Chapter 55 Assessment of Integumentary Function

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Chapter 55  Assessment of Integumentary Function

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. The school nurse is approached by an 8-year-old student. The student says that he learned in science class that the outer layer of the skin is dead cells. The student wants to know which of his cells is going to die so they can be covered with skin. What would be the nurse’s best response? A) “All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called keratin cells.”

B) “All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called melanocytes.”
C) “All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Merkel cells.”

D) “All cells die and the body replaces most of them. The cells thought to form the barrier of the outer layer of the skin are called Langerhans’ cells.”

Ans: A
Chapter: 55
Client Needs: D-4
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 1661, Anatomic and Physiologic Overview

Feedback: Dead cells of the epidermis contain keratin, an insoluble, fibrous protein that forms the outer barrier of the skin. Melanocytes are primarily involved in producing the pigment melanin. Merkel cells are the receptors that transmit stimuli to the axon through a chemical synapse. Langerhans cells are believed to play a significant role in cutaneous immune system reactions.

2. The school nurse is assisting the teacher in the third-grade science class. A little girl asks where the thickest part of the epidermis is. What should the nurse answer?
A) The scalp
B) The elbows

C) The palms of the hands D) The knees

Ans: C
Chapter: 55
Client Needs: D-4
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Nursing Process
Objective: 2
Page and Header: 1662, Anatomic and Physiologic Overview

Feedback: The epidermis is the thickest over the palms of the hands and the soles of the feet. This makes options A, B, and D incorrect.

3. A little boy is brought to the school nurse after falling off a swing. The nurse is documenting that the patient has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in her documentation?
A) Telangiectasias

B) Ecchymoses C) Purpura
D) Urticaria

Ans: B
Chapter: 55
Client Needs: D-4
Cognitive Level: Comprehension
Difficulty: Easy
Integrated Process: Communication and Documentation

Objective: 5
Page and Header: 1671, Assessment

Feedback: Telangiectasias are red marks on the skin caused by stretching of superficial blood vessels. Ecchymoses are bruises, and purpuras are pinpoint hemorrhages into the skin. Urticarias are wheals or hives.

4. The nurse in an ambulatory care center is admitting an elderly patient who has bright red moles on the skin. Benign changes in elderly skin that appear as bright red moles are termed what?
A) Cherry angiomas

B) Solar lentigo
C) Seborrheic keratoses D) Xanthelasma

Ans: A
Chapter: 55
Client Needs: D-4
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process Objective: 3
Page and Header: 1672, Assessment

Feedback: Cherry angiomas appear as bright red “moles,” while solar lentigo are commonly called “liver spots.” Seborrheic keratoses are described as crusty brown “stuck on” patches, while xanthelasma appears as yellowish, waxy deposits on the upper eyelids.

5. While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse knows that this finding is a symptom of what?
A) Cyanosis
B) Addison’s disease

C) Polycythemia D) Vitiligo

Ans: D
Chapter: 55
Client Needs: D-4
Cognitive Level: Application Difficulty: Moderate

Integrated Process: Nursing Process Objective: 7
Page and Header: 1667, Assessment

Feedback: With cyanosis, nail beds are dusky. With polycythemia, the nurse notes ruddy blue face, oral mucosa, and conjunctiva. A bronzed appearance, or “external tan,” is associated with Addison’s disease. Vitiligo is a condition characterized by destruction of the melanocytes in circumscribed areas of skin and appears in light or dark as patchy, milky white spots, often symmetric bilaterally.

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