Author Question: A client has an excoriated skin area with drainage. Which diagnostic test does the nurse anticipate ... (Read 158 times)

bcretired · **on:** Jun 25, 2018

A client has an excoriated skin area with drainage. Which diagnostic test does the nurse anticipate to diagnose the skin lesion?

A) Skin biopsy
B) Culture
C) Wood's lamp
D) Patch test

Question 2

An older adult client complains of having dry skin. Which items would support this client's complaint?

Select all that apply.
A) Reduction in elastin
B) Depleted moisture in epidermal cells
C) Reduced fluid intake
D) Thinner subcutaneous skin layer
E) Poor nutrition

itsakadoozi · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Cultures to identify infections may be conducted on tissue samples, on drainage and exudates from lesions, and on serum. Skin biopsies are used to differentiate a benign skin lesion from a skin cancer. A Wood's lamp is used to identify infections through immunofluorescent studies. Patch tests are used to determine allergies.

Answer to Question 2

Answer: B, C, E

The epidermal cells of the older person contain less moisture. This contributes to a dry, rough skin appearance. Reduced fluid intake and poor nutrition could cause dry skin. Another reason is the decline in moisture due to advanced age. Reduction in elastin leads to wrinkling and sagging of the skin. The older adult's thinner subcutaneous skin layer increases the risk for hypothermia and pressure ulcer formation.