Chapter 44--Assessment of Integumentary Function

Chapter 44–Assessment of Integumentary Function

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client has sustained an injury to the skin that extends into the innermost layer, which is called the:

ANS:  1

The epidermis is composed of five layers of stratified squamous epithelial cells named (outer to inner): the stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum germinativum.

PTS:   1                    REF:   Epidermis

2. A client has a yellow tone to the skin. The nurse realizes that which of the following cells are responsible for the yellow tone of the skin?

ANS:  1

Carotenoids are responsible for the yellow tone of the skin in some individuals. Langerhans’ cells are responsible for foreign antigen recognition, and they provide immune protection. Melanocytes are responsible for skin pigmentation. Merkel cells are thought to be involved in sensing touch and pressure.

PTS:   1                    DIF:    Analyze         REF:   Cells in the Epidermis

3. A client has a health condition that affects her ability to sweat. The nurse realizes that the sweat glands are epidermal appendages known as:

ANS:  2

The eccrine glands are sweat-producing glands that play a role in thermoregulation. The apocrine glands produce odorless and milky secretions. Sebaceous glands produce sebum, which functions as a waterproofing layer. Hydriatric is a term meaning treatment with water.

PTS:   1                    DIF:    Analyze         REF:   Table 44-1 Structures and Functions of the Skin

4. A client sustained an injury to the crescent-shaped area at the proximal end of the nail of one finger or the:

ANS:  1

The lunula is the pale, crescent-shaped area at the proximal end of each nail. The periungual tissue surrounds the nail plate and the free edge of the nail. Paronychia is inflammation at the base of the nail plate. The nail matrix is undifferentiated epithelial tissue from which the nails arise.

PTS:   1                    DIF:    Analyze         REF:   Epidermal Appendages

5. The nurse is assessing the skin of an elderly client. Which of the following would not be assessed in this client?

ANS:  2

As a person ages, there is a reduction in the density of sweat glands, sebaceous glands, and blood vessels, which results in a decrease in skin hydration. As a person ages, skin loses elasticity. Reduced blood vessels lead to slower wound healing. Reduction in subcutaneous tissue causes the skin to thin.

PTS:   1                    DIF:    Analyze         REF:   Cellular Effects of Aging on the Skin