A client tells the nurse that flakes of skin come loose with ...

[mrsjacobs44]

A client tells the nurse that flakes of skin come loose with every shampoo. Based on this data, which secondary skin lesion does the nurse suspect the client is experiencing?
 
  A) Nodule
  B) Macule
  C) Scale
  D) Crust

Question 2

While assessing the feet and ankles of an older adult client, the nurse presses a finger into the client's skin in order to create an indentation. For what is the nurse assessing?
 
  A) Periorbital edema
  B) Ascites
  C) Pitting edema
  D) Sacral edema

[mirabriestensky]

Answer to Question 1

Answer: C

Scales are flakes of greasy, keratinized skin tissue that vary in color from white, gray, to silver. An example of this type of skin lesion is dandruff. Macules and nodules are primary skin lesions. A crust is an area of dry blood, serum, or pus left on the skin surface when vesicles or pustules break.

Answer to Question 2

Answer: C

Excess fluid trapped in bodily tissue, such as the feet and ankles, creates edema. To assess for the amount of edema, the nurse presses a finger into the edematous area to create an indentation. The amount of indentation indicates the level of edema. Ascites is abdominal swelling. Sacral edema is swelling around the hips and buttock region. Periorbital edema is swelling around the eyes.