ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 64 : Introduction to the Integumentary System Questions
Question 1 of 5
An older adult client is prescribed a topical antifungal medication to treat a skin infection. The client comes back to the clinic in 7 days and informs the nurse that the treatment was not effective. What does the nurse know can occur in the older adult client with topical drugs?
Correct Answer: A
Rationale: Age-related changes in topical drugs may be altered and therefore decrease the ability to absorb the topical antifungal cream. Older adults are no less compliant than any other age group. Drug absorption would be decreased. The skin infection is related to a fungus, not a bacterium.
Question 2 of 5
A female client comes to the clinic and tells the nurse, 'I am getting all these little hairs on my chin. I never had them before I turned 50.' What does the nurse understand is the cause of the terminal hairs on the face?
Correct Answer: D
Rationale: After menopause, some women develop sparse terminal hairs about their face as the ratio of estrogen to androgen hormones decreases. An overproduction of melanin would cause altered color of the skin. Increased secretion of sebum is an oily substance that may cause blackheads and pustules. A decline in the number of eccrine glands will cause a decrease in perspiration in the older adult.
Question 3 of 5
An older adult client is brought to the emergency department reporting having become overheated while sitting in the sun. The client states, 'But I wasn't even perspiring.' What occurs in older adults that decreases spontaneous sweating and makes them vulnerable to heat?
Correct Answer: A
Rationale: A decline in the number of eccrine glands, along with decreased cutaneous vascularity, causes a decrease in spontaneous sweating with age, this makes older persons more vulnerable to heat. Apocrine glands are found around the nipples, in the anogenital region, in the eyelids, in the mammary glands of the breast, and in the external ear canals where the secretion is referred to as cerumen.
Question 4 of 5
An older adult client is being seen in the dermatology clinic for lesions on the hands and forearm. The client is concerned about the possibility of having melanoma and wants to be evaluated. The nurse documents the lesions as small, brown lesions of the hands and forearms. What type of benign lesions are these characteristic of?
Correct Answer: B
Rationale: Small, brown, pigmented, benign lesions, known as liver spots or senile lentigines, form on the hands and forearms of older people. Small, yellow or brown, raised lesions called senile keratoses may appear on the face and trunk and are precancerous and require close observation. Melanoma is diagnosed by biopsy and generally has irregular borders and is dark in color.
Question 5 of 5
The nurse is assessing a client who is hospitalized for dehydration from persistent vomiting. How would the nurse assess that the client's skin turgor is related to the state of dehydration?
Correct Answer: C
Rationale: Poor skin turgor, indicated by slow recoil when the skin over the sternum is pinched, suggests dehydration. Rapid recoil indicates normal hydration. Wrinkles on the chest are not a specific indicator of dehydration.