Assessment of the Skin, Hair, and Nails (Concepts for Interprofessional Collaborative Care College Test

Assessment of the Skin, Hair, and Nails (Concepts for Interprofessional Collaborative Care College Test
MULTIPLE CHOICE
1. While assessing a client, a nurse detects a bluish tinge to the clients palms, soles, and mucous membranes.
Which action should the nurse take next?
a. Ask the client about current medications he or she is taking.
b. Use pulse oximetry to assess the clients oxygen saturation.
c. Auscultate the clients lung fields for adventitious sounds.
d. Palpate the clients bilateral radial and pedal pulses.
ANS: B
Cyanosis can be present when impaired gas exchange occurs. In a client with dark skin, cyanosis can be seen
because the palms, soles, and mucous membranes have a bluish tinge. The nurse should assess for systemic
oxygenation before continuing with other assessments.
2. A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which
question should the nurse ask to elicit useful information about the possible condition?
a. What do you do for a living?
b. Are your nails professionally manicured?
c. Do you have diabetes mellitus?
d. Have you had a recent fungal infection?
ANS: A
The condition chronic paronychia is commonNi n
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homemakers, bartenders, and laundry workers. The other questions would not provide information specifically
related to this assessment finding.
3. A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the
nurse ask first?
a. Are you using lotion on your skin?
b. Do you have a family history of this?
c. Do your arms itch?
d. What medications are you taking?
ANS: D
Certain drugs such as aspirin, warfarin, and corticosteroids can lead to easy or excessive bruising, which can
result in ecchymosis. The other options would not provide information about bruising.
4. After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses the
clients understanding. Which statement indicates the client has a good understanding of this condition?
a. This rash is probably due to fluid overload.
b. I need to wash this daily with antibacterial soap.
c. I can use powder to keep this area dry.

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