Healthasess2

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Answer

The skin repairs surface wounds by

exaggerating cell replacement

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The adipose tissue in the hypodermis serves to:

generate heat and insulate

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Sweat glands, hair, and nails are all formed from:

invaginations of epidermis into dermis

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The secretory activity of the sebaceous glands is stimulated by:

sex hormones.

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The white crescent-shaped area beyond the proximal nail fold is called the ________, which is the site of new nail growth.

matrix

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newborns are more vulnerable to hypothermia due to:

a poorly developed subcutaneous fat layer

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that normal hormone-related changes of adolescence include:

increased oil production.

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Expected hair distribution changes in older adults include:

increased terminal hair follicles to the tragus of men’s ears.

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The transition from _______ to _______ hair pattern occurs in older men at the nares and the tragus

vellus to terminal

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Brittle nails are typical findings in:

older adults.

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the nails of older adults grow slowly due to:

decreased circulation.

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the risk factors for skin cancer include:

Fair-skinned persons with light eyes with repeated trauma or irritation to skin

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The type and brand of grooming products used are important to the health history of:

everyone

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Your inspection to determine color variations of the skin is best conducted:

with illumination provided by daylight.

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________ provides the best illumination source for determining color variations of the skin.

Daylight

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Tangential lighting is best used for inspecting skin:

contour

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Unusual white areas on the skin may be due to:

vitiligo

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Which cultural group has the lowest incidence of nevi?

African Americans

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______ are more common in persons who burn rather than tan;

Nevi

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You are inspecting the lower extremities of a patient and have noted pale, shiny skin of the lower extremities. This may reflect:

systemic disease such as diabetes and cardiovascular disease

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In the absence of liver disease, another cause of jaundice is increased ________ pigmentation

carotene (Diets high in carrots, sweet potatoes, and squash )

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the skin temperature is best assessed with the:

dorsal surface of the examiner’s hand.

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You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a:

spider angioma.

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_________ are often associated with high estrogen levels, as occur in pregnancy.

spider agiomas

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Small, minute bruises are called:

petechiae

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A flat, nonpalpable lesion is described as a macule if the diameter is:

less than 1 cm.

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A ______ by definition is an elevated, firm, rough lesion with a flat top surface greater than 1 cm in diameter. An example is psoriasis.

plaque

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You have noted a 4  3-cm, rough, elevated area of psoriasis. This is an example of a:

plaque

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The nurse inspects an annular lesion. What type of additional lighting source should be used for further assessment?

Wood's lamp

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Skin turgor checks are performed to determine the:

hydration status

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. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:

fluid-filled from solid cysts or masses

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Fluorescing lesions are best distinguished using a(n):

Wood's lamp

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Women with terminal hair growth in a male distribution pattern should receive further evaluation for a(n):

endocrine disorder

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single dark band in a white adult indicates a more serious condition

melanoma

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Transient mottling of the patient’s skin in a cool room is a common finding in:

newborn infants

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A simian line seen in the palm of a small child may imply:

Down syndrome

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Café au lait patches are numbered with each assessment of infants and young children because:

the presence of more than five patches suggests neurofibromatosis.

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A Dennie-Morgan fold is probably caused by:

chronic rubbing

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Linea nigra is commonly found on the abdomens of:

pregnant women

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Cherry angiomas are a common finding in:

adults older than 30 years

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Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:

seborrheic keratoses from actinic keratoses.

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Age spots are also called:

senile lentigines

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The most common inflammatory skin condition is:

eczematous dermatitis.

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Tinea corporis is ______ infection

fungal

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The characteristic that best differentiates psoriasis from other skin abnormalities is the:

color of the scales

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Painful vesicles are associated with:

herpes zoster

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.” You note pale, erythematous oval plaques over the trunk. They have fine scales and are arranged in a fernlike pattern with parallel alignment. What is the nurse’s next action?

inquire about another recent skin lesion

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the “ABCD” characteristic of malignant melanoma stands for what??

asymmetry, borders that are irregular, color that is not the same all over, and diameter greater than 6 mm and growing

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The most common cutaneous neoplasm is:

basal cell carcinoma

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_____________ is the most common form of skin cancer. It occurs more frequently on sun-exposed parts of the body.

basal cell carcinoma

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Soft, painless, bluish papules in persons who are HIV-positive are most likely:

kaposi sarcoma (ks)

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A child presents with discrete vesicles on an erythematous base (dew drops on a rose petal appearance) that began near her scalp and are spreading to the trunk. The child has a low-grade fever and feels tired. What is the nurse’s next action

teach infection control measures

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your inspection reveals honey-colored exudate from the vesicular rash on his legs. Which condition is consistent with the above findings?

impetigo

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Which injury would most likely raise your suspicion that the child was being abused?

Bruises in various stages of resolution over body soft tissues

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Assessment of poor hygiene, healed fractures with deformity, or unexplained trauma in older adults indicates:

physical neglect

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The nurse assesses the nail base angle using the Schamroth technique. The normal expected examination finding is nail beds that are _____ at the bases.

concave

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A slightly elevated brownish papule with indistinct borders is a typical characteristic of a(n) _____ nevus.

compound

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Individuals with dark pigmentary demarcation lines show lighter coloration on _____ body surfaces.

inward

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Damage into the subcutaneous tissue in a decubitus ulcer occurs at Stage _____.

III

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Sweat glands, hair, and nails are all formed from:

invaginations of epidermis into dermis.

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______ and many dermatologic findings have shared atopic (allergic) qualities.

asthma

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Individuals with dark pigmentary demarcation lines show lighter coloration on _____ body surfaces.

inward

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Mrs. Xavier is a 45-year-old patient who presents to your office with a complaint of a rash. On examination you find a herald patch (round plaque with fine superficial scaling). Which of the following conditions identifies this finding?

Pityriasis rosea.

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The examiner notes hyperkeratosis on a patient s palms and soles. The examiner recognizes that this:

is considered a normal finding.

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Mr. Marlin is a 58-year-old man who presents to your office for a follow-up examination. You are treating him for rosacea. Rosacea is:

an inflammatory skin disorder with papules and pustules.

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Wrinkling of the skin is less marked in individuals who:

are obese.

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Mr. Gerard a 55-year-old patient comes to the office for a routine physical. He complains to you about the “clusters of veins” on his face. Which of the following is the best method to differentiate between telangiectases and vascular spiders?

Try to blanch them.

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Which of the following lesion characteristics differentiates a macule from a papule?

Elevation

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A gradual symmetric hair loss in males during adulthood occurs as response to:

elevated androgen levels.

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Atrophy of the skin is associated with the development of which of the following lesions?

straie

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Which of the following is a warning sign of squamous cell carcinoma?

A persistent scaly red patch.

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Mrs. Harris brings her 12-year-old daughter with Down syndrome to your office for a follow-up examination. Which of the following skin characteristics is associated with Down syndrome?

Simian line (crease)

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Created by: TwiggyG85