Which is important for the nurse to assess when inspecting the skin of a patient?
Wear gloves only if the skin appears broken or inflamed.
Ask the patient about personal skin care.
Avoid potentially embarrassing questions about rashes or scars.
Have artificial, preferably fluorescent, lighting for proper illumination of the skin.
The Correct Answer is B
A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Sleep: While sleep is important for overall health, it is not as directly preventive of cardiac disease, falls, and depression as exercise.
B. Medications: Medications can manage symptoms but are not preventive measures for these conditions.
C. Nutrition: Nutrition is important for health but does not directly address the prevention of falls and depression as effectively as exercise.
D. Exercise: Regular exercise is known to improve cardiovascular health, reduce the risk of falls by improving strength and balance, and alleviate symptoms of depression through the release of endorphins and other benefits.
Correct Answer is A
Explanation
A. Keloid: Keloids are overgrowths of scar tissue that form at the site of a skin injury. They are more common in people with darker skin tones and are characterized by being raised, indurated, and shiny.
B. Nevus: A nevus (or mole) is a benign growth of melanocytes and does not typically present as a raised, shiny, and indurated scar.
C. Melanoma: Melanoma is a type of skin cancer that typically presents as a new, unusual growth or a change in an existing mole. It would not be expected to appear at a surgical incision site as described.
D. Angioma: An angioma is a benign tumor derived from blood vessels and would not present as a raised, shiny, and indurated scar.
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