When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?

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Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions

Question 1 of 5

When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?

Correct Answer: C

Rationale: The epidermis is the thickest over the palms of the hands and the soles of the feet.

Question 2 of 5

The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:

Correct Answer: C

Rationale: The autograft is the only permanent method of grafting and it uses the patient's own tissue to cover the burn wound. Autografting is permanent and does not require a second surgery unless the graft fails. A biological or biosynthetic graft or dressing is a temporary wound covering. A xenograft is from an animal, usually pig skin and is a temporary graft.

Question 3 of 5

During report, the nurse is told that a patient 'has moderate jaundice.' Which assessment finding should the nurse expect to see?

Correct Answer: C

Rationale: Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray. Pallor is paleness.

Question 4 of 5

A patient has lost all hair over the head, face, and neck from a house fire. What should the nurse do to help the patient since the protective function of the hair has been lost?

Correct Answer: B

Rationale: Hair protects eyes from dust and sweat; its loss necessitates eye protection.

Question 5 of 5

An emergency department patient is diagnosed with a hip dislocation. The patient's family is relieved that the patient has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?

Correct Answer: D

Rationale: If a dislocation or subluxation is not reduced immediately, avascular necrosis (AVN) may develop. Bone remodeling does not take place because a fracture has not occurred. Realignment does not become more difficult with time and pain would subside with time, not become worse.

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