toward healthy aging, 11th edition chapter 14: healthy skin
questions and correct answers (100% correct verified answers)
detailed answer key questions and detailed answers with rationale
agrade
1. When giving an older client a bath what observation would concern the nurse most ?
a. A firm, irregularly shaped, pink-colored nodule.
b. A slightly raised multicolor lesion with an asymmetrical, irregular border.
c. A pearly papule with prominent blood vessels.
d. Several rough, scaly, sandpaper-like patches that are slightly tender. - CORRECT ANSWERS-
ANS: B
A slightly raised multicolor lesion with an asymmetrical irregular border is characteristic of melanoma
that accounts for less than 2% of skin cancer cases, but it causes most skin cancer deaths. A firm,
irregularly shaped, pink-colored nodule or persistent red lesion is characteristic of squamous cell
carcinoma. A pearly papule with prominent blood vessels is a characteristic of a basal cell carcinoma. A
tender, rough, scaly, sandpaper-like patch is a characteristic of actinic keratoses (a precancerous lesion).
3. A nurse providing an educational session on vaccines to a group of older adults is discussing the zoster
vaccine (Zostavax). What information should the nurse include in the education?
a. Zostavax should only be given to individuals who have never had an episode of herpes zoster (HZ).
b. Zostavax is recommended for all individuals over age 60 that have no contraindications to the vaccine.
c. Zostavax should not be given to anyone with a chronic cardiac or respiratory
d. Zostavax will always prevent an individual from developing Herpes Zoster. - CORRECT
ANSWERS-ANS: B
Zostavax is recommended for all persons 60 and older who have no contraindications to the vaccine,
including persons with a previous episode of Herpes Zoster (HZ) and those with chronic conditions. The
, vaccine does not guarantee that an individual will not get HZ; however, individuals who get the vaccine
cut their risk in half and if they do get HZ, it is likely that they will get a milder case
4. A nurse is assessing an older patient and notes a cluster of fluid-filled vesicles on the right
thoracic area. The nurse suspects herpes simplex (HZ). The patient asks the nurse, "I really don't
understand how I got shingles. I don't even know anyone who has this infection." The nurse includes
which of the following in formulating a response to the patient?
a. HZ is caused by a reactivation of dormant varicella zoster virus within the sensory neuron of the dorsal
root ganglion.
b. HZ is caused by the same virus as chickenpox and requires exposure to an individual with active
chickenpox.
c. HZ is caused by the same virus as chickenpox and requires direct contact with an individual with HZ.
d. HZ is caused by the varicella zoster virus and occurs only in individuals who were never previously
exposed to the virus. - CORRECT ANSWERS-ANS: A
HZ is a viral infection caused by a reactivation of the latent varicella zoster virus (the same virus that
causes chickenpox) within the sensory neurons of the dorsal root ganglion, decades after the initial
varicella zoster infection is established. HZ is infectious until the lesions are completely crusted over.
Individuals do not have to have direct contact with someone who has either chickenpox or HZ in order to
have a reactivation; other factors such as illness and stress can cause the reactivation. Individuals who
have HZ infection were previously exposed to the varicella zoster virus.
5. What is the primary reason reverse staging of tissue wounds is never used?
a. Even though all tissue layers are replaced as a wound heals, the healed skin is not as strong as it
originally was.
b. Not all tissue layers are replaced as a wound heals, and the healed skin is not as strong as it originally
was.
questions and correct answers (100% correct verified answers)
detailed answer key questions and detailed answers with rationale
agrade
1. When giving an older client a bath what observation would concern the nurse most ?
a. A firm, irregularly shaped, pink-colored nodule.
b. A slightly raised multicolor lesion with an asymmetrical, irregular border.
c. A pearly papule with prominent blood vessels.
d. Several rough, scaly, sandpaper-like patches that are slightly tender. - CORRECT ANSWERS-
ANS: B
A slightly raised multicolor lesion with an asymmetrical irregular border is characteristic of melanoma
that accounts for less than 2% of skin cancer cases, but it causes most skin cancer deaths. A firm,
irregularly shaped, pink-colored nodule or persistent red lesion is characteristic of squamous cell
carcinoma. A pearly papule with prominent blood vessels is a characteristic of a basal cell carcinoma. A
tender, rough, scaly, sandpaper-like patch is a characteristic of actinic keratoses (a precancerous lesion).
3. A nurse providing an educational session on vaccines to a group of older adults is discussing the zoster
vaccine (Zostavax). What information should the nurse include in the education?
a. Zostavax should only be given to individuals who have never had an episode of herpes zoster (HZ).
b. Zostavax is recommended for all individuals over age 60 that have no contraindications to the vaccine.
c. Zostavax should not be given to anyone with a chronic cardiac or respiratory
d. Zostavax will always prevent an individual from developing Herpes Zoster. - CORRECT
ANSWERS-ANS: B
Zostavax is recommended for all persons 60 and older who have no contraindications to the vaccine,
including persons with a previous episode of Herpes Zoster (HZ) and those with chronic conditions. The
, vaccine does not guarantee that an individual will not get HZ; however, individuals who get the vaccine
cut their risk in half and if they do get HZ, it is likely that they will get a milder case
4. A nurse is assessing an older patient and notes a cluster of fluid-filled vesicles on the right
thoracic area. The nurse suspects herpes simplex (HZ). The patient asks the nurse, "I really don't
understand how I got shingles. I don't even know anyone who has this infection." The nurse includes
which of the following in formulating a response to the patient?
a. HZ is caused by a reactivation of dormant varicella zoster virus within the sensory neuron of the dorsal
root ganglion.
b. HZ is caused by the same virus as chickenpox and requires exposure to an individual with active
chickenpox.
c. HZ is caused by the same virus as chickenpox and requires direct contact with an individual with HZ.
d. HZ is caused by the varicella zoster virus and occurs only in individuals who were never previously
exposed to the virus. - CORRECT ANSWERS-ANS: A
HZ is a viral infection caused by a reactivation of the latent varicella zoster virus (the same virus that
causes chickenpox) within the sensory neurons of the dorsal root ganglion, decades after the initial
varicella zoster infection is established. HZ is infectious until the lesions are completely crusted over.
Individuals do not have to have direct contact with someone who has either chickenpox or HZ in order to
have a reactivation; other factors such as illness and stress can cause the reactivation. Individuals who
have HZ infection were previously exposed to the varicella zoster virus.
5. What is the primary reason reverse staging of tissue wounds is never used?
a. Even though all tissue layers are replaced as a wound heals, the healed skin is not as strong as it
originally was.
b. Not all tissue layers are replaced as a wound heals, and the healed skin is not as strong as it originally
was.
