Adult-integumentary system

Question 1

the nurse is conducting a session about the principles of first aid and is discussing the interventions for a snake bite to an extremity. the nurse should inform those attending the session that the first-priority intervention in the event of this occurrence is which action?

Answer 1

move the victim to a safe area away from the snake and encourage the victim to rest.

Question 2

a client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. the client tells the nurse that he cannot see anything on the skin and ask the nurse what to do. the nurse should make which response?

Answer 2

“take a shower immediately, lathering and rinsing several times.”

Question 3

a client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. during the admission assessment the nurse expect to note which finding?

Answer 3

a skin infection of the dermis and underlying hypodermis

Question 4

the clinic nurse assesses the skin of a client with with psoriasis after the nurse has used a topical treatment for 2 months. the nurse identifies which characteristic as improvement in the manifestation of psoriasis? select all that apply

Answer 4

thinner and decrease in number of reddish papules.

scarce amount of silvery-white scaly patches on the arm.

Question 5

the clinic nurse notes that the health care provider has documented a diagnosis of herpes zoster (shingles) in the clients chart. based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test?

Answer 5

positive culture results

Question 6

a client returns to the clinic for follow-up treatment after a skin biopsy of a suspicious lesion performed 1 week ago. the biopsy report indicates that the lesion is a melanoma. the nurse understands that melanoma has which characteristics? select all that apply.

Answer 6

lesion is highly metastatic.

lesion is a nevus that has changed in color.

Question 7

when assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely expects to note which findings? select all that apply

Answer 7

a pearly papule with a central papule and a waxy border.

location in the bald spot atop the head that is exposed to outdoor sunlight.

Question 8

a client arriving in the emergency department has experienced frostbite to the right hand. which finding, would the nurse note on assessment of the clients hands.

Answer 8

a white color to the skin, which is insensitive to touch

Question 9

the staff nurse reviews the nursing documentation in a clients chart and notes that the wound care nurse has documented that the client has a stage II pressure injury in the sacral area. which finding would the nurse expect to note on assessment of the clients sacral area?

Answer 9

partial-thickness skin loss of the dermis

Question 10

the nurse manager is planning the clinical assignments for the day. which staff members cannot be assigned to care for a client with herpes zoster? select all that apply

Answer 10

the nurse who never had chickenpox.

the nurse who never received the varicella zoster vaccine.

Question 11

salicylic acid is prescribed for a client with a diagnosis of psoriasis. the nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

Answer 11

Tinnitus

Question 12

the health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. which instructions should the nurse provide? select all that apply

Answer 12

use sunscreen when participating in outdoor activities.
wear a hat, opaque clothing, and sunglasses when in the sun.
examine your body monthly for any lesions that may be suspicious.

Question 13

silver sulfadiazine is prescribed for a client with a burn injury. which laboratory finding requires the need for follow up by the nurse?

Answer 13

white blood cell count of 3000mm^3 (3.0x 10^9/L)

Question 14

A burn client is receiving treatment of topical mafenide acetate to the site of injury. the nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred?

Answer 14

Hyperventilation

Question 15

isotretinoin is prescribed for a client with severe acne. before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Answer 15

triglyceride level

Question 16

a client with severe acne is seen in the clinic and the primary health care provider (PHCP) prescribes isotretinoin. the nurse reviews the clients medication record and would contact the PHCP if the client is also taking which medication?

Answer 16

vitamin A

Question 17

The nurse is applying a topical corticosteroid to a client with eczema. the nurse understands that it is safe to apply the medication to which body areas? select all that apply.

Answer 17

soles of the feet.

palms of the hands.

Question 18

the clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid to treat acne. the nurse determines that which client complaint may be associated with use of this medication?

Answer 18

itching

Question 19

silver sulfadiazine is prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the medication. which statement made by the client indicates a need for further teaching about the treatments?

Answer 19

“the medication is likely to cause stinging every time it is applied.”

Question 20

the camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. the nurse reminds the children that the chemical sunscreens are most effective when applied at which times?

Answer 20

at least 30 minutes before exposure to the sun.