Chapter 60 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition


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Chapter 60  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition



Complete Chapter Questions And Answers

Sample Questions


1. A nurse is aware that the outer layer of the skin consists of dead cells that contain large amounts of keratin. The physiologic functions of keratin include which of the following? Select all that apply.

  1. A)  Producing antibodies
  2. B)  Absorbing electrolytes
  3. C)  Maintaining acid–base balance
  4. D)  Physically repelling pathogens
  5. E)  Preventing fluid loss

Ans: D, E


The dead cells of the epidermis contain large amounts of keratin, an insoluble, fibrous protein that forms the outer barrier of the skin. Keratin has the capacity to repel pathogens and prevent excessive fluid loss from the body. It does not contribute directly to antibody production, acid–base balance, or electrolyte levels.

2. When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?

  1. A)  The scalp
  2. B)  The elbows
  3. C)  The palms of the hands
  4. D)  The knees

Ans: C


The epidermis is the thickest over the palms of the hands and the soles of the feet.

3. A young student is brought to the school nurse after falling off a swing. The nurse is documenting that the child has bruising on the lateral aspect of the right arm. What term will the nurse use to describe bruising on the skin in documentation?

  1. A)  Telangiectasias
  2. B)  Ecchymoses
  3. C)  Purpura
  4. D)  Urticaria

Ans: B


Telangiectasias consists of red marks on the skin caused by stretching of superficial blood vessels. Ecchymoses are bruises, and purpura consists of pinpoint hemorrhages into the skin. Urticariais wheals or hives.

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

  1. A)  Cherry angiomas
  2. B)  Solar lentigo
  3. C)  Seborrheickeratoses
  4. D)  Xanthelasma

Ans: A


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

5. While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?

  1. A)  Cyanosis
  2. B)  Addison’s disease
  3. C)  Polycythemia
  4. D)  Vitiligo

Ans: D


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 skin as patchy, milky white spots, often symmetric bilaterally.

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