ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 64 : Introduction to the Integumentary System Questions
Question 1 of 5
Which stage of a pressure injury is exhibited by deeply ulcerated tissue, exposing muscle and bone?
Correct Answer: D
Rationale: Stage IV occurs when the tissue is deeply ulcerated, exposing muscle and bones. Stage III pressure sores are those in which the superficial impairment progresses to a shallow crater that extends to the subcutaneous tissue. Stage I pressure sores are characterized by redness of the skin. Stage II pressure sores are red and accompanied by blistering and a shallow break in the skin.
Question 2 of 5
A client has joined a rowing team and has been enjoying the activity for approximately 1 month. The client comes to the clinic for a routine physical examination and shows the nurse the hands, which are observed to have thickened areas in several areas. What does the nurse recognize these are in response to the repeated friction of the oars?
Correct Answer: A
Rationale: Areas of skin subjected to friction, such as where a pencil is held repeatedly, have accelerated rates of epidermal cell production. A callus, which is a thick layer of epidermal cells, forms in response to recurring friction on an area of skin. Senile keratosis is small, yellow or brown raised lesions that appear on the face and trunk in an older adult client. Senile lentigines are also known as liver spots and are found on the hands and forearms of older people. Rheumatoid nodules affect those clients with rheumatoid arthritis.
Question 3 of 5
The nurse is administering a medication to a client who is suffering from pain related to partial thickened burns. The medication will interrupt the sensation and transmission of pain stimuli. What type of nociceptors will this medication block?
Correct Answer: C
Rationale: Nociceptors sense and transmit the location of pain stimuli. Thermoreceptors perceive sensations of heat and cold. Mechanoreceptors detect touch, location, pressure, motion, vibration, size, and texture. Alpha receptors trigger autonomic responses.
Question 4 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 5 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.