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Physical Assessment Skin Hair Nails.
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Physical Assessment Skin Hair Nails.
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Physical Assessment Skin Hair NailsThe nurse is conducting a focused interview on the client's integumentary system and
prepares to obtain data related to risk factors for the development of integumentary
disorders. Which of the following questions by the nurse would be unexpected based on the
specific data the nurse is attempting to gain during the interview?
1. "How much time do you spend outdoors?"
2. "How do you care for your skin?"
3. "Do you have any tattoos or body piercings?"
4. "Have you noticed any drainage from your skin?" - correct answer-Correct Answer: 4
The nurse is completing a focused interview to assess the skin, hair, and nails of a pregnant
client. Which of the following questions would be most important for the nurse to include in
the interview?
1. "Do you use any skin creams?"
2. "Do you try to avoid exposure to the sun?"
3. "Have you lost any hair during your pregnancy?"
4. "Have you had any nail changes?" - correct answer-Correct Answer: 1
The nurse is preparing to assess the client's skin, hair, and nails. Which of the following
techniques will the nurse use initially during this assessment?
1. Percussion
2. Palpation
3. Auscultation
4. Inspection - correct answer-Correct Answer: 4
The client is visiting the healthcare provider's office for a head-to-toe assessment. During the
nurse's assessment of the client's skin, the nurse notes that the client is pale. Which of the
following findings may be related to the client's color?
Standard Text: Select all that apply.
1. Client's blood pressure is 96/62.
, 2. The client states, "I just smoked a cigarette before I came in the office."
3. The client's oxygen saturation level is 86% on room air.
4. The client states, "I have been diagnosed with osteoporosis."
5. The client states, "It is snowing again outside with a wind chill factor of -11 degrees
Fahrenheit." - correct answer-Correct Answer: 1,2,3,5
The nurse is assessing a client with liver disease and notes that the skin, mucous
membranes, and sclerae are yellowish in color. The nurse would correctly document this
finding as which of the following?
1. Uremia
2. Cyanosis
3. Jaundice
4. Carotenemia - correct answer-Correct Answer: 3
The nurse is performing a skin assessment on a client and notes a round, elevated,
fluid-filled mass approximately 0.4 cm in size. The nurse would correctly document this
finding as which of the following?
1. Vesicle
2. Macule
3. Papule
4. Tumor - correct answer-Correct Answer: 1
The nurse is caring for a client who has smoked for many years and documents that
"clubbing is present." Which of the following techniques is the best way for the nurse to
determine the presence of clubbing?
1. Place two thumbs touching side-by-side.
2. Place two of the same fingers from each hand together.
3. Place two index fingers together tip-to-tip.
4. Place the hands out straight with the palm sides down. - correct answer-Correct Answer: 2
The nurse is assessing a female client and notes facial hirsutism. The client asks the nurse,
"Why did this happen to me?" Which of the following statements is the nurse's best
response?
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