Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
Medical Surgical Nursing Concepts & Practice, 2nd Edition by Susan C.
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Chapter 42: The Integumentary System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | reduced hair follicles. |
| b. | less sebaceous gland activity. |
| c. | loss of collagen fibers in dermis. |
| d. | decreased melanocytes at hair follicle. |
ANS: D
Reduction in melanocytes at the hair follicle is the cause of graying hair. A reduction in the number of hair follicles will result in thinning hair. Reduced sebaceous gland activity and collagen will result in drying.
DIF: Cognitive Level: Comprehension REF: 953-954 OBJ: 2 (clinical)
TOP: Skin Assessment: Hair KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | buttock |
| b. | heel |
| c. | trochanter |
| d. | ribs |
ANS: C
The areas that are prone to break down in the immobile patient are over bony prominences.
DIF: Cognitive Level: Application REF: 960 OBJ: 5 (theory)
TOP: Pressure Ulcer: Risk KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
| a. | urine. |
| b. | medications. |
| c. | skin lotions. |
| d. | laundry soap. |
ANS: A
Urine and feces are the most common chemical irritants that cause skin breakdown.
DIF: Cognitive Level: Comprehension REF: 961 OBJ: 5 (theory)
TOP: Skin Injury: Chemical KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
| a. | lifting the patient on the draw sheet to the stretcher. |
| b. | pulling the draw sheet out from under the patient. |
| c. | rolling the patient to the side to change the draw sheet. |
| d. | using the gait belt to lift the patient from the bed to a wheelchair. |
ANS: B
Pulling linens out from under a patient instead of rolling or lifting the patient causes a shearing type of skin tear. Use of a lift sheet, rolling the patient from side to side, and the use of the gait belt are recommended.
DIF: Cognitive Level: Application REF: 964 OBJ: 5 (theory)
TOP: Skin Injury: Shearing KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
| a. | bathe twice a week. |
| b. | use liberal amount of soap and water. |
| c. | use friction while drying patient to stimulate the skin. |
| d. | apply emollient to limbs and back. |
ANS: B
People with dark complexions need to be bathed frequently due to the oiliness of their skin. Liberal amounts of water and soap are beneficial. Friction and application of emollient are not conducive to skin health.
DIF: Cognitive Level: Application REF: 954 OBJ: 4 (theory)
TOP: Bathing: Dark Complexion Considerations
KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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