After completing an integument physical examination, the nurse is documenting information concerning observed lesions. What characteristics will the nurse include in this documentation? (Select all that apply.)

Location

Color

Condition of surrounding skin

Elevation

Distribution pattern

Answer and Explanation

Correct Answer : A,B,C,D,E

A) Location: Documenting the exact location of lesions is crucial for monitoring changes over time, assessing potential spread or resolution, and providing accurate information for future reference. This information helps in the diagnosis and in tracking the effectiveness of treatments.

B) Color: The color of lesions can provide important clues about their nature and cause. For example, red or inflamed lesions might indicate infection or irritation, while darker lesions could suggest malignancy or chronicity. Color changes can also signify healing or worsening of the lesion.

C) Condition of surrounding skin: Noting the condition of the skin around the lesions helps assess whether there is additional inflammation, infection, or other skin conditions that may be related to the primary lesion. This provides a more comprehensive understanding of the patient’s skin health and any secondary complications.

D) Elevation: Elevation refers to whether the lesion is raised, flat, or depressed compared to the surrounding skin. This characteristic helps in identifying the type of lesion, such as a papule, plaque, or ulcer. Elevated lesions might suggest certain dermatological conditions, while depressed lesions might indicate scarring or loss of tissue.

E) Distribution pattern: The pattern of how lesions are distributed on the body can provide diagnostic clues. For example, a linear distribution might suggest contact dermatitis, while a symmetrical distribution could indicate a systemic condition. Understanding the distribution pattern helps in identifying the underlying cause and planning appropriate treatment.

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Correct Answer is A

Explanation

A) Facial edema: Myxedema is a severe form of hypothyroidism that is often characterized by the accumulation of mucopolysaccharides in the skin and other tissues, leading to facial and peripheral edema. This is a classic symptom of myxedema and is expected in clients with this condition.

B) Diarrhea: Diarrhea is more commonly associated with hyperthyroidism rather than hypothyroidism. Clients with myxedema typically experience constipation due to slowed gastrointestinal motility.

C) Tachycardia: Tachycardia is associated with hyperthyroidism. In contrast, myxedema is associated with bradycardia or a slow heart rate because of the overall slowing of the body's metabolic processes.

D) Heat intolerance: Heat intolerance is a symptom of hyperthyroidism. Clients with myxedema usually experience cold intolerance due to decreased metabolic activity and impaired thermoregulation.

A. Eye turning inward B. Eye malalignment C. Eye oscillating D. Eye turning outward

Correct Answer is A

Explanation

A) Eye turning inward:

Esotropia is a condition where one or both eyes turn inward, leading to misalignment. This inward turning can cause double vision, depth perception issues, and sometimes amblyopia (lazy eye) if not treated early. This is the primary characteristic that defines esotropia.

B) Eye malalignment:

While eye malalignment is a general term that can describe conditions like esotropia, exotropia, or hypertropia, it does not specify the direction of the misalignment. Esotropia specifically refers to inward turning of the eye, which is a more precise description of the condition.

C) Eye oscillating:

Eye oscillation refers to nystagmus, which is a condition characterized by repetitive, uncontrolled movements of the eyes, often resulting in reduced vision. Nystagmus is not related to esotropia, which involves inward turning rather than oscillation.

D) Eye turning outward:

Eye turning outward is known as exotropia, which is the opposite of esotropia. Exotropia involves the eyes turning away from the nose, whereas esotropia involves the eyes turning towards the nose. These are distinct conditions with different clinical presentations.

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After completing an integument physical examination, the nurse is documenting information concerning observed lesions. What characteristics will the nurse include in this documentation? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Which of the following would a nurse expect to assess in a client with esotropia?

Correct Answer is A

Explanation

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A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?

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