ATI dermatology

A nurse is teaching a group of clients about skin cancer. The nurse should explain that basal cell carcinoma originates from which of the following tissues? a. subcutaneous b. epidermis c. dermis d stratum corneum

b. epidermis BBC originates from the epidermal layer of the skin and is the MOST COMMON form of skin cancer

The nurse is caring for a client whose wounds are covered with a heterograft dressing. In response to the client's question about the dressing, the nurse explains that it is obtained from which of the following sources? a. cadaver skin b. pig skin c. amniotic membranes d. beef collagen

b. pig skin Heterografts are from animal usually a pig

A community health nurse is teaching a group of clients about melanoma. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? a One solid color b Symmetrical shape c <6 mm in diameter d Irregular border

d Irregular border ABCDE of monitoring skin lesions

A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? a Zoster vaccine b Acyclovir c Amoxicillin d infliximab

b Acyclovir Acyclovir is an antiviral medication that inhibits replication of the virus that causes herpes zoster

A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include? a. "Move between the bed and the wheelchair once every 2 hours." b. "Make sure that your caregiver massages your skin daily." c. "Use a rubber ring when sitting on the bedside." d. "Shift your weight in the wheelchair every 15 min."

d. "Shift your weight in the wheelchair every 15 min." Pressure ulcer are most likely to develop if the client does not shift positions frequently to relieve pressure

A nurse is caring for a client who has burn injuries on his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statement by the client indicates understanding of the teaching? a I will be on a special shower table b The water temperature will be very cool to ease my pain c The nurse will use a firm-bristled brush to remove loose skin d The nurse will use scissors to open small blisters

a I will be on a special shower table The special table facilitates examination and debridement of the wound during hydrotherapy. An advantage of using the showering technique as opposed to a tub bath is that the water can be kept at a constant temperature; there is also lower risk of wound infection

A nurse is provider's office is assessing a client's skin lesions. The nurse notes that the lesions are 0.5 cm (0.20in) in size, elevated, and solid with distinct borders. The nurse should document these findings as which of the following skin lesions? a Papules b. macules c. wheals d vesicules

a Papules Papules are small, solid, elevated lesions with distinct borders. It is usually smaller than 10 mm in diameter. Papules are common lesions of warts and elevated moles

A nurse is teaching a client who has extensive deep partial- and full thickness burns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes? a bacterial growth b scarring c Skin graft size d pain

a bacterial growth

A nurse is planning care for a client who has deep partial-thickness and full-thickness thermal burns over 40% of his total body surface and is in the acute phase injury. Which of the following interventions should the nurse include in the plan? a. Initiate range-of motion exercises b. Use clean technique to provide wound care c. Place the client on a low protein diet d. Maintain the client on bed rest

a. Initiate range-of motion exercises The nurse should begin performing active and passive range-of-motion exercises with the client to maintain mobility and prevent contractures

A nurse is caring for an adolescent client who has burn wounds on the face and hands. Which of the following statements by the client indicates that she has adapted to her changed body image? a. May I go with my family to the visitor's lounge? b. I'll see my friends when I get home. c. My dad is coming to visit. Can you fix my hair for me? d. I told my cousins I'm in protective isolation

a. May I go with my family to the visitor's lounge? The statement demonstrates a positive self-image since the client is asking to visit with her family in public

A nurse is providing d/c teaching to a client who is postoperative following a surgical excision of basal cell carcinoma. Which of the following findings should the nurse included as a indication for mole's potential malignancy? a. Ulceration b. blanching of surrounding skin c. Dimpling d. fading of color

a. Ulceration Ulceration, bleeding, and exudation are indications of a mole's potential malignancy.

A nurse is an ED is assessing a client who has extensive burns, including on her face. Which of the following assessments should the nurse perform first? a Estimation of burn injury b Characteristics of the cough and sputum c Extent of peripheral edema d Amount of urine output

b Characteristics of the cough and sputum ABC's (Breathing)

A community nurse is teaching a group of clients about malignant melanoma. Which of the following traits places a client at risk for developing malignant melanoma? a Brown eyes b Light skin c Black hair d Dark skin

b Light skin

A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her burn wounds. The nurse should evaluate the client for which of the following laboratory findings? A hyponatremia b leukopenia c hyperchloremia d elevated bun

b leukopenia Leukopenia is an adverse effect of silver sulfadiazine

a nurse is evaluating the laboratory values of a client who is in the resuscitation phase following a major burn. Which of the following laboratory findings should the nurse expect? a. Hemoglobin 10 b sodium 132 c albumin 3.6 d potassium 4.0

b sodium 132 The nurse should anticipate a low sodium level because sodium is trapped in the interstitial space

A nurse is caring for a client who has a lesion of the back of the right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? a. basal cell carcinoma b. melanoma c. actinic keratosis d. squamous cell carcinoma

b. melanoma Melanomas are malignant neoplasms with atypical melanocytes in the epidermis, the dermis, and sometimes the subcutaneous cells. It is the most lethal type of skin cancer, often cuasing metastases in the bone, liver, lungs, spleen, CNS, and lymph nodes

A nurse in a dermatology clinic is using the ABCDE method while screening several skin lesions for skin cancer on a client. Which of the following findings should the nurse report to the provider? a symmetric shape b border regularity c color variation within a lesion d diameter >4 mm

c color variation within a lesion ABCDE method of screening

A nurse is caring for a client who has full-thickness burns covering 63% if her body and smoke inhalation. Which of the following nursing actions is the top priority? a monitor intake and output b administer antibiotics c monitor respiratory status d encourage fluid and food intake

c monitor respiratory status Priority ABCs. Smoked inhalation most likely includes a thermal injury to the tracheobronchial tree.

a nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention? a Partial-thickness burns b stage III pressure ulcer c surgical incision d dehisced sternal wound

c surgical incision With primary intention, a clean wound is closed mechanically, leaving well-approximated edges and minimal scarring like surgical incisions

A nurse is assessing a client who has lesion on his skin. Which of the following findings is a clinical manifestation of malignant melanoma? a rough, dry, scaly lesion b firm nodule with crusting c pearly papule with ulcerated center d Irregularly shaped lesion with blue tones

d Irregularly shaped lesion with blue tones Malignant melanomas are irregularly shaped and can be blue, red or white in tone. They often occur on the client's upper back and lower legs

A nurse is assessing a client who sustained superficial partial-thickness and deep partial-thickness burns 72 hrs ago. Which of the following findings should the nurse report to the provider? a Edema in the burned extremities b severe pain at the burn sites c Urine output of 30 ml/hr d Temperature of 39.1 C (102.4F)

d Temperature of 39.1 C (102.4F) Indication of infection

A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma? a A pearly papule that is 0.5 cm (0.20 in) wide with raised, indistinct borders on the upper right shoulder. b Several flat, pigmented, circumscribed areas of carious sizes over the bridge of the nose c A raised, circumscribed lesion on the face that contains yellow-white purulent material d an irregularly shaped brown lesion with light blue areas on the neck

d an irregularly shaped brown lesion with light blue areas on the neck ABCDE of melanoma

A nurse is planning care for a client who has been admitted for the treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? a Curettage b external radiation c reginal chemotherapy d surgical excision

d surgical excision Therapeutic approach to malignant melanoma depends on the level of invasion and depth of the lesion.