NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
NURSING HEALTH ASSESSMENT 3rd Edition By Dillon
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Chapter 02: Assessing the Integumentary System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which is a primary function of the integumentary system?
| 1) | First line of the body’s defense |
| 2) | Increases body temperature |
| 3) | Synthesizes vitamin E |
| 4) | Absorbs ultraviolet rays |
____ 2. The nurse is providing care to a newborn. Which is a normal assessment finding that often occurs within the first 2 to 3 days of life for this patient?
| 1) | Decreased elasticity |
| 2) | Physiologic jaundice |
| 3) | Pronounced body odor |
| 4) | Hyperpigmentation of the skin |
____ 3. The nurse is assessing a school-age patient with a skin disorder. Which disorder is most likely to occur during childhood?
| 1) | Acne |
| 2) | Psoriasis |
| 3) | Varicella |
| 4) | Rosacea |
____ 4. The nurse is assessing the skin color for a dark-skinned patient. Which location is most appropriate for the nurse to use for this assessment?
| 1) | Sclera |
| 2) | Oral mucosa |
| 3) | Soles of the feet |
| 4) | Abdominal region |
____ 5. The nurse is providing care to an African American patient. Which is a common skin assessment finding for a patient of this ethnicity?
| 1) | Keloids |
| 2) | Age spots |
| 3) | Increased risk for sunburn |
| 4) | Decreased facial hair |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 2, Assessing the Integumentary System
Chapter learning objective: N/A
Chapter page reference: 29
Integrated Processes: Nursing Process: Planning
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Skin Integrity
Difficulty: Medium
| Feedback | |
| 1 | One of the primary functions of the integumentary system is that it is the body’s first line of defense. |
| 2 | The integumentary system maintains body temperature. It does not specifically increase it. |
| 3 | The integumentary system synthesizes vitamin D, not E. |
| 4 | The integumentary system protects against ultraviolet radiation. |
PTS: 1 CON: Skin Integrity
Chapter number and title: 2, Assessing the Integumentary System
Chapter learning objective: N/A
Chapter page reference: 29
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Assessment, Skin Integrity
Difficulty: Easy
| Feedback | |
| 1 | Decreased elasticity can be a normal assessment finding for the older adult patient. |
| 2 | Physiologic jaundice is often a normal finding when assessing a newborn during the first 2 to 3 days of life. |
| 3 | Pronounced body odor tends to occur during adolescence. |
| 4 | Hyperpigmentation of the skin often occurs during pregnancy. |
PTS: 1 CON: Assessment | Skin Integrity
Chapter number and title: 2, Assessing the Integumentary System
Chapter learning objective: N/A
Chapter page reference: 31
Integrated Processes: Nursing Process: Assessment
Client Need: Physiological Integrity: Physiological Adaptation
Cognitive level: Knowledge [Remembering]
Concept: Assessment, Skin Integrity
Difficulty: Easy
| Feedback | |
| 1 | Acne is a skin disorder that is most likely to occur during adolescence or early adulthood. |
| 2 | Psoriasis is a skin disorder that is most likely to occur during adolescence or early adulthood. |
| 3 | Varicella is a skin disorder that is most likely to occur in children. |
| 4 | Rosacea is a skin disorder that is most likely to occur during adulthood. |
PTS: 1 CON: Assessment | Skin Integrity
Chapter number and title: 2, Assessing the Integumentary System
Chapter learning objective: N/A
Chapter page reference: 32
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Comprehension [Understanding]
Concept: Assessment, Diversity
Difficulty: Easy
| Feedback | |
| 1 | The sclera is typically used when assessing the skin of the Asian patient for jaundice. |
| 2 | When assessing the skin color for a dark-skinned patient, the nurse will use the oral mucosa. |
| 3 | The soles of the feet are inspected during a skin assessment, but this location is not used to assess skin color for a dark-skinned patient. |
| 4 | The abdominal region is inspected during a skin assessment, but this location is not used to assess skin color for a dark-skinned patient. |
PTS: 1 CON: Assessment | Diversity
Chapter number and title: 2, Assessing the Integumentary System
Chapter learning objective: N/A
Chapter page reference: 32
Integrated Processes: Nursing Process: Assessment
Client Need: Health Promotion and Maintenance
Cognitive level: Knowledge [Remembering]
Concept: Assessment, Diversity
Difficulty: Easy
| Feedback | |
| 1 | African American patients have a higher incidence of keloids, pseudofolliculitis, and mongolian spots. |
| 2 | African American patients do not have a higher incidence of age spots. |
| 3 | Increased risk for sunburn is common for fair-skinned persons of Irish, German, or Polish descent. |
| 4 | Decreased facial hair often occurs for patients of Asian descent. |
PTS: 1 CON: Assessment | Diversity
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