HEALTH ASSESSMENT IN NURSING 6TH {Chapter 14} _ Graded A

HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WEBER - Chapter 14 ANSWER KEY ON THE LAST PAGE 1. The nurse is assessing a fair-skinned, Caucasian woman with red hair and freckled skin. During health promotion, the nurse should focus education on which of the following topics? A) Management of dry skin B) Susceptibility to bruising C) Risks of fungal infections D) Risks of sun exposure 2. The nurse is performing an assessment of a client admitted to the emergency department in status asthmaticus. The nurse should carefully inspect which part of the body in an effort to differentiate central cyanosis from peripheral cyanosis? A) Nail beds B) Sclerae C) Palms D) Oral mucosa 3. A 45-year-old African-American client comes to the clinic complaining of fatigue, thirst, and frequent urination. During the exam, the nurse notices areas of hyperpigmentation around the neck and in the axillae. Which of the following should the nurse do next? A) Document the benign findings. B) Perform a random blood sugar test. C) Ask the client about a family history of cancer. D) Refer the client for medical follow-up. 4. An older adult female client is concerned because her skin is very dry. She asks the nurse why she has dry skin now when she never had dry skin before. The nurse responds to the client based on the understanding that dry skin is normal with aging due to a decrease of what? A) Squamous cells B) Sweat glands C) Subcutaneous tissue D) Sebum production 5. 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? A) Endocrine B) Neurologic C) Cardiovascular D) Genitourinary 6. During an integumentary assessment, the nurse notes that the client's fingernails are very thin and concave. The nurse knows the client needs medical follow-up for further assessment to rule out which condition? A) Diabetes mellitus B) Iron deficiency anemia C) Vitamin A deficiency D) Peripheral vascular disease 7. In which health condition would the nurse most likely expect to assess a capillary refill time that is longer than 2 seconds? A) Psoriasis B) Multiple sclerosis C) Malignant melanoma D) Peripheral vascular disease 8. A nurse has been asked to assess an older adult resident of a long-term care facility. During assessment of the resident's skin, the nurse notes a break in the skin, erythema, and a small amount of serosanguineous drainage over the resident's sacrum. Inspection reveals that the area appears blister-like. The nurse should interpret this finding as indicating which stage of pressure ulcer? A) Stage I B) Stage II C) Stage III D) Stage IV 9. A 15-year-old boy shows the school nurse a ìbumpî on his neck. The nurse observes a raised, erythematous, solid, 0.3-cm by 0.2-cm mass. The nurse would document the presence of which of the following?