The nurse preparing to perform a skin assessment while a student ...

[darbym82]

The nurse preparing to perform a skin assessment while a student nurse observes. The student nurse asks, Where exactly is the stratum basale located? Which location will the nurse use to correctly identify this for the student nurse?
 
  1. A.
  2. B.
  3. C.
  4. D.

Question 2

The nurse is preparing to conduct a focused interview on a client who reports a recent weight gain. Which inquiry by the nurse is the most appropriate for this client?
 
  1. Are you eating more than you should?
  2. Do you eat large quantities of carbohydrates?
  3. Please tell me about what foods and beverages you have consumed for the past 24 hours.
  4. Have you noticed your energy level has decreased with your recent weight gain?

[kardosa007]

Answer to Question 1

Correct Answer: 1

The epidermis is a layer of epithelial tissue that comprises the outermost portion of the skin. Where exposure to friction is greatest, such as on the fingertips, palms, and soles of the feet, the epidermis consists of five layers (or strata). These five layers are, from deep to superficial, the stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum. The stratum basale is denoted with letter

Answer to Question 2

Correct Answer: 3

The focused interview of the client's nutritional concerns will include asking the client to recall intake for the past 24 hours. The 24-hour period will provide insight into the dietary intake of the client by providing a snapshot of food selections and eating patterns. It is important not to appear judgmental during the focused interview. Asking the client if she is eating large quantities of food is subjective, may be interpreted by the client in a negative manner, and will likely not yield the needed information. Questioning the client about carbohydrate directly is not the best tactic. The client may not be clear about which foods are sources of carbohydrates. Better information about the dietary intake can be obtained with a dietary recall. Energy levels may change with weight gain. The purpose of the focused interview at this point is to obtain information to guide the physical assessment in relation to nutrition and weight gain.