Health Assessment Jarvis Ch 12 Practice Questions - with
rationals
ANS: has no known cause.
A 13-year old girl is interested in obtaining
information about the cause of her acne. About 70% of teens will have acne, and, although the cause is
The nurse would share with her that acne: unknown, it is not caused by poor diet, oily complexion, a
contagion, or poor hygiene.
A 22-year-old woman comes to the clinic because of a severe ANS: Tetracyclines for acne
sunburn and states, "I was just out in the sun for a couple of
minutes." The nurse begins a medication review with her, Drugs that may increase sunlight sensitivity and give a burn response
paying special attention to which medication class? include sulfonamides, thiazide diuretics, oral hypoglycemic agents, and
tetracycline.
A 35-year-old pregnant woman comes to the clinic for a ANS: linea nigra.
monthly appointment. During the assessment, the nurse In pregnancy, skin changes can include striae, linea nigra (a brownish black line down the
notices that she has a brown patch of hyperpigmentation on midline), chloasma (brown patches of hyperpigmentation), and vascular spiders. Keratoses
her face. The nurse continues the skin assessment aware that are raised, thickened areas of pigmentation that look crusted, scaly, and warty. Xerosis is
dry skin. Acrochordons, or "skin tags" occur more often in the aging adult.
another finding may be:
A 40-year-old woman reports a change in mole size, ANS: refer the patient because of the suspicion of melanoma on the basis of her symptoms.
accompanied by color changes, itching, burning, and bleeding The ABCD danger signs of melanoma are asymmetry, border irregularity, color variation, and
over the past month. She has a dark complexion and has no diameter. In addition, individuals may report a change in size, development of itching,
family history of skin cancer, but she has had many blistering burning, bleeding, or a new-pigmented lesion. Any of these signs raise suspicion of
malignant melanoma and warrant immediate referral.
sunburns in the past. The nurse would:
A 42-year-old female patient complains that she has ANS: senile angiomas.
noticed several small, slightly raised, bright red dots
on her chest. On examination, the nurse expects that Cherry (senile) angiomas are small, smooth, slightly raised
bright red dots that commonly appear on the trunk in adults
the spots are probably: over 30 years old.
ANS: tinea capitis.
A 45-year-old farmer comes in for a skin evaluation and
complains of hair loss on his head. He has noticed that his hair Tinea capitis is rounded patchy hair loss on the scalp, leaving broken-off hairs, pustules,
seems to be breaking off in patches and that he has some and scales on the skin. It is caused by a fungal infection. Lesions are fluorescent under a
Wood light. It is usually seen in children and farmers and is highly contagious. See Table
scaling on his head. The nurse would begin the examination 12-12, Abnormal Conditions of Hair, for descriptions of the other terms.
suspecting:
A 52-year-old woman has a papule on her nose that has ANS: Basal cell carcinoma
rounded, pearly borders and a central red ulcer. She said Basal cell carcinoma usually starts as a skin-colored papule that develops
she first noticed it several months ago and that it has slowly rounded, pearly borders with a central red ulcer. It is the most common form
grown larger. The nurse suspects which condition? of skin cancer, and it grows slowly. This description does not fit acne lesions. See
Table 12-11 for descriptions of malignant melanoma and squamous cell
carcinoma.
A 65-year-old man with emphysema and bronchitis has ANS: Clubbing of the nails
come to the clinic for a follow-up appointment. On
assessment, the nurse might expect to see which Clubbing of the nails occurs with congenital cyanotic heart disease,
neoplastic, and pulmonary diseases. The other responses are
assessment finding? assessment findings not associated with pulmonary diseases.
A 70-year-old woman who loves to garden has small, flat, ANS: clusters of melanocytes that appear after extensive sun exposure."
brown macules over her arms and hands. She asks,
"What causes these liver spots?" The nurse tells her, Liver spots, or senile lentigines, are clusters of melanocytes that appear
on the forearms and dorsa of the hands after extensive sun exposure.
"They are: The other responses are not correct.
, A 75-year-old woman who has a history of diabetes and ANS: the woman could be at increased risk for infection and lesions because of
peripheral vascular disease has been trying to remove a corn her chronic disease.
on the bottom of her foot with a pair of scissors. The nurse will A personal history of diabetes and peripheral vascular disease increases a
encourage her to stop trying to remove the corn with scissors person's risk for skin lesions in the feet or ankles. The patient needs to see a
because: professional for assistance with corn removal.
This study source was downloaded by 100000851646087 from CourseHero.com on 09-30-2022 06:12:12 GMT -05:00
rationals
ANS: has no known cause.
A 13-year old girl is interested in obtaining
information about the cause of her acne. About 70% of teens will have acne, and, although the cause is
The nurse would share with her that acne: unknown, it is not caused by poor diet, oily complexion, a
contagion, or poor hygiene.
A 22-year-old woman comes to the clinic because of a severe ANS: Tetracyclines for acne
sunburn and states, "I was just out in the sun for a couple of
minutes." The nurse begins a medication review with her, Drugs that may increase sunlight sensitivity and give a burn response
paying special attention to which medication class? include sulfonamides, thiazide diuretics, oral hypoglycemic agents, and
tetracycline.
A 35-year-old pregnant woman comes to the clinic for a ANS: linea nigra.
monthly appointment. During the assessment, the nurse In pregnancy, skin changes can include striae, linea nigra (a brownish black line down the
notices that she has a brown patch of hyperpigmentation on midline), chloasma (brown patches of hyperpigmentation), and vascular spiders. Keratoses
her face. The nurse continues the skin assessment aware that are raised, thickened areas of pigmentation that look crusted, scaly, and warty. Xerosis is
dry skin. Acrochordons, or "skin tags" occur more often in the aging adult.
another finding may be:
A 40-year-old woman reports a change in mole size, ANS: refer the patient because of the suspicion of melanoma on the basis of her symptoms.
accompanied by color changes, itching, burning, and bleeding The ABCD danger signs of melanoma are asymmetry, border irregularity, color variation, and
over the past month. She has a dark complexion and has no diameter. In addition, individuals may report a change in size, development of itching,
family history of skin cancer, but she has had many blistering burning, bleeding, or a new-pigmented lesion. Any of these signs raise suspicion of
malignant melanoma and warrant immediate referral.
sunburns in the past. The nurse would:
A 42-year-old female patient complains that she has ANS: senile angiomas.
noticed several small, slightly raised, bright red dots
on her chest. On examination, the nurse expects that Cherry (senile) angiomas are small, smooth, slightly raised
bright red dots that commonly appear on the trunk in adults
the spots are probably: over 30 years old.
ANS: tinea capitis.
A 45-year-old farmer comes in for a skin evaluation and
complains of hair loss on his head. He has noticed that his hair Tinea capitis is rounded patchy hair loss on the scalp, leaving broken-off hairs, pustules,
seems to be breaking off in patches and that he has some and scales on the skin. It is caused by a fungal infection. Lesions are fluorescent under a
Wood light. It is usually seen in children and farmers and is highly contagious. See Table
scaling on his head. The nurse would begin the examination 12-12, Abnormal Conditions of Hair, for descriptions of the other terms.
suspecting:
A 52-year-old woman has a papule on her nose that has ANS: Basal cell carcinoma
rounded, pearly borders and a central red ulcer. She said Basal cell carcinoma usually starts as a skin-colored papule that develops
she first noticed it several months ago and that it has slowly rounded, pearly borders with a central red ulcer. It is the most common form
grown larger. The nurse suspects which condition? of skin cancer, and it grows slowly. This description does not fit acne lesions. See
Table 12-11 for descriptions of malignant melanoma and squamous cell
carcinoma.
A 65-year-old man with emphysema and bronchitis has ANS: Clubbing of the nails
come to the clinic for a follow-up appointment. On
assessment, the nurse might expect to see which Clubbing of the nails occurs with congenital cyanotic heart disease,
neoplastic, and pulmonary diseases. The other responses are
assessment finding? assessment findings not associated with pulmonary diseases.
A 70-year-old woman who loves to garden has small, flat, ANS: clusters of melanocytes that appear after extensive sun exposure."
brown macules over her arms and hands. She asks,
"What causes these liver spots?" The nurse tells her, Liver spots, or senile lentigines, are clusters of melanocytes that appear
on the forearms and dorsa of the hands after extensive sun exposure.
"They are: The other responses are not correct.
, A 75-year-old woman who has a history of diabetes and ANS: the woman could be at increased risk for infection and lesions because of
peripheral vascular disease has been trying to remove a corn her chronic disease.
on the bottom of her foot with a pair of scissors. The nurse will A personal history of diabetes and peripheral vascular disease increases a
encourage her to stop trying to remove the corn with scissors person's risk for skin lesions in the feet or ankles. The patient needs to see a
because: professional for assistance with corn removal.
This study source was downloaded by 100000851646087 from CourseHero.com on 09-30-2022 06:12:12 GMT -05:00
