Author Question: The nurse is collecting data from a client and is completing a review of the client's skin. The ... (Read 106 times)

kamilo84 · **on:** Jul 17, 2018

The nurse is collecting data from a client and is completing a review of the client's skin. The client asks the nurse what the term melanin means in the pamphlet on skin given by the primary care provider.

Based on this information, what would be the best response by the nurse? A) Body's true protector
B) Most microorganisms cannot penetrate unbroken skin
C) Gives color to the hair, skin, and other structures in the body
D) Help detect foreign substances to defend against infection

Question 2

The nursing process provides individualized care that is accountable. What is the nursing role in the assessment step of the nursing process?

A) Systematic and continuous collection of data
B) Statement of the client's actual or potential problem
C) Development of goals for care and possible activities to meet them
D) Giving of actual nursing care

sailorcrescent · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
Melanin gives color to the hair, skin, and other structures in the body. Keratin is the body's true protector. It creates a waterproof barrier. Most microorganisms cannot penetrate unbroken skin because of keratin. Also within the epidermis are Langerhans' cells, part of the skin's immune system. They help detect foreign substances to defend against infection.

Answer to Question 2

A
Feedback:
The nurse's role the assessment step of the nursing process is systematic and continuous collection of data. Nursing diagnosis is a statement of the client's actual or potential problem. Planning is the development of goals and possible activities to meet them. Implementation is giving of actual nursing care.