chapter 9- the integumentary system

8/20/2019 Chapter 9- The Integumentary System

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1.A patient recovering from a burn injury is told by the health care provider that hair will

no longer grow on the body part that was burned. The nurse realizes that this patient's

burn extended into which skin layerA! "pidermis

#! $ermis

%! &ubcutaneous tissue$! $istal phalanx

.A patient has sustained burns over ()* of the body. +hen planning care for this patient,

the nurse will include interventions to address an alteration in the skin's barrier function,

specifically- &elect all that apply.!

A! &ynthesis of vitamin $#! /egulation of body temperature

%! 0njury caused by mechanical or chemical sources

$! enetration by microorganisms

"! 2oss of water and electrolytes

3.A patient's risk for pressure sore development according to the #raden &cale is as

follows-

&ensory perception- 45oisture- 4

Activity-

5obility-

6utrition- 17riction and &hear- 3

7rom this assessment, the nurse determines that the patient's risk for pressure soredevelopment is-

A! 6o risk

#! 5ild risk %! 5oderate risk

$! 8igh risk

4.The nurse is concerned that a patient is at risk for the development of skin cancer when

what was assessed &elect all that apply.!

A! Age (( years#! 2ight9colored hair

%! Actinic keratosis on face

$! oor skin turgor "! :ellow palms of the hands

(.$uring the integument health history, the nurse asks the patient about prescriptionmedications, immunizations, and diagnosed illnesses. +hat will this information provide

to the nurse

age 1



A! 8istory of physical abuse

#! atient's risk for skin cancer

%! atient's risk for pressure ulcer formation$! &ystemic diseases that have skin manifestations

;.The nurse is preparing to conduct a physical examination of a patient's skin. +hat will

the nurse do to prepare the patient for this examination &elect all that apply.!

A! Assist the patient to put on a gown.#! rovide ade<uate drapes.

%! =se the mnemonic >2$%A/T as a guide.

$! +ear gloves when palpating lesions.

"! =se cotton balls to assess for sensation.

?.A patient, with a family history of melanoma, wants to have specific body moles

assessed. +hen performing this assessment, the nurse will use what e<uipment &electall that apply.!

A! +arm water #! "xamination table

%! %hair

$! @loves"! 6atural lighting

.After completing an integument physical examination, the nurse is documentinginformation about the patient's lesions. +hat will the nurse include in this

documentation &elect all that apply.!

A! %ondition of surrounding skin#! 2ocation and distribution

%! Amount of drainage

$! "levation"! %olor

B.The nurse documents in a patient's medical record-C(9mm oval lesion located on left forearm, color purple with areas of green and yellow.D

The nurse is describing which type of lesion

A! Eascular #! urpuric

%! rimary

$! &econdary

1).A patient asks, C+hat does &7 1( mean for a sunscreenD +hat should the nurse

respond to this patient

age



A! C&7 1( is the ratio of the number of minutes for treated versus untreated skin to

redden with exposure to ultraviolet # rays.D

#! C&7 1( is the number of times it takes to be applied before it will prevent sunburn.D%! C&7 1( is the number of minutes that a person is permitted to stay in the sun after

applying the product.D

$! C&7 1( is the number of days that the product needs to be used before it preventssunburn.D

age 3



Answer Key

1.#.%, $, "

3.#

4.A, #, %(.$

;.A, #, $

?.#, %, $, ".#, $, "

B.#

1).A

age 4

chapter 9- the integumentary system

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