A&C I practice Integument Final Exam

A nurse is preparing to teach a parent how to care for a child who has impetigo contagious. Which of the following information should the nurse plan to include in the teachign?

Wash clothing in hot water. The nurse should teach the parent to ensure the child changes her clothes every day and to wash all clothing in hot water.

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?

"Eating a high fiber diet will reduce my risk for developing skin cancer." A high-fiber diet is recommended to reduce the risk for colon cancer.

A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in the teaching?

"Encourage your child to avoid sharing hats with other children." Lice are transmitted from person to person on personal items, such as hats, hair ornaments, scarves, combs, and brushes.

A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?

A private room The nurse should place a client who has a communicable condition, such as scabies, in a private room to reduce the risk of exposure and possible transmission to other clients. If necessary, the nurse can use a semi-private room with a client who has the same condition.

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Firmly attached white particles on the hair Pediculus capitis, or head lice, are tiny parasitic insects that live on the scalp and can be spread by close contact with other people. Their eggs (nits) appear much like flakes of dandruff but stick firmly to the hair shaft instead of flaking off of the scalp.

A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis (head lice). Which of the following information is appropriate to include in the teaching?

Nits that are shed into the environment are capable of hatching for up to 10 days. Nits that shed into the environment are able to hatch for up to 7 to 10 days; therefore, this information is appropriate to include in the teaching.

A school nurse is assessing a school age child and notices white flakes that don't brush off the hair and a rash on the pack of the child's neck. The nurse should suspect which of the following disorders?

Pediculosis capitis Pediculosis capitis is head lice, and its nits (eggs) are cemented to the hair shaft. The nits are silvery to white in color, similar to dandruff. They are typically seen on hair on the back of the head near the nape of the neck. A papular rash might be present at the nape of the neck secondary to scratching.

A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?

Purplish in color Dark pigmentation of the lesion is an expected finding of malignant melanoma. Colors are varied and can include red, white and blue tones.

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?

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 is assessing a client who reports a nevus that has increased in size and irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?

Malignant melanoma These findings are consistent with malignant melanoma, which is associated with changes in preexisting nevi.

A nurse in an outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

Silvery, white scales The characteristic lesions of psoriasis are thick, erythematous plaques covered by silvery scales.