of the infection. Based on this data collection from the client, which reason should the nurse identify as the most likely cause of the ear infection to the client? A) Insertion of a pointed object in the ear B) Infection in the sebaceous gland C) Secretion from the eccrine glands D) Accumulation of cerumen Show Less