Chapter 45--Dermatological Dysfunction: Nursing Management

Chapter 45--Dermatological Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client’s wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called: ...

Chapter 45--Dermatological Dysfunction: Nursing Management MULTIPLE CHOICE 1. A client’s wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called: 1 autolytic debridement. 2 enzymatic debridement. 3 mechanical debridement. 4 sharp debridement. PTS: 1 DIF: Analyze REF: Debridement 2. A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as being: 1 tinea capitis. 2 tinea corporis. 3 tinea cruris. 4 tinea pedis. PTS: 1 DIF: Analyze REF: Fungal Infections 3. A client is complaining of pain and drainage coming from an area on his back. The nurse assesses the area and finds a large erythematous, swollen mass with multiple areas of purulent drainage. The nurse suspects the client has a(n): 1 abscess. 2 carbuncle. 3 furuncle. 4 papule. 4. A client has what appears to be a bacterial infection or warts on her fingertips. This can be a sign of: 1 herpes gladiatorum. 2 herpes simplex. 3 herpes zoster. 4 herpetic whitlow. PTS: 1 DIF: Analyze REF: Cutaneous Herpes Simplex 5. A school-age child is experiencing pruritic vesicles around the mouth. The lesions have a honeycolored crust. The nurse realizes that the child is most likely experiencing: 1 candidiasis. 2 herpes simplex. 3 impetigo. 4 tinea corporis. PTS: 1 DIF: Analyze REF: Impetigo 6. A client is being treated for lice. Which of the following medications would the nurse expect to see prescribed for this client? 1 Acyclovir 2 Diphenhydramine 3 Mupirocin 4 Permethrin PTS: 1 DIF: Apply REF: Pediculosis 7. A client is diagnosed with genital herpes simplex virus. The nurse know that symptoms of the primary infection occur: 1 1 to 4 days after exposure. 2 3 to 7 days after exposure. 3 5 to 9 days after exposure. 4 7 to 11 days after exposure. 8. A client is demonstrating patches of thick, red skin with silvery scales on the elbows and knees. The nurse suspects that this client is experiencing: 1 psoriasis. 2 rosacea. 3 scabies. 4 stasis dermatitis. PTS: 1 DIF: Analyze REF: Psoriasis 9. A middle-aged construction worker has a raised lesion with a pearly border on his arm that bleeds easily. The nurse realizes that this client most likely is experiencing a(n): 1 actinic keratosis. 2 basal cell carcinoma. 3 malignant melanoma. 4 melanoma in situ. PTS: 1 DIF: Analyze REF: Nonmelanoma Skin Cancers 10. A client periodically experiences pseudofolliculitis barbae. Which of the following should the nurse instruct this client? 1 Avoid close shaving. 2 Avoid washing the hair prior to shaving. 3 Apply a topical antibiotic. 4 Contact the physician since the client needs a prescription for an oral antibiotic. PTS: 1 DIF: Apply REF: Folliculitis 11. A client is diagnosed with tinea versicolor. Which of the following should the nurse instruct this client regarding the care for this skin condition? 1 Do nothing since there is no treatment. 2 Utilize shampoo with selenium. 3 Utilize an oral antifungal preparation as prescribed. 4 Apply warm compresses to the affected areas. PTS: 1 DIF: Apply REF: Fungal Infections 12. Which of the following should the nurse instruct a client who is prescribed a topical medication for a skin condition? 1 Apply directly to broken or irritated skin. 2 Apply before bathing. 3 Apply after bathing. 4 Cover the area with an occlusive dressing. PTS: 1 DIF: Apply REF: Table 45-2 What Every Patient Needs to Know About Topical Medications 13. A client is diagnosed with a dermatologic condition causing pruritis and inflammation. Which of the following should the nurse instruct this client? 1 Use regular perfumed lotion to moisturize the skin. 2 Use scented soap to bathe the skin daily. 3 Apply skin oil daily. 4 Apply a body moisturizer to the skin within 3 to 5 minutes after bathing. MULTIPLE RESPONSE 1. The nurse is assessing a client’s skin for signs of normal aging. Which of the following are skin changes seen with aging? (Select all that apply.) 1 Lentigo 2 Loss of subcutaneous tissue 3 Telangiectasias 4 Thickened, wrinkled, yellowish skin 5 Thin, fragile, and inelastic skin 6 Seborrheic keratosis PTS: 1 DIF: Analyze REF: Table 45-3 Normal Aging versus Photoaging Skin 2. A client is diagnosed with severe nodulocystic acne. The nurse should instruct the client on which of the following types of treatments? (Select all that apply.) 1 Oral antibiotics 2 Benzoyl peroxide 3 Sulfur 4 Intralesional injections 5 Soap and water 6 Topical therapy PTS: 1 DIF: Apply REF: Acne 3. A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1 Heat 2 Redness 3 Swelling 4 Pain 5 Glossy, stretched skin appearance 6 Thirst PTS: 1 DIF: Apply REF: Cellulitis 4. A client is diagnosed with rosacea. Which of the following should the nurse instruct the client regarding this condition? (Select all that apply.) 1 Avoid sunlight. 2 Avoid alcohol. 3 Avoid spicy food. 4 Wash the face five times a day. 5 Wash the face with a clean washcloth. 6 Apply medication to affected areas immediately after washing the face. PTS: 1 DIF: Apply REF: Rosacea 5. A client is diagnosed with a viral skin infection. The nurse realizes that which of the following medications may be prescribed for this client? (Select all that apply.) 1 Nystatin (Mycostatin) 2 Docosanol (Abreva) 3 Boric acid 4 Penciclovir (Denavir) 5 Hydrogen peroxide 6 Acyclovir (Zovirax) PTS: 1 DIF: Analyze REF: Table 45-1 Agents to Treat Skin Conditions