Unit 7 Quiz Flashcards
The clinic healthcare worker notices that a client has a fungal infection on her nails that looks like the fungus is digesting the nail keratin. The nail appears opaque and white in color. The client states she has had this for years. The health care worker suspects the client has:
a) onychomycosis
b) tinea corporis
c) candidiasis
d) cellulitis
A
A 5-year-old girl has been presented for care by her father due to her recent development of macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her primary symptom is extreme pruritus. What disorder of the skin should the clinician who is assessing the child first suspect?
a) impetigo
b) rosacea
c) varicella
d) lichen planus
C
A 44-year-old man has been brought to the emergency department with severe electrical burns resulting from a workplace accident. The most immediate threat to this client’s survival at this time is:
a) infection
b) decreased protein synthesis and impaired healing
c) acute pain
d) hemodynamic instability
D
The nurse caring for a client with a malignant melanoma should prepare the client for which of the following treatments? Select all that apply.
a) cosmetic surgery to remove the mole without leaving a scar
b) immediate radiation therapy to shrink the tumors
c) surgical excision with lymph node biopsy
d) biologic therapy with interferon alfa-2B
C, D
Which of the following changes are normal in the elderly population? Select all that apply.
a) a thickening of blood vessels
b) skin may become dry, rough, and scaly
c) an increase in the amount of subcutaneous tissue
d) the dermis and epidermis thins as one ages
e) increased amount of padding on the buttocks
A, B, D
A child has been admitted to the burn unit after pulling a pan of hot water off the stove. Given the fact that there is primarily second- and third-degree burns, the health care worker should prioritize care to focus on which of the following? Select all that apply.
a) withhold foods/nutrition since the GI tract may have slowed down in response to stress
b) maintain sterile field when doing dressing changes and debridement
c) focus on replacing fluids that have been lost from the vascular, interstitial, and cellular compartments
d) assess for indications that the child’s airway has been compromised by assessing breath sounds and voice quality
B, D, E
Which of the following actions involves the greatest risk of skin shearing?
a) pulling the client up in bed
b) helping the client ambulate after surgery
c) rolling the client from a supine to side-lying position
d) inserting a peripheral intravenous cathete
A
Which of the following clients would be predisposed to developing a yeast-like Candida albicans fungal infection?
a) a diabetic male child with circular patches on the arms
b) an immunosuppressed cancer client with maculopapular satellite lesions
c) a high school football player with fungal spores cultured on the feet
d) a dance instructor with a rash on the hands described as raised borders
B
Which one of the following skin disorders seen in elderly persons is considered a premalignant lesion?
a) actinic keratosis
b) solar lentigines
c) cherry angiomas
d) telangiectasis
A
Which one of the following skin disorders seen in elderly persons is considered a premalignant lesion?
a) prophylactic antibiotics
b) applying protective dressings to vulnerable areas
c) parenteral nutrition
d) repositioning the client on a scheduled basis
D
Which one of the following skin disorders seen in elderly persons is considered a premalignant lesion?
a) abdominal discomfort
b) loss of hair
c) diarrhea
d) pain
B
The nurse is caring for a patient of Greek descent who plans to travel to an area of the world in which malaria is endemic. What should this patient be tested for before administering antimalarial medications?
a) Tay-Sachs’ disease
b) glucose-6-phosphate dehydrogenase (G6PD) deficiency
c) penicillin allergy
d) plasmodium
B
The nurse has provided patient teaching for a patient who will be discharged to home on an anti-infective. What statement made by the patient indicates the nurse needs to provide additional teaching concerning the use of anti-infectives?
a) “I will stop taking the antibiotic as soon as I feel better”
b) “antibiotics will not help me when I have a viral infection”
c) “I could develop diarrhea as a result of taking an antibiotics”
d) “a bacterial culture will be done before antibiotics are prescribed for me”
A
What is the priority reason for the nurse to consider questioning an order for tetracycline in a child younger than 8 years of age?
a) weight-bearing joints have been impaired in young animals given the drugs
b) children younger than 8 years of age cannot take tetracyclines
c) tetracyclines can damage developing teeth and bone in children younger than 8 years of age
d) liver and kidney function may be damaged when it is given to children under 8 years of age
C
The nurse is caring for a patient who is taking antimalarial medications. The nurse teaches the patient about the medication and explains the need to report what signs and symptoms immediately because of its association with a serious adverse effect?
a) loss of vision
b) loss of sensation
c) loss of hair
d) loss of appetite
A
