Chapter 53. Integumentary System Function, Assessment, and Therapeutic Measures

Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper

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Chapter 53. Integumentary System Function, Assessment, and Therapeutic Measures

 

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.   A patient with cancer is experiencing hair loss from chemotherapy treatments. Which term should the nurse use to document this finding?

a. Alopecia
b. Allopathy
c. Ecchymosis
d. Keratopenia

 

 

____     2.   The nurse notices small purplish dots on the abdomen of a patient. Which statement should the nurse use to document the finding?

a. “Diffuse erythema of the abdomen.”
b. “Purpura scattered across abdomen.”
c. “Scattered ecchymoses noted on abdomen.”
d. “Multiple petechiae noted across the abdomen.”

 

 

____     3.   The nurse notes a thickening and hardening of the skin from continued irritation on an individual who is wheelchair-bound. What term should the nurse use to describe this finding?

a. Crust
b. Papule
c. Excoriation
d. Lichenification

 

 

____     4.   During report, the nurse is told that a patient “has moderate jaundice.” Which assessment finding should the nurse expect to see?

a. Flushing in the face
b. Pale mucous membranes
c. Yellow discoloration of the skin
d. Bluish tinge to the fingers and toes

 

 

____     5.   The nurse notes small (less than 0.5 cm), raised areas that contain serous fluid on a patient’s arm. What term should the nurse use to document this finding?

a. Cyst
b. Papule
c. Macule
d. Vesicle

 

MULTIPLE CHOICE

 

  1. ANS:  A

Hair loss is called alopecia. B. Allopathy is a system of medicine. C. Ecchymosis is bruising. D. Keratopenia is not a medical term.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

  1. ANS:  D

Petechiae are small reddish purple hemorrhagic spots, smaller than 0.5 mm in diameter. C. Ecchymosis is bruising. A. Erythema is redness. B. Purpura is bleeding into the skin.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

  1. ANS:  D

Lichenification is thickened, hardened skin. A. A crust is a scab formed by dried serum. B. A papule is a raised solid lesion. C. Excoriation is a traumatic abrasion.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

 

  1. ANS:  C

Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. D. Cyanosis presents as a gray cast to the skin related to poor oxygenation. A. Erythema is red or purple gray. B. Pallor is paleness.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis

 

  1. ANS:  D

A vesicle is a small fluid-filled blister. C. A macule is a flat change in color usually less than 1 cm. B. A papule is a solid raised lesion. A. A cyst is a closed sac or pouch.

 

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

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