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Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition Test Bank

Stay ahead of the curve with Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition Test Bank, a structured guide covering all the essential topics you need.

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Elsevier items and derived items © 2011, 2008, 2005, 2002 by Saunders, an imprint of Elsevier Inc.Silvestri: Saunders Comprehensive Review forthe NCLEX-RN®Examination, 5thEditionAdult HealthTestBankMULTIPLE CHOICE1.The nurse reviews the health record of a client with melasma. The nurse wouldanticipate that this client will exhibit:1.Skin that is uniformly dark in color2.Very pale skin with little pigmentation3.Patches of skin that have loss of pigmentation4.Blotchy brown macules across the cheeks and foreheadANS:4Rationale:Melasma is a condition caused by hormonal influences on melaninproduction andis noted by the appearance of blotchy brown macules across the cheeksand forehead. “Skin that is uniformly dark in color” describes vitiligo. “Very pale skinwith little pigmentation” and “patches of skin that have loss of pigmentation” refer tonormal variations in skin color.Test-Taking Strategy:To answer this question correctly, you must be familiar with thevarious terms used when discussing skin structures and functions. “Skin that isuniformly dark in color” describes vitiligo. “Very pale skin with little pigmentation” and“patches of skin that have loss of pigmentation” refer to normal variations in skin color.Review the description of melasma if you had difficulty with this question.PTS:1DIF:Level of Cognitive Ability: UnderstandingREF:Black, J., & Hawks, J. (2009). Medical-surgical nursing: clinical management forpositive outcomes (8th ed.).St. Louis: Saunders.OBJ:Client Needs: Physiological IntegrityTOP:Content Area: Adult Health/IntegumentaryMSC:Integrated Process: Nursing Process—Assessment2.The client with cellulitis of the lower leg has had cultures done on the affected area. Thenurse reviewing the results of the culture report interprets that which of the followingorganisms is not part of the normal flora of the skin?1.Escherichia coli2.Candida albicans3.Staphylococcus aureus4.Staphylococcus epidermidisANS:1

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