NURS 228 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NURS 228 FINAL EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) The nurse is assessing the skin of the client. He notices on the right heel of the foot a red-pink wound bed. There is partial thickness loss of the dermis with a shallow open ulcer, without slough. What stage would the nurse rate this as? Correct Answer Stage II The nurse is inspecting the client's nails and the client has a history of emphysema. The fingernail shape that suggests on underlying oxygen deficiency is: Correct Answer Early or late clubbing You are assessing your client and notice a circumscribed skin elevation, less than 0.5 centimeters in diameter, containing serous fluid. This type of skin lesion is a: Correct Answer Vesicle When inspecting the skin of an older adult client, the nurse notes multiple small 1-2mm, flat reddish-purple macules. She also notes this is associated with bleeding tendencies or emboli to skin. The nurse documents this finding as which of the following? Correct Answer Petechiae The nurse is working in an outpatient clinic. When examining a client, the nurse notes asymmetric borders on a pigmented lesion. The nurse knows this suggests: Correct Answer The lesion may be cancerous The Braden Scale assesses six different categories. The nurse knows all of these are on the assessment tool except: Correct Answer Tachypnea The nurse notes a wound on her patient's coccyx. She notifies the doctor and describes it as, full thickness tissue loss with exposed bon, tendon, and muscle. Some slough is noted on the inner wound bed. The nurse would identify this as? Correct Answer Stage IV The nurse performs a health screening on a group of people. The nurse identifies which individual is at the greatest risk for developing skin cancer? Correct Answer A 62-year old male with light skin worked as a roofer for 40 years The nurse is inspecting the color of the patient's nails. They appear pale or cyanotic looking. The nurse would know this may indicate: Correct Answer Hypoxia An adult female client visits the clinic for the first time. The client has many bruises around her neck and face, and she tells the nurse that the bruises are the result of an accident. The nurse suspects that the client may be experiencing Correct Answer Domestic abuse A nurse is collecting a thorough and accurate subjective history of a client's nail problems. The client asks why this is necessary. Which of the following should the nurse mention in response? Correct Answer Nail problems can be caused by an underlying systemic illness In which health condition would the nurse most likely expect to assess a capillary refill time that is longer than 2 seconds? Correct Answer Cardiovascular Disease After teaching a group of students about the structure and function of the skin, the instructor determines that the teaching was successful when the students identify which of the following as responsible for variations in skin color? Correct Answer Melanin The nurse's assessment of an adult female client reveals the presence of excessive hair on her face and chest. The nurse should plan further evaluation of which body system? Correct Answer Endocrine A dark-skinned client visits the clinic because he hasn't been feeling well. To assess the client's skin for jaundice, the nurse should inspect the client's Correct Answer Sclera Which of the following statements most accurately conveys an aspect of the anatomy and physiology of the skin? Correct Answer The skin is composed of an epidermis, dermis, and subcutaneous tissue The nurse is speaking to a group of nursing students about health promotion and is preparing to discuss the ABCDEs of melanoma. Which of the following descriptions is correct for the ABCDEs? Correct Answer a= asymmetry, b=irregular border, c=color changes, d=diameter 6 mm, e=evolution A decrease in oxyhemoglobin will result in documentation of pallor. T or F? Correct Answer True The nurse is assessing a dark-skinned client who has been transported to the emergency room by ambulance. When the nurse observes that the client's skin appears pale, with blue-tinged lips and oral mucosa, the nurse should document the presence of: Correct Answer A great degree of cyanosis Which area of the body should a nurse inspect for possible loss of skin integrity when performing a skin examination on a female who is obese? Correct Answer Under the breasts The nurse notes multiple elevated masses with irregular transient borders that are superficial, raised, and erythematous in a client who complains of an itching rash. Which question would be the most important for the nurse to ask? Correct Answer "Are you allergic to foods, medications, or other substances?" A new nurse on the long-term care unit is learning how to assess a patient's risk for skin breakdown. What would be the most likely instrument this nurse would use? Correct Answer Braden scale The skin plays a vital role in temperature maintenance, fluid and electrolyte balance, and synthesis of vitamin: Correct Answer D