Skin Flashcards
Sounds (tone) elicited thru percussion and best heard in normal lungs is called?
Resonance
While examining a client, the nurse plans to palpate the temperature of the skin by using the
Dorsal surface of the hand
It requires to touch the patient with different parts of your hands, using varying degrees of pressure
Palpation
During palpation of client’s organs, the nurse palpitates the spleen by applying pressure between 2.5cm and 5 cm. The nurse is performing?
Deep palpation
The most commonly used method of percussion
Indirect Percussion
During a comprehensive assessment of the lungs of an adult client with a diagnosis of emphysema, the nurse anticipates that during percussion the client will exhibit
Hyperresonance
While percussing an adult client during a physical examination, the nurse can expect to hear flatness over the client’s
Lungs
During a comprehensive assessment of an adult client, the nurse can best hear high pitched sounds by using a stethoscope with a?
1 ½ inch diaphragm
When the nurse places one hand flat on the body surface and uses the fist of the other hand to strike the back of the hand flat on the body surface, the nurse is using.
Blunt percussion
Part of the hand that are sensitive to vibrations, fremitus and thrills.
Ulnar/Palmar Surface
Connecting the skin to underlying tissue is/are the?
-Suboutaneous tissue
The only layer of the skin that undergoes cell division.
Innermost layer of the epidermis
A client’s skin color depends on melanin and carotene contained in the skin and the
Volume of blood circulating in the dermis
A nurse is assessing for the capillary refill time (CRT) of the patient. Three to four seconds after reiessing pressure, the nail returned to its original tone. This result would suggest:
Renal disease
Sweat glands that are concentrated in the axillae, perineum, and areolae of the breast and are usually open through a hair follicle:
Apocrine
Assessing for skin turgor means assessing for the skins’:
Mobility and Elasticity
One abnormality a nurse might encounter in assessment of the nails is clubbing of the nails. Clubbing of the nails is due to:
Chronic hypoxia
Which among these statements regarding lesions is true
Some Secondary lesions are initially from Primary lesions
All except one of these following findings could be assessed via observation:
Moist skin
Jeremy, a first-year nursing student is doing an assessment of the skin.
He was able to note some pigmentation in his client’s skin. He remembered their discussion regarding signs to consider malignant pigmentation. Which among these statements is true regarding signs of malignancy in pigmentation?
The pigment is asymmetrical, border is irregular and there is noted enlargement of the pigment
An adult male client visits the outpatient center and tells the nurse that he has been experiencing patchy hair loss. The nurse should assess the client for:
Symptoms of stress
An adult white client visits the clinic for the first time. During assessment of the client’s skin, the nurse should assess for central cyanosis by.
Oral muçosa
The nurse assesses an older adult bedric den client in her home. While assessing the client’s buttocks, the nurse observes that a small area of the skin is broken and resembles an erosior. The nurse should document the client’s pressure ulcer as?
stage II
To assess an adult clie’s skin turgor, the nurse should?
d. use two fingers to pinch the skin under the clavicle
While assessing an adult client, the nurse observes freckles on the client’s face. The nurse should document the presence of
Macules
An adult male client visits the clinic and tells the nurse that he believes he has athlete’s foot. The nurse observes that the client has linear cracks in the skin on both feet. The nurse should document the presence of?
Fissures
An African-American female client visits the clinic. She tells the nurse that she had her ears pierced several weeks ago, and an elevated, irregular, reddened mass has now developed at the earlobe. The nurse should document a?
d. Keloid
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 clients:
d. Sclera
Connecting the skin to underlying structures is the?
Subcutaneous tissue
A client’s skin color depends on melanin and carotene contained in the skin, and the:
volume of blood circulating in the dermis
Hair follicles, sebaceous glands, and sweat glands originate from the:
Dermis
The apocrine glands are dormant until puberty and are concentrated in the axillae, the perineum, and the:
areola of the breast
Short, pale, and fine hair that is present over much of the body is termed:
Vellus
The nails, located on the distal phalanges of the fingers and toes, are composed of
keratinized epidermal cells
