by the nursing student indicates a need for further teaching?
Physiological factors directly affect the hair shaft.
The registered nurse provides education to a nursing student about the characteristics of hair. Which
statement made by the student indicates a need for further teaching?
1
"The hair shaft is lifeless."
2
"Hormonal changes affect the hair’s characteristics."
Correct3
"Physiological factors directly affect the hair shaft."
4
"Nutrient deficiencies of the hair follicle cause changes in hair color."
Physiological factors do not directly affect the hair shaft. The hair shaft itself is lifeless. Hormonal
changes, nutrition, and certain illnesses affect the hair’s characteristics, and nutrient deficiencies of
the hair follicle may change hair color.
Which mouth condition is caused by tooth decay?
1
Gingivitis
2
Xerostomia
Correct3
Dental caries
4
Periodontal disease
Dental caries are caused by tooth decay. Gingivitis is the inflammation of the gums. Xerostomia is
defined as a decreased secretion of saliva in the oral cavity. Periodontal disease is caused by an
infection of the periodontium.
,The nurse provides care for an adolescent with acne and recalls which primary reason for the
condition?
1
Increased skin vascularity
2
Increased thickness of the skin
3
Increased maturation of integument
Correct4
Increased inflammation of sebaceous glands
Active inflammation of sebaceous glands leads to the formation of pimples; this condition is called
acne. The skin’s vascularity increases in adolescents, which causes general skin changes. The skin’s
thickness increases in boys, along with some darkening in color. During adolescence, the growth and
maturation of the integument increases; this growth does not cause acne.
Which statement is true regarding the implications of skin care?
1
Constant exposure of the skin to moisture causes chemical irritation.
2
Cosmetics, deodorants, and depilatories cause maceration or softening of the skin.
Correct3
Weakening of the epidermis occurs because of scraping or stripping of the skin’s surface.
4
Improper positioning techniques result in the development of pressure ulcers.
Scraping or stripping of the skin’s surface may be because of a weak epidermis. Constant exposure of
the skin to moisture causes maceration or softening of the skin. Cosmetics, deodorants, and
depilatories may cause chemical irritation. The loss of stratum corneum results in the development of
pressure ulcers. Improper turning or positioning techniques will weaken the epidermis.
The nurse walks by a patient’s room and observes a caregiver changing the patient’s gown after the
patient was incontinent of urine. The nurse recognizes the need to address which immediate problem?
,1
The room temperature is very warm.
Correct2
The room door is open to the hallway.
3
The television volume is very loud.
4
There is a noticeably strong odor of urine in the room.
Leaving the room door open to the hallway violates the patient’s privacy. Although attention to the
room temperature, noise level, and odor is required, the immediate concern is with privacy.
Test-Taking Tip: Imagine your loved one is the patient when you read a question such as this one. What
would you want the caregiver to do?
Which statement is true about the development stage of adolescents?
1
Sebaceous glands become less active, resulting in acne.
Correct2
In girls, the skin becomes soft with increased vascularity.
3
The growth and maturation of the integument decreases.
4
In boys, the skin becomes darker because of decreased thickness.
In girls, estrogen secretion causes the skin to become soft and thicker with increased vascularity.
During adolescence, the growth and maturation of the integument increases. Sebaceous glands
become more active, resulting in acne. Boys will not experience a reduction in skin thickness as they
develop.
Which statement is true regarding the skin?
, 1
The epidermis is made up of a thin layer of epithelial cells.
Correct2
The dermis is formed by bundles of collagen and elastic fibers.
3
Dead cells are replaced by new cells generated by the dermis.
4
Hair follicles, sebaceous glands, and sweat glands run through the epidermal layer.
The dermis is a layer of skin formed by bundles of collagen and elastic fibers. It is thick and underlies
the epidermis. The epidermis comprises several thin layers of epithelial cells. Dead cells are replaced
by new cells generated by the innermost layer of the epidermis. Hair follicles, sebaceous glands, and
sweat glands are present in the dermal layer of the skin.
The nurse provides information for a nursing student about the implications of skin care. Which
statement made by the student indicates the need for further teaching?
1
"I should smooth the bed linens out regularly."
2
"I should remove rings from the patient’s fingers."
3
"I should check that the patient’s bath water is not excessively hot or cold."
Correct4
"I should maximize friction by moving the patient frequently."
Friction should be minimized to reduce the risk of pressure ulcers. Smoothing the bed linen out helps
remove sources of mechanical irritation. The nurse should remove rings from the patient’s fingers to
prevent accidental skin injuries. The nurse should make sure the patient’s bath water is not excessively
hot or cold to prevent skin injuries.