ch. 23 MJ Flashcards
When the nurse is assessing a 42-year-old woman, the patient states that she is using topical fluorouracil (Efudex, Fluoroplex) to treat actinic keratoses on her face. Which additional information will be most important for the nurse to obtain?
a. Method of birth control the patient is using
b. History of extensive sun exposure by the patient
c. Length of time the patient has used the medication
d. Appearance of the treated areas on the patient’s face
a. Method of birth control the patient is using
Which assessment information documented in a patient’s chart indicates that the nurse may need to continue to monitor the skin condition of an 82-year-old patient admitted with bacterial pneumonia?
a. “Scattered macular brown areas on extremities”
b. “Skin brown and wrinkled, skin tenting on forearm”
c. “Longitudinal nail bed ridges noted, sparse scalp hair”
d. “Skin moist and intact; states history of allergic rashes”
d. “Skin moist and intact; states history of allergic rashes”
A patient has a circular, flat, reddened lesion about 5 cm in diameter on his ankle. To determine whether the lesion is related to blood vessel dilation, the nurse will
a. elevate the patient’s leg.
b. press firmly on the lesion.
c. check the temperature of the skin around the lesion.
d. palpate the dorsalis pedis and posterior tibial pulses.
b. press firmly on the lesion.
When examining a homebound patient, the home health nurse notes a musky, sour body odor. Based on this assessment, the most appropriate nursing action is to
a. teach the patient to apply a moisturizing body lotion daily.
b. ask about use of over-the-counter (OTC) skin medications.
c. ask the health care provider about a prescription for a topical antifungal.
d. schedule nursing assistive personnel to help with bathing several times weekly.
d. schedule nursing assistive personnel to help with bathing several times weekly.
A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse will
a. assess the skin color of the earlobes.
b. apply pressure to the palms of the hands.
c. check the lips and oral mucous membranes.
d. examine capillary refill time of the nail beds.
c. check the lips and oral mucous membranes.
The nurse is preparing to obtain a culture from a patient who has a possible fungal infection in the groin area. Which action is appropriate?
a. Apply a topical anesthetic before obtaining the culture.
b. Use sterile gloves to squeeze the lesion and obtain exudate.
c. Swab the infected area with a sterile cotton-tipped applicator.
d. Scrape the area gently with a razor blade to obtain a specimen.
c. Swab the infected area with a sterile cotton-tipped applicator.
The nurse notes several angiomas on the legs of a 73-year-old patient. Which action should the nurse take next?
a. Assess the patient for evidence of liver disease.
b. Discuss the adverse effects of sun exposure on the skin.
c. Educate the patient about possible skin changes with aging.
d. Suggest that the patient make an appointment with a dermatologist.
a. Assess the patient for evidence of liver disease.
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse will plan to teach the patient about
a. shave biopsy.
b. punch biopsy.
c. incisional biopsy.
d. excisional biopsy.
c. incisional biopsy.
During assessment of the patient’s skin, the nurse observes a ring of small, raised, discrete lesions filled with serous fluid on the patient’s right temple. When documenting the lesions, the nurse will describe the lesions as
a. grouped.
b. confluent.
c. zosteriform.
d. generalized.
a. grouped.
A patient reports chronic itching of the ankles and cannot keep from continuously scratching them. The nurse will plan to implement interventions to decrease the risk for
a. skin atrophy.
b. lichenification.
c. skin varicosity.
d. keloid formation.
b. lichenification.
The nurse notes these abnormalities on the skin of a 95-year-old patient who is being admitted to an assisted living facility. Which abnormality is the priority to discuss immediately with the health care provider?
a. Several dry, scaly patches on the face
b. Numerous varicosities noted on both legs
c. Dilation of small blood vessels on the face
d. Petechiae present on the chest and abdomen
d. Petechiae present on the chest and abdomen
