Which Nail Change Found On Examination Would Be Most Alarming?
Copyright © 2018, Elsevier Inc. All Rights Reserved. 1
Chapter 09: Peel, Hair, and Nails
Ball: Seidel'south Guide to Physical Exam, ninth Edition
MULTIPLE Pick
1. The skin repairs surface wounds by:
a. exaggerating cell replacement.
b. excreting lactic acid.
c. producing vitamins.
d. providing a mechanical barrier.
ANS: A
The skin's tissue cells accept a rapid charge per unit of turnover and constant renewal, thereby enabling the skin to repair damaged surfaces.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. The adipose tissue in the hypodermis serves to:
a. provide sensory input.
b. generate estrus and insulate.
c. create tensile strength.
d. secrete collagen.
ANS: B
The hypodermis layer consists of adipose tissue that serves to generate heat and provide insulation, shock assimilation, and a reserve
of calories.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—cess MSC: Physiologic Integrity: Physiologic Adaptation
3.
The secretory action of the sebaceous glands is stimulated by:
a. body heat.
b. ambience temperature.
c. sex hormones.
d. dietary protein.
ANS: C
The sebaceous glands, when stimulated by the sex activity hormones, produce a lipid-rich substance that keeps the skin moist.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
four.
Mrs. Tuber is a 36-yr-old patient who comes into the health middle with complaints that her fingernails are not growing. Which
structure is the site of new nail growth?
a. Cuticle
b. Perionychium
c. Matrix
d. Boom bed
ANS: C
The white crescent-shaped expanse beyond the proximal boom fold is chosen the matrix, which is the site of new nail growth.
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
five. Mrs. Leonard brings her newborn babe into the pediatrician's role for a start well-babe visit. As the healthcare provider, you lot
teach her that newborns are more vulnerable to hypothermia considering of:
a. the presence of coarse concluding pilus.
b. desquamation of the stratum corneum.
c. their covering of vernix caseosa.
d. a poorly developed subcutaneous fat layer.
ANS: D
Newborns have a poorly adult subcutaneous fat layer and therefore have a reduced ability to generate heat.
DIF: Cognitive Level: Agreement (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
6. Mrs. Mulligan brings her 16-year-old son into the part for a sports physical examination. As the healthcare provider, you lot explain
that normal hormone-related changes of adolescence include:
a. increased oil production.
b. slowed pilus growth.
c. depleted apocrine glands.
d. decreased sebaceous gland activeness.
ANS: A
During adolescence, the sebaceous glands increase sebum production, which causes the skin to have an oily appearance and
predisposes the individual to acne.
DIF: Cognitive Level: Remembering (Knowledge)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Accommodation
Source: https://www.studocu.com/en-us/document/university-of-california-san-francisco/seidels-guide-to-physical-examination/exam-view-chapter-09-seidals-guide-to-physical-examination-9th-edition/2590221
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