NSG 6001 / NSG6001 ADVANCED NURSING PRACTICE UNIT01 CHAPTER 5. EVIDENCE-BASED CARE

Section 2. Skin Problems MULTIPLE CHOICE 1. Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause? A. “You must be un ...

Section 2. Skin Problems MULTIPLE CHOICE 1. Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause? A. “You must be under a lot of stress lately.” B. “It is hereditary. Did your father experience this also?” C. “The cause is unknown, but we suspect it is due to an immunological mechanism.” D. “We’ll have to do some tests.” ANS: C PTS: 1 2. Gillian presents with a sudden onset of 102°F fever, emesis, tingling in the hands and feet, fatigue, and weakness. What is the potential diagnosis of this presentation? A. Urticaria B. Toxic shock syndrome C. Scabies D. Pediculosis ANS: B PTS: 1 3. Which of the following describes a bulla? A. Results from a defect in the dermoepidermal junction B. Interfaces between the epidermis and the dermis C. A small crusty plaque D. A dime-sized purulent pustule on the buttocks ANS: A PTS: 1 4. An example of ecchymosis is: A. A hematoma B. A keloid C. A bruise D. A patch ANS: C PTS: 1 5. Francine presents with a total loss of skin color in patchy areas of her body. What are the potential causes? A. Zidovudine B. Chlorpromazine C. Vitiligo D. Addison’s disease ANS: C PTS: 1 6. When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval-to-round shapes. What do you suspect they are? This study source was downloaded by 100000831988016 from CourseHero.com on 03-17-2022 02:56:36 GMT -05:00 https://www.coursehero.com/file/111998416/skin-problemrtf/ A. Spores B. Leukocytes C. Pseudohyphae D. Epithelial cells ANS: A PTS: 1 7. Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is the most appropriate treatment? A. Terbinafine 250 mg once daily ´ 12 weeks B. Noxafil 100 mg oral suspension ´ 2 daily C. Griseofulvin 500 mg once daily ´ 2 to 4 weeks D. Metronidazole 2% cream 5 g intravaginally ´ 7 days ANS: D PTS: 1 8. Tinea unguium is also known as: A. Onychomycosis B. Tinea versicolor C. Tinea manuum D. Tinea corporis ANS: A PTS: 1 9. Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this? A. Bullous impetigo B. Staphylococcal scalded skin syndrome (SSSS) C. Nonbullous impetigo D. Ecthyma ANS: D PTS: 1 10. Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals crepitus due to gas production by which anaerobic bacteria? A. Staphylococcus aureus B. Clostridium perfringens C. S. pyogenes D. Streptococcus ANS: B PTS: 1 11. When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect? A. A piece of hair or a thread B. Hyphae C. Leukocytes D. Spores ANS: B PTS: 1 This study source was downloaded by 100000831988016 from CourseHero.com on 03-17-2022 02:56:36 GMT -05:00 https://www.coursehero.com/file/111998416/skin-problemrtf/ 12. What should be the initial management for a new wart? A. Tretinoin cream B. Liquid nitrogen cryotherapy C. Salicylic acid D. Watchful waiting ANS: D PTS: 1 13. Stacy has a verruca plana and she is using tretinoin cream. Which of the following is true? A. It should be applied at bedtime over the entire area that is affected. B. It should be applied twice daily for 1 week. C. It is not normal to have a fine scaling when using this medication. D. It is not normal to have erythema when using this medication. ANS: A PTS: 1 14. Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers? A. Necrotizing fasciitis B. Periorbital cellulitis C. Erysipelas D. “Flesh-eating” cellulitis