Exam 3 Test Bank Burns & Skin Questions and Answers Latest Update
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Course
Burns
Institution
Burns
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous membranes.
Which action should the nurse take next?
a. Ask the client about current medications he or she is taking.
b. Use pulse oximetry to assess the clients oxygen saturation.
c. Auscultate the ...
Exam 3 Test Bank Burns & Skin
Questions and Answers Latest Update
While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and
mucous membranes.
Which action should the nurse take next?
a. Ask the client about current medications he or she is taking.
b. Use pulse oximetry to assess the clients oxygen saturation.
c. Auscultate the clients lung fields for adventitious sounds.
d. Palpate the clients bilateral radial and pedal pulses. - Answer-B
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail
plates. Which
question should the nurse ask to elicit useful information about the possible condition?
a. What do you do for a living?
b. Are your nails professionally manicured?
c. Do you have diabetes mellitus?
d. Have you had a recent fungal infection? - Answer-A
A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which
question should the
nurse ask first?
a. Are you using lotion on your skin?
b. Do you have a family history of this?
c. Do your arms itch?
d. What medications are you taking? - Answer-D
After teaching a client who expressed concern about a rash located beneath her breast,
a nurse assesses the
clients understanding. Which statement indicates the client has a good understanding of
this condition?
a. This rash is probably due to fluid overload.
b. I need to wash this daily with antibacterial soap.
c. I can use powder to keep this area dry.
d. I will schedule a mammogram as soon as I can. - Answer-C
A nurse assesses a client who has two skin lesions on his chest. Each lesion is the size
of a nickel, flat, and
darker in color than the clients skin. How should the nurse document these lesions?
a. Two 2-cm hyperpigmented patches
b. Two 1-inch erythematous plaques
c. Two 2-mm pigmented papules
d. Two 1-inch moles - Answer-A
,While assessing a clients lower extremities, a nurse notices that one leg is pale and
cooler to the touch.
Which assessment should the nurse perform next?
a. Ask about a family history of skin disorders.
b. Palpate the clients pedal pulses bilaterally.
c. Check for the presence of Homans sign.
d. Assess the clients skin for adequate skin turgor. - Answer-B
A nurse cares for an older adult client who has a chronic skin disorder. The client states,
I have not been to
church in several weeks because of the discoloration of my skin. How should the nurse
respond?
a. I will consult the chaplain to provide you with spiritual support.
b. You do not need to go to church; God is everywhere.
c. Tell me more about your concerns related to your skin.
d. Religious people are nonjudgmental and will accept you. - Answer-C
A nurse assesses a client who has open lesions. Which action should the nurse take
first?
a. Put on gloves.
b. Ask the client about his or her occupation.
c. Assess the clients pain.
d. Obtain vital signs. - Answer-A
A nurse assesses a client who has a chronic skin disorder. Which finding indicates the
client is effectively
coping with the disorder?
a. Clean hair and nails
b. Poor eye contact
c. Disheveled appearance
d. Drapes a scarf over the face - Answer-A
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which
focused assessment
should the nurse complete next?
a. Partial thromboplastin time
b. Hemoglobin and hematocrit
c. Liver enzymes
d. Basic metabolic panel - Answer-B
During skin inspection of a client, a nurse observes lesions with wavy borders that are
widespread across
the clients chest. Which descriptors should the nurse use to document these
observations?
a. Clustered and annular
b. Linear and circinate
, c. Diffuse and serpiginous
d. Coalesced and circumscribed - Answer-B
A nurse assesses an older adult client with the skin disorder shown below:
How should the nurse document this finding?
a. Petechiae
b. Ecchymoses
c. Actinic lentigo
d. Senile angiomas - Answer-A
A nurse assesses an older adults skin. Which findings require immediate referral?
(Select all that apply.)
a. Excessive moisture under axilla
b. Increased hair thinning
c. Increased presence of fungal toenails
d. Lesion with various colors
e. Spider veins on legs
f. Asymmetric 6-mm dark lesion on forehead - Answer-D,F
nurse plans care for a client who has a wound that is not healing. Which focused
assessments should the
nurse complete to develop the clients plan of care? (Select all that apply.)
a. Height
b. Allergies
c. Alcohol use
d. Prealbumin laboratory results
e. Liver enzyme laboratory results - Answer-A,C,D
A nurse teaches a client to perform total skin self-examinations on a monthly basis.
Which statements should
the nurse include in this clients teaching? (Select all that apply.)
a. Look for asymmetry of shape and irregular borders.
b. Assess for color variation within each lesion.
c. Examine the distribution of lesions over a section of the body.
d. Monitor for edema or swelling of tissues.
e. Focus your assessment on skin areas that itch. - Answer-A,B
A nurse teaches a client who has very dry skin. Which statement should the nurse
include in this clients
education?
a. Use lots of moisturizer several times a day to minimize dryness.
b. Take a cold shower instead of soaking in the bathtub.
c. Use antimicrobial soap to avoid infection of cracked skin.
d. After you bathe, put lotion on before your skin is totally dry. - Answer-D
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