The palms of the hands and soles of the feet have an extra epidermal layer called the

a. stratum corneum. c. stratum granulosum.
b. stratum lucidum. d. stratum spinosum.


B
The epidermis is uniformly thin except on the surfaces that are exposed to friction, such as the palms of the hands and the soles of the feet. This skin is thicker because of work and weight bearing. The additional layer on the palmar and plantar surfaces is the stratum lucidum. The deepest layer of the epidermis, the stratum germinativum or basal cell layer, produces new skin cells. The stratum spinosum overlays the stratum germinativum, and here the cells continue to divide and add to the thickness of the epithelium. The stratum granulosum consists of cells displaced from the spinosum layer. The cells in this layer have stopped dividing and begin making large amounts of the protein keratin. Keratin is durable and water-resistant. It not only coats the surface of the skin, but also forms the basic structure of hair, calluses, and nails.

Nursing

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The client is returning from the operating room following a bronchoscopy. Which action, performed by the nursing assistant, would the nurse stop if began prior to nursing assessment?

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Which term is used to describe painful menstruation?

1) Amenorrhea 2) Dysmenorrhea 3) Myalgia 4) Menarche

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Older persons are at risk for shearing. Which measure will protect the person from pain and inju-ry?

a. Ask the family member to assist you. b. Use a friction-reducing device when moving the person. c. Pull the person quickly toward you. d. Move the person on your own.

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