1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Assessment: Integumentary System Chapter 23

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.When documenting normal findings of an assessment of the patient’s skin, which of the following entries by the nurse is most appropriate? 1.“Skin warm and dry; turgor good; nails flat and pink; old surgical scars noted on abdomen.” 2.“History of allergic rashes, skin very fair with numerous freckles, warm and intact; no lesions noted.” 3.“Skin brown, slightly moist and warm; turgor immediate return; no lesions noted; states no problems with skin.” 4.“No history of skin problems; skin intact, pink, temperature cooler in extremities; no lesions except numerous brown moles.”

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.When examining the skin of an 80-year-old patient, the presence of which of the following lesions will be of most concern to the nurse? 1.Varicosities 2.Cherry angiomas 3.Actinic keratoses 4.Seborrheic keratoses