Insensible perspiration takes place in the

Correct Answer: D

Rationale: The correct answer is D, stratum corneum. Insensible perspiration involves the constant evaporation of water through the skin to maintain body temperature. The stratum corneum is the outermost layer of the epidermis, consisting of dead cells that are continuously shed and replaced. This layer provides a barrier function and regulates the loss of water from the body. The other choices (A: stratum granulosum, B: stratum basale, C: stratum spinosum) are not involved in insensible perspiration as they are deeper layers of the epidermis responsible for cell division, keratin production, and structural support.

Correct Answer: C

Rationale: The correct answer is C: fissure. A fissure is a groove or crack-like break in the skin. The term accurately describes the characteristic mentioned in the question. Exudate (A) refers to fluid discharge, hidrosis (B) refers to sweating, and heparin (D) is a medication used as a blood thinner. These choices are unrelated to the description of a groove or crack-like break in the skin, making them incorrect in this context.

Correct Answer: A

Rationale: The correct answer is A) "My husband and I are thinking of starting a family soon." This statement is of most concern because isotretinoin (Accutane) is known to cause severe birth defects if taken during pregnancy. It is crucial for women taking this medication to use effective birth control methods and not become pregnant while on Accutane due to its teratogenic effects. Option B) "Sometimes I get nauseated after taking the medication." is a common side effect of isotretinoin and does not pose the same level of concern as the risk of birth defects. Option C) "I have been having problems driving when it gets dark." is not directly related to the use of isotretinoin and does not indicate immediate danger or concern. Option D) "I don’t think there has been much improvement in my skin." is a subjective statement regarding the effectiveness of the medication and does not pose a significant risk to the patient's health or safety. In an educational context, it is important for healthcare providers to educate patients on the potential risks and side effects of medications, especially those with teratogenic properties like isotretinoin. Ensuring patient understanding of the importance of birth control while on this medication is crucial to prevent adverse outcomes.

Correct Answer: C

Rationale: The correct answer is C) A 45-year-old with deep partial-thickness leg burns who has a temperature of 102.6°F and a blood pressure of 98/46. This client requires the most immediate assessment or intervention due to the presence of signs of infection and developing sepsis. A high fever and low blood pressure in a burn patient can indicate sepsis, a life-threatening condition requiring urgent medical attention. Option A is incorrect because emotional distress, while important to address, does not pose an immediate threat to the client's life. Option B is incorrect because while pain management is crucial, it is not as urgent as addressing a potential systemic infection. Option D is incorrect as an elevated blood potassium level, while concerning, does not indicate an immediate life-threatening situation. In an educational context, this question highlights the importance of prioritizing assessments based on the urgency of the client's condition in a burn unit. It emphasizes the need for nurses to recognize signs of infection and sepsis in burn patients and respond promptly to prevent further deterioration. This scenario also underscores the critical thinking skills required in prioritizing care for clients with complex conditions such as burns.

Correct Answer: B

Rationale: The correct answer is B) Liver or kidney disease. Yellow skin color, also known as jaundice, is often indicative of liver or kidney dysfunction. When these organs are not functioning properly, bilirubin, a yellow pigment, accumulates in the bloodstream and causes the skin to appear yellow. This is a key sign for healthcare providers to recognize as it may indicate serious underlying conditions that require further investigation and treatment. Option A) Anemia does not typically cause yellow skin color. Anemia is characterized by a decrease in red blood cells or hemoglobin, leading to symptoms like fatigue and pallor, but not yellow skin. Option C) Low tissue oxygenation would manifest as cyanosis, a bluish discoloration of the skin due to inadequate oxygen levels in the blood, not yellow skin color. Option D) Trauma to soft tissue would result in bruising or inflammation at the site of injury, not generalized yellow skin color. Understanding the significance of skin color changes is crucial for healthcare professionals in assessing and managing patients' conditions. Recognizing jaundice can prompt further investigations to identify the root cause and initiate appropriate interventions, highlighting the importance of thorough assessment skills in healthcare practice.