While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?

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Fundamentals Wound Care and Skin Integrity Questions Questions

Question 1 of 5

While collecting data on a patient, the nurse observes that the patient's facial skin is yellowish. What other area should the nurse assess to confirm presence of jaundice?

Correct Answer: A

Rationale: Although skin is affected by jaundice, the best place to inspect for jaundice is in the sclera of the eye. The best places to inspect for cyanosis are the lips, nail beds, conjunctivae, and palms.

Question 2 of 5

An elite high school football player has been diagnosed with a shoulder dislocation. The patient has been treated and is eager to resume his role on his team, stating that he is not experiencing pain. What should the nurse emphasize during health education?

Correct Answer: B

Rationale: Patients who have experienced sports-related injuries are often highly motivated to return to their previous level of activity. Adherence to restriction of activities and gradual resumption of activities needs to be reinforced. Appropriate analgesia use must be encouraged, but analgesia does not necessarily have to be taken in the absence of pain. If healing is complete, the patient does not likely have a greatly increased risk of reinjury. Dislocations rarely cause bleeding after the healing process.

Question 3 of 5

An older patient says that sunlight has always been avoided because of the risk for developing skin cancer. Which function of the skin has been most affected by this patient's practice?

Correct Answer: C

Rationale: Avoiding sunlight reduces the skin's ability to synthesize vitamin D, affecting vitamin D metabolism.

Question 4 of 5

A patient with several deep partial-thickness burns asks how long it will take for the burn to heal. What should the nurse respond to this patient?

Correct Answer: A

Rationale: Deep partial-thickness burns extend into the dermis and typically take more than two weeks to heal due to the depth of tissue damage.

Question 5 of 5

A patient is experiencing scaly, patchy skin changes on the upper back, chest, and arms. In some areas the skin is either red, dark in color, or lighter in color. Which type of fungal infection is this patient most likely experiencing?

Correct Answer: D

Rationale: Tinea versicolor causes scaly, patchy skin with hypo- or hyperpigmentation, commonly on the upper body, unlike the other options which affect different areas or present differently.

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