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Chapter 64: Assessment of the Skin

Monahan Phipps Medical Surgical 8th Edition By Monahan

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Chapter 64: Assessment of the Skin

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. If a patient is not turned every 2 hours, the effect could be:
1. Occlusion of the capillary bed and tissue ischemia
2. Dilation of blood vessels and heat loss
3. Loss of collagen and skin elasticity
4. Maceration of the skin

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Integumentary

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Safe Effective Care Environment

 

  1.    A potential effect of scraping the surface of the epidermis is:
1. Excessive loss of salt
2. Excessive loss of heat
3. Ischemia and tissue death
4. Increased potential for bacterial invasion

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Integumentary

TOP:  Nursing Process: Analysis/Nursing Diagnosis

MSC: Client Needs: Physiological Integrity

 

  1.    A nurse practitioner is performing a wellness assessment on an elderly patient. Which finding during assessment of the integument is age related?
1. Circumscribed edema and itching
2. Clubbing of the fingernails
3. Decreased skin turgor
4. Grayish skin tone

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Integumentary

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

  1.    During a routine physical examination an elderly patient asks why he has purple patches on his hands and arms. The nurse recognizes this as senile purpura. Which response is appropriate?
1. “These are common in older persons as blood vessels weaken.”
2. “Do you fall frequently or lose your balance?”
3. “It could mean you have a bleeding disorder.”
4. “They are usually nothing to worry about.”

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Integumentary

TOP:  Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance

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