Exam 3 (Josh) - Skin

Question 1

——- presents itself as a yellowing of the sceler and hard/soft pallet junction of the client.

Answer 1

Jaundice

Question 2

What would be the skin color of a black patient in a shock situation?

Answer 2

ashen, gray, or dull

Question 3

Small, slightly raised red spots on the trunk of middle-aged (30) and older clients?

Answer 3

senile angiomas

Question 4

Hyperpigmentation of a pregnant woman’s face is called ———–.

when it is on the abodomen, it is called ——–

Answer 4

chloasma (face)

linea nigra (abdomen)

Question 5

What puts an aging client at greater risk for heat stroke?

Answer 5

decreased response of sweat glands to thermoregulatory demands

Question 6

What are the three sources of skin color?

Answer 6

• melanin (brown pigment)
• carotene (yellow-orange pigment)
• red/purple tones of underlying vascular bed

Question 7

In the aging hair matrix, the number of functioning ———– decreases, leading the hair to look gray/white and feel fine and thin.

Answer 7

melanocytes

Question 8

Oily skin is ———

Dry skin is ———

Answer 8

seborrhea - oily

xerosis - dry

Question 9

What is the most common skin symptom?

Answer 9

pruritus (itching) due to dry skin, aging, drug reactions, etc.

Question 10

Pruritus can be caused by drugs, but senile pruritis is often caused by ——–

Answer 10

xerosis (dry skin)

Question 11

Vitiligo

Answer 11

complete absence of melanin pigment in african americans (causing white spots in face, hands, neck and feet)

Question 12

Which type of mole (nevus) is typically raised, junctional nevus or compound nevus?

Answer 12

compound nevus

Question 13

Anasarca

Answer 13

bilateral (generalized) edema over the whole body that is typically a consequence of heart or kidney failure

Question 14

Diaphoresis

Answer 14

profuse sweating

Question 15

A ———- lesion develops on previously unaltered skin.

A ———- lesion is when a lesion changes over time or changes due to scratching/infection.

Answer 15

primary

secondary

Question 16

What are the white, linear markings on peoples nail beds? Is this a concern?

Answer 16

leukonychia

not a concern (normal)

Question 17

Erythema Toxicum

Answer 17

aka: flea bite rash

common rash that appears in first 3-4 days of life

Question 18

What is keratosis? Which type can become cancerous?

Answer 18

raised, thickened areas of pigmentation in older adults

actinic keratosis can become cancerous

Question 19

Liver Spots

Answer 19

Clusters of melanocytes that appear after extensive sun exposure.

Question 20

Papule

Answer 20

solid, elevated, circumscribed lesion that is less than 1 cm in diameter.

Question 21

A patient has had a “terrible itch” for several months that he has been continuously scratching. On examination, the nurse might expect to find:

Answer 21

Lichenification