Ch17 Verified Test Bank The Integumentary System and Related

Chapter 17

The Integumentary System and Related Care

Multiple Choice Questions

1. To prevent pressure ulcers, the personal care provider must

A) wash the client thoroughly with soap, if tolerated

B) use moisture barriers on the skin to prevent contact with wound discharge

C) rinse the client with clear water

D) all of the above

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

2. Repositioning clients every two hours avoids the following:

A) peritonitis from secretions collected in the lungs

B) increased circulation from lack of movement

C) skin breakdown due to prolonged pressure

D) none of the above

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

3. The personal care provider can help prevent pressure ulcers by

A) keeping the client's bed free from wrinkles

B) keeping the client's skin clean and dry

C) protecting the client's skin from injury

D) all of the above

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

4. To prevent ulcers on the feet requires special attention and knowledge. Which of the

following would not be part of proper foot care?

A) Wash a client’s feet daily with mild soap and water

B) Rinse feet well and keep them dry

C) Apply lotion to the area between a client’s toes

D) Use pillows to dangle heels

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

5. You should change the position of the client at least every

A) hour.

B) 2 hours

C) 3 hours

D) 4 hours

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

6. One way to reduce the pressure on a pressure ulcer is to

A) use bicarbonate.

B) use an oral lubricant (glycerine).

C) stop all bathing for several days.

D) use a static air mattress.

LO#6- Explain the appropriate use of equipment and devices intended to reduce friction, shearing, or pressure to the skin.

7. A pressure ulcer is also sometimes called a

A) bedsore.

B) oral ulcer.

C) stomach ulcer.

D) duodenal ulcer.

LO#5- Describe the staging of pressure ulcers and the risk factors that contribute to their development.

8. The primary function(s) of the skin is

A) to provide a second line of defense against infection.

B) to help regulate the oxygen level in the blood.

C) to cover and protect the underlying body structures from injury and invasion by microorganisms.

D) all of the above

LO#1-Describe the structures of the skin (integumentary system) and its different functions.

9. The cause of psoriasis is

A) fungus.

B) virus.

C) unknown.

D) bacteria.

LO#3- Describe common skin problems that should be noted and reported when caring for a client’s skin.

10. Pressure ulcers are more likely to occur

A) over bony prominence

B) when clients eat a well-balanced diet

C) on ambulatory clients

D) none of the above

LO#5- Describe the staging of pressure ulcers and the risk factors that contribute to their development.

11. Which of the following will help prevent pressure ulcers?

A) using highly-emollient cream in all skin creases

B) hanging the catheter bag on the bed frame

C) raising the side rails at all times

D) keeping the skin folds of obese clients dry

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

12. The layers of the skin from superficial to deep are:

A) dermis, subcutaneous, epidermis

B) dermis, epidermis, subcutaneous

C) epidermis, subcutaneous, dermis
D) epidermis, dermis, subcutaneous

LO#1-Describe the structures of the skin (integumentary system) and its different functions.

13. Cyanosis is referred to as:

A) a redness of the skin

B) a blue, grey, or dark colour to the skin

C) a black, leathery, scab-like skin area,

D) a very pale or white colour

LO#2- List changes in the appearance of a client’s skin that the personal care provider should report to the nursing supervisor because they could be signs of serious health problems.

14. Eschar is referred to as:
A) a redness of the skin
B) a blue, grey, or dark colour to the skin
C) a black, leathery, scab-like skin area,
D) a very pale or white colour

LO#2- List changes in the appearance of a client’s skin that the personal care

provider should report to the nursing supervisor because they could be signs of serious health problems.

15. A venous ulcer is also known as a:
A) stasis ulcer
B) arterial ulcer
C) vascular ulcer
D) decubitus ulcer

LO#3- Describe common skin problems that should be noted and reported when caring for a client’s skin.

16. Foot cradles are used to

A) elevate an extremity off the bed
B) protect the heel
C) reduce friction or rubbing against the heel or elbow
D) prevent pressure on clients’ toes

LO#6-Explain the appropriate use of equipment and devices intended to reduce friction, shearing, or pressure to the skin.

True/False Questions

1. When the skin looks blue or gray, especially the nail beds, this is called cyanosis.

LO#2- List changes in the appearance of a client’s skin that the personal care provider should report to the nursing supervisor because they could be signs of serious health problems.

2. A skin lesion is an abnormality of body tissue, such as a wound, sore, rash, boil or

tumor.

LO#3-Describe common skin problems that should be noted and reported when caring for a client’s skin.

3. A furuncle is an acute inflammation that begins in a hair follicle.

LO#3-Describe common skin problems that should be noted and reported when caring for a client’s skin.

4. Apply corn starch or powder to wounds to prevent ulcers.

LO#4- Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

5. Skin breaks down because of prolonged pressure.

LO#3-Describe common skin problems that should be noted and reported when caring for a client’s skin.

6. Injury to the skin comes from pressure on a part of the body where there is loss of circulation.

LO#3-Describe common skin problems that should be noted and reported when caring for a client’s skin.

7. Pressure ulcers are improved by continued pressure, heat, and moisture.

LO#5-Describe the staging of pressure ulcers and the risk factors that contribute to their development.

8. Clients who are immobile or unresponsive are less prone to pressure ulcers.

LO#5-Describe the staging of pressure ulcers and the risk factors that contribute to their development.

9. Common diseases and disorders of the integumentary system include dermatitis,

impetigo, fungus, and skin lesions.

LO#3-Describe common skin problems that should be noted and reported when caring for a client’s skin.

10. When providing care for an incontinent client, layer at least three to four absorbent pads under the client to protect their skin.

LO#4-Discuss strategies that personal care providers can use to prevent the occurrence or worsening of skin breakdown.

11. The parts of the integumentary system include the skin, hair, nails, and sweat and oil glands

LO#1-Describe the structures of the skin (integumentary system) and its different functions.

12. If you observe skin conditions such as cyanosis, pallor, or eschar, you should first record this in the client’s chart.

LO#2- List changes in the appearance of a client’s skin that the personal care provider should report to the nursing supervisor because they could be signs of serious health problems.

13. Erythema is a blue, grey, or dark colour to the skin.

LO#2- List changes in the appearance of a client’s skin that the personal care provider should report to the nursing supervisor because they could be signs of serious health problems.

14. The subcutaneous layer is comprised mainly of blood vessels.

LO#1-Describe the structures of the skin (integumentary system) and its different functions.

15. A static air mattress may be used for multiple clients.

LO#6-Explain the appropriate use of equipment and devices intended to reduce friction, shearing, or pressure to the skin.

16. An egg-crate mattress not protect clients from pressure ulcers.

LO#6-Explain the appropriate use of equipment and devices intended to reduce friction, shearing, or pressure to the skin.