Jarvis Chapter 13 (Hair, Skin, Nails) Quiz
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Questions and Answers

Select the best description of the secretion of the eccrine glands.

  • Keratin
  • Dilute saline solution (correct)
  • Protective lipid substance
  • Thick, milky

To assess for early jaundice, you will assess:

  • Lips
  • Nail beds
  • All visible skin surface
  • Sclera and hard palate (correct)

Checking for skin temperature is best accomplished by using:

  • The palmar surface of the hands
  • The dorsal surface of the hands (correct)
  • The fingertips
  • The ventral surface of the hands

Assessing a patient's skin turgor is done to assess which clinical finding?

<p>Dehydration (C)</p> Signup and view all the answers

You note a lesion during a skin assessment. Which is the best way to document this finding?

<p>Dark brown raised lesion, with irregular border, on dorsum of right foot, 3 cm in size, with no drainage. (B)</p> Signup and view all the answers

You examine the nail beds of a patient. Which finding indicates a normal angle?

<p>160 degrees (D)</p> Signup and view all the answers

You are assessing capillary refill. The room is warm. Which finding would be considered normal?

<p>≤ 1 second (B)</p> Signup and view all the answers

During a routine visit, M.B., age 78, asks about a small, round, flat, brown macule on the hands. What is your best response after assessing the areas?

<p>&quot;These are the result of sun exposure and do not require treatment.&quot; (B)</p> Signup and view all the answers

An area of thin shiny skin with decreased visibility of normal skin markings is most likely:

<p>Atrophy (D)</p> Signup and view all the answers

Flattening of the angle between the nail and its base is:

<p>Described as clubbing (A)</p> Signup and view all the answers

A configuration of individual lesions arranged in circles or arcs, as occurs with ringworm, is described as:

<p>Annular lesion (D)</p> Signup and view all the answers

The 'A' in ABCDEF rule for skin cancer stands for:

<p>Asymmetry (A)</p> Signup and view all the answers

A risk factor for melanoma is:

<p>Skin that freckles or burns before tanning (A)</p> Signup and view all the answers

Herpes zoster infection (shingles) is characterized by:

<p>Lesion on only one side of the body; does not cross midline (D)</p> Signup and view all the answers

To determine if a dark-skinned patient is pale, the nurse should assess the color of the:

<p>Conjunctivae (D)</p> Signup and view all the answers

An example of a primary lesion is a(n):

<p>Urticaria (D)</p> Signup and view all the answers

When taking the health history, the patient complains of pruritus. What is a common cause of this symptom?

<p>Drug reactions (A)</p> Signup and view all the answers

A flat macular hemorrhage is called a(n):

<p>Purpura (C)</p> Signup and view all the answers

A student nurse has been assigned to teach fourth graders about hygiene. While preparing, the student nurse adds information about the sweat glands. Which of the following should be included while discussing this topic?

<p>Bacteria that normally lives on the skin interacts with apocrine sweat to produce body odor. (D)</p> Signup and view all the answers

Functions of the skin include:

<p>Temperature regulation (B)</p> Signup and view all the answers

Which risk factor increases the risk for skin disease and breakdown among older adults?

<p>A lifetime of environmental trauma (D)</p> Signup and view all the answers

What term refers to a linear skin lesion that runs along a nerve route?

<p>Zosteriform (C)</p> Signup and view all the answers

The components of a nail examination include:

<p>Contour, color, and consistency (D)</p> Signup and view all the answers

A scooped-out, shallow depression in the skin is called a(n):

<p>Erosion (A)</p> Signup and view all the answers

Flashcards

What do eccrine glands secrete?

Eccrine glands secrete a dilute saline solution.

Where to check for early jaundice?

Jaundice can be detected by examining the sclera (whites of the eyes) and the hard palate.

Best way to assess skin temp?

The dorsal (back) side of the hands is the best place to assess skin temperature.

What does skin turgor assess?

Skin turgor testing helps determine dehydration.

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How to document skin lesions?

Skin lesions should be documented including size, location, and characteristics.

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What's a normal nail bed angle?

The normal angle between the nail bed and the nail should be approximately 160 degrees.

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Normal capillary refill time?

Normal capillary refill time is ≤ 1 second in a warm environment.

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Cause of common age spots?

Age spots (small, brown macules) are caused by sun exposure.

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What does thin, shiny skin indicate?

Thin, shiny skin with decreased markings suggests atrophy.

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What is clubbing?

Clubbing refers to the flattening of the angle between the nail and its base.

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What is an annular lesion?

An annular lesion forms in circles or arcs.

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What does 'A' stand for in the ABCDEF rule for skin cancer?

Asymmetry is a crucial factor in the ABCDEF rule for skin cancer.

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A risk factor for melanoma?

Individuals with skin that freckles or burns easily are at higher risk for melanoma.

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Distinguishing characteristic of herpes zoster?

Herpes zoster (shingles) affects one side of the body and does not cross the midline.

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Where to check for pallor in dark-skinned individuals?

To assess pallor in dark-skinned individuals, examine the conjunctivae (lining of the eyelids).

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Is urticaria a primary or secondary skin lesion?

Urticaria is a type of primary skin lesion.

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Common cause of itching?

Drug reactions are common causes of pruritus (itching).

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What is a flat macular hemorrhage called?

A flat macular hemorrhage is called purpura.

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Hygiene education about sweat glands?

Teaching about sweat glands should emphasize the connection between apocrine sweat and bacteria, which contributes to body odor.

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Primary functions of the skin?

The skin's primary functions include temperature regulation and production of new cells by melanocytes.

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Why are older adults more prone to skin diseases?

Increased risk of skin diseases in older adults due to accumulated environmental stress.

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What is a linear skin lesion along a nerve route called?

A linear skin lesion along a nerve route is termed zosteriform.

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What should be assessed during a nail examination?

Nail examinations should include evaluations of contour, color, and consistency.

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What is a scooped-out, shallow depression in the skin called?

A shallow, scooped-out depression in the skin is called erosion.

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Study Notes

Skin Glands and Assessments

  • Eccrine glands secrete a dilute saline solution, crucial for thermoregulation.
  • Early jaundice can be assessed by examining the sclera and hard palate.
  • Skin temperature is best evaluated using the dorsal surface of the hands.
  • Skin turgor assessment is vital for determining dehydration status.

Lesion Documentation and Nail Assessment

  • Document skin lesions with specifics such as size, location, and characteristics; for example, a dark brown raised lesion on the dorsum of the right foot.
  • Normal nail bed angle should be approximately 160 degrees.
  • Normal capillary refill time is ≤ 1 second in a warm environment.
  • Common small, brown macules (age spots) result from sun exposure and typically require no treatment.
  • Thin shiny skin with decreased markings suggests atrophy.
  • Flattening of the angle between the nail and its base is described as clubbing.

Skin Condition Descriptions

  • A configuration of lesions arranged in circles or arcs is termed an annular lesion.
  • The 'A' in the ABCDEF rule for skin cancer indicates asymmetry.
  • A risk factor for melanoma includes having skin that freckles or burns easily.

Specific Skin Infections and Evaluations

  • Herpes zoster (shingles) is identified by lesions on one side of the body that do not cross the midline.
  • To check for pallor in dark-skinned individuals, assess the conjunctivae.

Primary Lesions and Common Symptoms

  • Urticaria is an example of a primary lesion.
  • Common causes of pruritus include drug reactions.

Hemorrhage and Hygiene Education

  • A flat macular hemorrhage is referred to as purpura.
  • Teaching about sweat glands for hygiene education should emphasize the apocrine sweat interaction with bacteria, leading to body odor.

Functions and Aging of the Skin

  • Primary functions of the skin include temperature regulation and production of new cells by melanocytes.
  • Increased risk for skin disease in older adults arises from a lifetime of environmental trauma.

Specialized Skin Lesion Terms

  • A linear skin lesion along a nerve route is termed zosteriform.
  • Nail examinations should include evaluations of contour, color, and consistency.
  • A scooped-out, shallow depression in the skin is called erosion.

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Description

Test your knowledge with this quiz on Jarvis Chapter 13, focusing on the intricacies of hair, skin, and nails. Each question delves into important concepts related to skin assessment and gland functions. Perfect for nursing students or health professionals to reinforce their understanding.

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