Chapter 13 physical assessment

Select the best description of the secretion of eccrine glands

Dilute saline solution

To assess for early jaundice you will assess for

Sclera and hard palate

Checking for skin temp is best accomplished by

Dorsal surface of hands

Assessing a patients skin turgor is done to assess which clinical finding?

Dehydration

You note a lesion during a skin assessment, which is the best way to document this finding?

Dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage

You examine the nail beds of a patient. Which finding indicates a normal angle?

160 degrees

You are assessing capillary refills, the room is warm. Which finding would be considered normal?

_< 1 second

During a routine visit Mr. B age 78 asks about small, round, flat, brown macule on the hands. What is your best response after assessing the areas?

“These are the results of sun exposure and do not require treatment”

An area of thin shiny skin with decreased visibility of normal skin markings is most likely

Atrophy

Flattening of the angle between the nail and it’s base is

Described as clubbing

A configuration of individual lesions arranged in circles or arcs as occurs with ringworm is described as:

Annular lesion

The “A” in ABCDEF rule for skin cancer stands for:

Asymmetry

A risk factor for melanoma is

Skin that freckles or burns before tanning

Herpes Zoster infection (shingles) is characterized by

Lesion on only one side of the body; does not cross midline

To determine if a dark skinned patient is pale the nurse should asses the color of the

Conjunctivae

An example of a primary lesion is a(n)

Urticaria

when taking the health history the patient complains of pruritus. What is a common cause of this symptoms

Drug reactions

A flat macular hemorrhage is called a(n)

Purpura

A student nurse has been assigned to teach fourth gardens about hygiene. While preparing the student nurse adds info about the sweat glands. Which of the following should b included while discussing this topic?

Bacteria that normally lives on the skin interacts with apocrine sweat to produce body odor

Functions of the skin include

Temperature regulation

Which risk factor increases the risk for skin disease and breakdown among older adults?

A lifetime of environmental trauma

What term refers to a linear skin lesion that runs a long a nerve route

Zosteriform

The components of a nail examination include

Contour, color, and consistency

A scooped out shallow depression in the skin is called a(n)

Erosion