Ch.24 Flashcards
Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?
a. Use a sunscreen with an SPF of at least 8 to 10 for adequate protection.
b. Water resistant sunscreens will provide good protection when swimming.
c. Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
d. Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).
d. Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).
Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
a. Use a sunscreen with a high SPF when exposed to the sun.
b. Sun exposure may decrease the effectiveness of the medication.
c. Photosensitivity may result in an artificial-looking tan appearance.
d. Wear sunglasses to avoid eye damage while taking this medication.
a. Use a sunscreen with a high SPF when exposed to the sun.
A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?
a. Treatment plans include watchful waiting.
b. Screening for metastasis will be important.
c. Low dose systemic chemotherapy is used to treat BCC.
d. Minimizing sun exposure will reduce risk for future BCC.
d. Minimizing sun exposure will reduce risk for future BCC.
A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?
a. Prepare the patient for a biopsy.
b. Teach about the use of corticosteroid creams.
c. Explain how to apply tretinoin (Retin-A) to the face.
d. Discuss the need for topical application of antibiotics.
a. Prepare the patient for a biopsy.
A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
a. The patient has multiple dysplastic nevi.
b. The patient is fair-skinned and has blue eyes.
c. The patient’s mother died of a malignant melanoma.
d. The patient uses a tanning booth throughout the winter.
d. The patient uses a tanning booth throughout the winter.
The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
a. Clean the infected areas with soap and water.
b. Apply alcohol-based cleansers on the lesions.
c. Avoid use of antibiotic ointments on the lesions.
d. Use petroleum jelly (Vaseline) to soften crusty areas.
a. Clean the infected areas with soap and water.
The nurse notes the presence of white lesions that resemble milk curds in the back of a patient’s throat. Which question by the nurse is appropriate at this time?
a. “Do you have a productive cough?”
b. “How often do you brush your teeth?”
c. “Are you taking any medications at present?”
d. “Have you ever had an oral herpes infection?”
c. “Are you taking any medications at present?”
A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?
a. Ringlike rashes with red, scaly borders over the entire scalp
b. Papular, wheal-like lesions with white deposits on the hair shaft
c. Patchy areas of alopecia with small vesicles and excoriated areas
d. Red, hivelike papules and plaques with sharply circumscribed borders
b. Papular, wheal-like lesions with white deposits on the hair shaft
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient’s instructions?
a. “5-FU will shrink the lesion so that less scarring occurs once the lesion is excised.”
b. “You may develop nausea and anorexia, but good nutrition is important during treatment.”
c. “You will need to avoid crowds because of the risk for infection caused by chemotherapy.”
d. “Your cheek area will be painful and develop eroded areas that will take weeks to heal.”
d. “Your cheek area will be painful and develop eroded areas that will take weeks to heal.”
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?
a. Thinning of the affected skin
b. Alopecia of the affected areas
c. Reddish-brown discoloration of the skin
d. Dryness and scaling in the areas of treatment
a. Thinning of the affected skin
A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?
a. Cleanse the skin carefully with an antiseptic soap.
b. Shield any unaffected areas with lead-lined drapes.
c. Have the patient use protective eyewear while receiving PUVA.
d. Apply petroleum jelly to the areas surrounding the psoriatic lesions.
c. Have the patient use protective eyewear while receiving PUVA.
A patient with an enlarging, irregular mole that is 7 mm in diameter is scheduled for outpatient treatment. The nurse should plan to prepare the patient for which procedure?
a. Curettage
b. Cryosurgery
c. Punch biopsy
d. Surgical excision
d. Surgical excision
Which information will the nurse include when teaching an older patient about skin care?
a. Dry the skin thoroughly before applying lotions.
b. Bathe and wash hair daily with soap and shampoo.
c. Use warm water and a moisturizing soap when bathing.
d. Use antibacterial soaps when bathing to avoid infection.
c. Use warm water and a moisturizing soap when bathing.
What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
a. Change the dressing using sterile gloves.
b. Soak the dressing in sterile normal saline.
c. Apply antibiotic ointment over the wound.
d. Wash hands and properly dispose of soiled dressings.
d. Wash hands and properly dispose of soiled dressings.
The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
a. The patient applies corticosteroid cream to pruritic areas.
b. The patient uses Neosporin ointment on minor cuts or abrasions.
c. The patient adds oilated oatmeal (Aveeno) to the bath water every day.
d. The patient takes diphenhydramine (Benadryl) at night if itching occurs.
b. The patient uses Neosporin ointment on minor cuts or abrasions.
