Chapter 42: The Integumentary System

Chapter 42: The Integumentary System

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is aware that the gradual graying of an older adult’s hair is related to:

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

2. An 80-year-old resident prefers to lie in bed on her left side. The nurse will take extra care in assessing the left ______ for evidence of skin breakdown.

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

3. The nurse reminds the CNAs that the main chemical that damages skin of the immobilized patient is:

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

4. The action of the CNA that the nurse observes that would be harmful to a patient’s skin is:

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

5. When planning care for an 80-year-old African American woman, the nurse would include interventions to:

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