HEALTH ASSESSMENT corner of the patient's mouth. How should
MIDTERM REVIEW the nurse document this finding?
Fissure
During the change-of-shift report, the
outgoing nurse reports a new finding of In order to obtain information about
petechiae in a new patient admitted with a temperature, turgor, moisture, and texture,
yet-to-be diagnosed hematologic disorder. which assessment technique should the
On assessment of this patient, what should nurse use?
the incoming nurse expect to find? Palpation of skin with the hand
Tiny, purple spots on the skin
A nurse is obtaining a health history from a
A 14-year-old female and her mother come 56-year-old man who has a new diagnosis
to see their nurse practitioner for treatment of type 2 diabetes mellitus. What question
of the daughter's acne. What should the related to the skin would be most important
nurse assess the patient for to support the for the nurse to ask this patient?
existence of Acne? "Have you noticed any changes in the
Pustules way sores or wounds heal?"
Inspection of an obese, female patient A 78-year-old woman is admitted to the
reveals the presence of a foul odor that hospital with dehydration resulting from
emanates from the patient's abdominal skin prolonged vomiting. Which assessment by
folds. What should the nurse suspect that is the nurse is most consistent with severe
most likely causing the odor? dehydration?
Colonization by yeast or bacteria Pinching the skin under the clavicle
causes tenting for 10 seconds.
The nurse is conducting an integumentary
assessment of an African American patient A patient with thrombocytopenia secondary
who has darkly pigmented skin and a to sepsis has small, pinpoint deposits of
history of chronic obstructive pulmonary blood visible through the skin on the anterior
disease (COPD). Which locations should and posterior chest. What term will the
the nurse inspect for cyanosis (select all nurse use to describe this skin abnormality?
that apply)?. Petechiae
Patient's nail beds & Conjunctiva of the
patient's eyes A 20-year old female patient complaining of
a stinging pain under her ear. Through
The nurse is assessing a white patient's assessment, you’ve found out that there is
skin color and notices cyanosis. Where on an inflammation of the auditory canal down
the patient's body would the nurse most to the tympanic membrane. As a nurse,
likely see this cyanosis? what should be the best diagnosis for this?
Lips Otitis externa
On assessment, a linear crack from the In which anatomical direction is the
epidermis to the dermis is noted at the temporomandibular joint (TMJ) primarily
MIDTERM REVIEW the nurse document this finding?
Fissure
During the change-of-shift report, the
outgoing nurse reports a new finding of In order to obtain information about
petechiae in a new patient admitted with a temperature, turgor, moisture, and texture,
yet-to-be diagnosed hematologic disorder. which assessment technique should the
On assessment of this patient, what should nurse use?
the incoming nurse expect to find? Palpation of skin with the hand
Tiny, purple spots on the skin
A nurse is obtaining a health history from a
A 14-year-old female and her mother come 56-year-old man who has a new diagnosis
to see their nurse practitioner for treatment of type 2 diabetes mellitus. What question
of the daughter's acne. What should the related to the skin would be most important
nurse assess the patient for to support the for the nurse to ask this patient?
existence of Acne? "Have you noticed any changes in the
Pustules way sores or wounds heal?"
Inspection of an obese, female patient A 78-year-old woman is admitted to the
reveals the presence of a foul odor that hospital with dehydration resulting from
emanates from the patient's abdominal skin prolonged vomiting. Which assessment by
folds. What should the nurse suspect that is the nurse is most consistent with severe
most likely causing the odor? dehydration?
Colonization by yeast or bacteria Pinching the skin under the clavicle
causes tenting for 10 seconds.
The nurse is conducting an integumentary
assessment of an African American patient A patient with thrombocytopenia secondary
who has darkly pigmented skin and a to sepsis has small, pinpoint deposits of
history of chronic obstructive pulmonary blood visible through the skin on the anterior
disease (COPD). Which locations should and posterior chest. What term will the
the nurse inspect for cyanosis (select all nurse use to describe this skin abnormality?
that apply)?. Petechiae
Patient's nail beds & Conjunctiva of the
patient's eyes A 20-year old female patient complaining of
a stinging pain under her ear. Through
The nurse is assessing a white patient's assessment, you’ve found out that there is
skin color and notices cyanosis. Where on an inflammation of the auditory canal down
the patient's body would the nurse most to the tympanic membrane. As a nurse,
likely see this cyanosis? what should be the best diagnosis for this?
Lips Otitis externa
On assessment, a linear crack from the In which anatomical direction is the
epidermis to the dermis is noted at the temporomandibular joint (TMJ) primarily
