1) The nurse performs an assessment on a client admitted
with contact dermatitis. Which signs and symptoms should
the nurse look for?
Lesions with well-defined geometric
margins
2) The nurse is providing home c
...
1) The nurse performs an assessment on a client admitted
with contact dermatitis. Which signs and symptoms should
the nurse look for?
Lesions with well-defined geometric
margins
2) The nurse is providing home care instructions to the
client who just had surgery for squamous cell carcinoma.
The nurse provides follow-up teaching and explains to the
client to watch for which characteristics of this type of
skin carcinoma?
Firm, nodular lesion topped with a crust
or with a central area of ulceration
3) The nurse is teaching the client about risk factors for
skin cancer. Which statements by the client indicate that
teaching was successful? Select all that apply.
"I have to avoid excessive exposure to
sunlight."
"I am at higher risk for skin cancer
because my mother had one."
4) The nurse is assessing a dark-skinned client for signs of
anemia. The nurse should focus the assessment on which
structures? Select all that apply.
Lips
Conjunctiva
Mucous membranes
5) The nurse is providing teaching to a client who will
undergo chemotherapy for cancer, and alopecia is expected
from the chemotherapeutic agent. Which statement made by
the client indicates a need for further teaching?
"I can't believe my hair loss will be
permanent."
6) The nurse is caring for a client with full-thickness
circumferential burns of the entire trunk of the body.
Which finding suggests that an escharotomy may be
necessary?
SAUNDERS
High pressure alarm keeps sounding on
the ventilator
7) A client with chloasma is extremely stressed about the
change in her facial appearance. Which integumentary
change observed by the nurse is consistent with this
problem?
Blotchy brown macules across the cheeks
and forehead
8) The nurse is planning care for a client who suffered a
burn injury and has a negative self-image related to
keloid formation at the burn site. The keloid formation
is indicative of which condition?
Hypertrophy of collagen fibers
9) The nurse observes the client's sacrum and notes the
following. How will the nurse document this in the
client's medical record? Refer to figure.
View Figure
Stage IV pressure ulcer
10) A client recently diagnosed with chronic kidney disease
requiring hemodialysis has an arteriovenous fistula for
access. The client asks the nurse what complications can
occur with the access site. What complications should the
nurse inform the client about? Select all that apply.
Hepatitis
Infection
11) The nurse has completed discharge teaching for a client
who was admitted for reticular skin lesions. Which
statement by the client indicates understanding of the
discharge instructions?
"I need to assess my skin for lesions
that appear net-like."
12) A client exhibits erythema of the skin. The nurse plans
care, knowing that which factors are responsible for this
finding? Select all that apply.
Fever
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