The nurse is assessing the client for an endocrine problem. ...

[jilianpiloj]

The nurse is assessing the client for an endocrine problem. During the health assessment interview, it is essential that the nurse answer which question about the skin to determine whether the client is experiencing hypothyroidism?
 
  1. Is the skin rough and dry?
   2. Is the skin smooth?
   3. Is the skin clammy?
   4. Does the client have brown shiny patches on the lower extremities?

Question 2

The nurse identifies which of the following assessment findings as contributing to a client's contact dermatitis?
 
  1. Frequent hand washing
   2. Employment as a computer operator
   3. Heart rate 76 and regular
   4. Blood pressure 120/72 mmHg

[djpooyouma]

Answer to Question 1

1. Is the skin rough and dry?

Rationale:
The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown shiny patches on the lower extremities are associated with poor circulation.

Answer to Question 2

1. Frequent hand washing

Rationale:
Risk factors for contact dermatitis include allergies, family history of eczema, regular exposure to a moist environment, burns, exposure to plants, chemicals, and metals, and occupations that require frequent hand washing. Employment as a computer operator does not increase the risk of developing contact dermatitis. Vital signs are not linked to the development of contact dermatitis.