Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 52: Skin Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “The spots could mean something is wrong; I will make a note of it.” |
| b. | “The spots are normal aging changes and have nothing to do with your liver.” |
| c. | “Have you recently been exposed to hepatitis?” |
| d. | “Don’t worry about them. They will fade during the winter.” |
ANS: B
Lentigines on sun-exposed areas are called liver spots because of their color; they have nothing to do with the liver or any disease process. They are normal changes of aging.
DIF: Cognitive Level: Comprehension REF: p. 1184 OBJ: 2
TOP: Liver Spots KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Physiological Adaptation
| a. | Lentigines |
| b. | Senile purpura |
| c. | Senile angiomas |
| d. | Seborrheic keratoses |
ANS: B
Purpura are purple bruises that resolve very slowly and are usually the result of minor trauma.
DIF: Cognitive Level: Comprehension REF: p. 1184 OBJ: 2
TOP: Senile Purpura KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | A sore that is slow to heal |
| b. | Unusual hair growth |
| c. | Previous skin disorders |
| d. | Exposure to chemicals or irritants |
ANS: D
The functional assessment is a search for clues in the occupation and lifestyle of the patient. The other options all reference medical history and system review.
DIF: Cognitive Level: Application REF: p. 1185 OBJ: 5
TOP: Functional Assessment KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
| a. | “Don’t be concerned. It is quite cold in the operating room. Your dad will be warm in a minute.” |
| b. | “Older patients like your dad get a little shocky during surgery.” |
| c. | “When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities.” |
| d. | “We are watching the disturbed circulation in your dad’s hands and feet very carefully.” |
ANS: C
The 10% of the blood network that is in the skin can be reduced by constriction and shunted to the vital organs.
DIF: Cognitive Level: Application REF: p. 1174 OBJ: 1
TOP: Skin Blood Reservoir KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | “Expose yourself to the sun for several hours before treatment to acclimate the skin surface.” |
| b. | “Wear protective clothing.” |
| c. | “Wear loose clothing such as sleeveless T-shirts and shorts after the treatment.” |
| d. | “Leave off sunglasses after treatment so your eyes can more quickly accommodate.” |
ANS: B
Eight hours before and after each treatment, the patient should wear protective clothing, sunglasses, and sunscreen to decrease added ultraviolet exposure from other sources.
DIF: Cognitive Level: Application REF: p. 1190 OBJ: 6
TOP: Phototherapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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