Quiz #4 Skin Flashcards
A nurse is reinforcing teaching with a parent of a child who has eczema. Which of the following instructions should the nurse include in the teaching?
A. Apply a cool, wet compress to the affected area.
B. Launder clothing with fabric softener.
C. Give bubble baths every day.
D. Use a wool gloves in the wintertime.
A. Apply a cool, wet compress to the affected area.
The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?
a. The patient recently had an intrauterine device removed.
b. The patient already has some acne scarring on her forehead.
c. The patient has also used topical antibiotics to treat the acne.
d. The patient has a strong family history of rheumatoid arthritis.
a. The patient recently had an intrauterine device removed.
Because isotretinoin is teratogenic, contraception is required for women who are using this medication. The nurse will need to determine whether the patient is using other birth control methods. More information about the other patient data may also be needed, but the other data do not indicate contraindications to isotretinoin use
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 adds oilated oatmeal to the bath water every day.
c. The patient takes diphenhydramine at night for persistent itching.
d. The patient uses bacitracin-neomycin-polymyxin on minor abrasions.
d. The patient uses bacitracin-neomycin-polymyxin on minor abrasions.
Neosporin can cause contact dermatitis. The patient is appropriately using the other medications.
A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?
A. Assessing the client’s neurologic status
B. Consulting an allergy specialist
C. Administering epinephrine
D. Determining the cause of the hives
C. Administering epinephrine
Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.
A nurse is teaching a client who has a new prescription for topical betamethasone to treat contact dermatitis. Which of the following instructions should the nurse include.
A. “Cover areas of excoriated skin with cream”
B. “Use hot water to soothe the lesions”
C. “Cover areas with an occlusive dressing after application”
D. “Use the cream for a few days after the area has healed”
D. “Use the cream for a few days after the area has healed”
A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?
A. Take an antiemetic 1 hr following administration.
B. Take the medication with an NSAID.
C. Drink 2 to 3 L Of water per day.
D. Rinse mouth 2 times per day with an alcohol-based mouthwash.
C. Drink 2 to 3 L Of water per day.
Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks. Which of the following should the nurse include in the teaching plan for this client?
A. Use friction when washing the affected area.
B. Use an oil-based soap to wash affected areas daily.
C. Express the larger comedones periodically.
D. Use a new cosmetic pad with each limited application of makeup.
D. Use a new cosmetic pad with each limited application of makeup.
Use of a new cosmetic pad with each makeup application decreases the risk of reinfection. Makeup should be applied on a limited basis, as many are oil-based products, clog pores, and exacerbate acne.
Which precaution is most important for the nurse to teach the 32-year-old female client prescribed topical tazarotene (Tazorac) cream for psoriasis?
a. Apply a dressing over the site with each application.
b. Stop the drug use when psoriasis manifestations decrease.
c. Report symptoms of infection to the prescriber immediately.
d. Adhere to strict contraceptive measures while using the drug.
d. Adhere to strict contraceptive measures while using the drug.
Tazarotene is a vitamin A derivative. Too much vitamin A can cause malformations to the fetus that include spina bifida (abnormal development of the spine), small or no eyes, harelip, cleft palate, absent or deformed ears, and deformities of limbs, kidneys, genitals, heart, thyroid gland and skeleton.N
A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?
A. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime.
B. Eliminate the use of products containing salicylic acid.
C. Avoid friction over scaly lesions while bathing.
D. Identify effective stress reduction techniques.
D. Identify effective stress reduction techniques.
Psoriasis is significantly aggravated by stress. The use of effective stress reduction techniques is appropriate to manage this chronic disorder.
A nurse providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. which of the following instructions should the nurse include? (select all that apply.)
A. Expect to feel the medication’s effects immediately.
B. Do not drink alcoholic beverages while taking this medications.
C. Report unexplained bruising to the provider
D. Avoid people who have infections.
E. Take NSAIDS to help minimize adverse effects of the medications.
B. Do not drink alcoholic beverages while taking this medications.
C. Report unexplained bruising to the provider
D. Avoid people who have infections.
.A nurse is providing teaching to a client who has widespread psoriasis and a prescription for phototherapy. The nurse should include which of the following information in the teaching?
A. “You will have a morning and afternoon session on each treatment day.”
B. “Treatment might be interrupted if areas of redness and tenderness develop.”
C. “Treatments will be given in a series of three days on and three days off.”
D. “You should purchase dark glasses in case the light bothers your eyes.”
B. “Treatment might be interrupted if areas of redness and tenderness develop.”
The nurse should instruct the client that treatment must be interrupted if areas of redness with edema and tenderness develop. Treatment can resume after these manifestations subside.
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.
Warm water and moisturizing soap will avoid overdrying the skin. Because older patients have dryer skin, daily bathing and shampooing are not necessary and may dry the skin unnecessarily. Antibacterial soaps are not necessary. Lotions should be applied while the skin is still damp to seal moisture in.
A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?
a) “administer the med w/ food”
b) “chew on sugarless gum or suck on hard, sour candies”
c) place a humidifier at your bedside every evening”
d) “discontinue the med and notify provider”
b) “chew on sugarless gum or suck on hard, sour candies”
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
Thinning of the skin indicates that atrophy, a possible adverse effect of topical corticosteroids, is occurring. The health care provider should be notified so that the medication can be changed or tapered. Alopecia, red-brown discoloration, and dryness/scaling of the skin are not adverse effects of topical corticosteroid use.
A nurse is providing teaching to a client who has psoriasis and a new prescription for the topical corticosteroid cream betamethasone valerate. Which of the following information should the nurse include in the teaching?
a. The medication should be applied in a thick layer to completely cover the lesions.
b. The medication should be applied every 2 hr.
c. Rubbing the medication vigorously into the lesions will increase its absorption.
d. Wrapping plastic around the site can increase the medication’s effectiveness.
D. Wrapping plastic around the site can increase the medication’s effectiveness.
The provider might prescribe occlusive dressings to be applied over the site after the topical corticosteroid is applied in order to increase the medication’s effectiveness.
