Chapter 56: Integumentary System Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What should a nurse ask about when taking the functional assessment of a patient with a
skin disorder?
a. A sore that is slow to heal
b. Unusual hair growth
c. Previous skin disorders
d. Exposure to chemicals or irritants
ANS: D
The functional assessment is a search for clues in the occupation and lifestyle of the
patient: the other options are reference medical history and system review:
DIF: Cognitive Level: Application REF: p: 1103 OBJ: 3
TOP: Functional Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A daughter of an older adult patient who has just returned from surgery is distressed
about her father’s pale, cold hands and feet: What is the best response by the nurse after
covering the patient with an extra blanket?
a. “Don’t be concerned: It is quite cold in the operating room: Your dad will be
warm in a minute:”
b. “Older patients like your dad get a little shocky during surgery:”
c. “When patients have blood loss during surgery, superficial vessels close off
temporarily, resulting in cold extremities:”
d. “We are watching the disturbed circulation in your dad’s hands and feet very
carefully:”
ANS: C
, The 10% of the blood network that is in the skin can be reduced by constriction and
shunted to the vital organs:
DIF: Cognitive Level: Application REF: p: 1102 OBJ: 1
TOP: Skin Blood Reservoir KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What information should a nurse provide to a patient with vitiligo receiving
phototherapy?
a. “Expose yourself to the sun for several hours before treatment to acclimate the
skin surface:”
b. “Wear protective clothing:”
c. “Wear loose clothing such as sleeveless T-shirts and shorts after the treatment:”
d. “Leave off sunglasses after treatment so your eyes can more quickly
accommodate:”
ANS: B
Eight hours before and after each treatment, the patient should wear protective
clothing, sunglasses, and sunscreen to decrease added ultraviolet exposure from other
sources:
DIF: Cognitive Level: Application REF: p: 1108 OBJ: 4
TOP: Phototherapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
4. A nurse is screening patients that the plastic surgeon is considering for phototherapy:
Which patient should the nurse exclude?
a. A 34-year-old woman with lupus erythematosus
b. A 5-year-old child with pneumonia
c. A 60-year-old man with a pacemaker
d. A 23-year-old woman who is 3 months’ pregnant
ANS: A
Persons with lupus erythematosus should avoid exposure to UV light:
DIF: Cognitive Level: Comprehension REF: p: 1108 OBJ: 4
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What should a nurse ask about when taking the functional assessment of a patient with a
skin disorder?
a. A sore that is slow to heal
b. Unusual hair growth
c. Previous skin disorders
d. Exposure to chemicals or irritants
ANS: D
The functional assessment is a search for clues in the occupation and lifestyle of the
patient: the other options are reference medical history and system review:
DIF: Cognitive Level: Application REF: p: 1103 OBJ: 3
TOP: Functional Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A daughter of an older adult patient who has just returned from surgery is distressed
about her father’s pale, cold hands and feet: What is the best response by the nurse after
covering the patient with an extra blanket?
a. “Don’t be concerned: It is quite cold in the operating room: Your dad will be
warm in a minute:”
b. “Older patients like your dad get a little shocky during surgery:”
c. “When patients have blood loss during surgery, superficial vessels close off
temporarily, resulting in cold extremities:”
d. “We are watching the disturbed circulation in your dad’s hands and feet very
carefully:”
ANS: C
, The 10% of the blood network that is in the skin can be reduced by constriction and
shunted to the vital organs:
DIF: Cognitive Level: Application REF: p: 1102 OBJ: 1
TOP: Skin Blood Reservoir KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What information should a nurse provide to a patient with vitiligo receiving
phototherapy?
a. “Expose yourself to the sun for several hours before treatment to acclimate the
skin surface:”
b. “Wear protective clothing:”
c. “Wear loose clothing such as sleeveless T-shirts and shorts after the treatment:”
d. “Leave off sunglasses after treatment so your eyes can more quickly
accommodate:”
ANS: B
Eight hours before and after each treatment, the patient should wear protective
clothing, sunglasses, and sunscreen to decrease added ultraviolet exposure from other
sources:
DIF: Cognitive Level: Application REF: p: 1108 OBJ: 4
TOP: Phototherapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection
Control
4. A nurse is screening patients that the plastic surgeon is considering for phototherapy:
Which patient should the nurse exclude?
a. A 34-year-old woman with lupus erythematosus
b. A 5-year-old child with pneumonia
c. A 60-year-old man with a pacemaker
d. A 23-year-old woman who is 3 months’ pregnant
ANS: A
Persons with lupus erythematosus should avoid exposure to UV light:
DIF: Cognitive Level: Comprehension REF: p: 1108 OBJ: 4
