ATI derm+immune nxlec questions

A nurse is reinforcing teaching with a client who has HIV. Which of the following instructions about infection prevention should the nurse include in the teaching? (select all that apply) A. Avoid large gatherings of people B. Clean the toothbrush by running through the dishwashwr C. Change pet litter boxes with disposable gloves D. Consume fresh fruit and raw vegtables E. Avoid digging in the garden

A, B, E

A nurse is reinforcing discharge teachings with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching? A. "I should take ibuprofen for my joint pain" B. "I'm thankful that this type of lupus only affects the skin" C."Each day I should apply sunblock with a sun protection factor of 15" D. "A mild fever is common with SLE and usually does not require medical intervention"

A. "I should take ibuprofen for my joint pain."

A nurse is reinforcing teaching to a client who has burn injuries to his trunk about what to expect from the prescribed hydrotherapy. Which if the following statements by the client indicates an 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 bristle brush to remove loose skin" D. "The nurse will use scissors to open small blisters"

A. "I will be on a special shower table"

A nurse is reinforcing teaching with a client who is being treated for genital warts. Which of the following statements indicates that the client understands how to prevent transmission of his sexually transmitted infection? A. "I will being my sexual partner for treatment." B. "Now that I've had my first dose of medicine, I can resume sexual activity." C. "after I have been treated, I don't have to use condoms" D. "once treatment is complete and I'm free of symptoms, I don't have to return to the clinic"

A. "I will bring my sexual partner in for treatment"

A nurse is caring for a adolescent child who has a burn wound on her face and hands. Which of the following statements by the client indicates that she has adapted to her body image? A. "May I go with my family to the visitor's lounge?" B. "I'll see my friends someday when I feel better" C. "My dad is coming to visit, can you fix my hair for me?" D. "I told my cousin I'm in protective isolation"

A. "May I go with my family to the visitors lounge?"

A nurse is reinforcing dietary teaching with a client who has AIDS and stomatitis of the mouth which of the following instructions should the nurse include in the teaching? A. "you can suck on a popsicle to numb your mouth." B. "season food with spices instead of salt" C. "avoid the use of a straw to drink liquids" D. "eat food at hot temperatures"

A. "You can suck on a popsicle to numb your mouth"

A nurse is reinforcing teaching with a client who is HIV positive about the early manifestations of AIDS. Which of the following statements should nurse include in the teaching? A. "You can expect a persistent fever and swollen glands" B. "You can expect an elevated white blood cell count" C. "You can expect an increase in blood pressure and edema" D. "you can expect weight gain"

A. "you can expect a persistent fever and swollen glands"

A nurse is caring for a client with deep partial and full thickness burns that require topical antimicrobial drug. The goal of the 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 caring for a client who has a new diagnosis of acute systemic lupus erythematosus and is scheduled to begin medication therapy. Which of the following medications should the nurse expect to administer? A. Corticosteroids B. Antihistamines C. Antivirals D. Opioids

A. Corticosteroids

A nurse is reinforcing teaching with a female client who has a new diagnosis of systemic lupus erythematosus about factors that can trigger an exacerbation of SLE. The nurse should determine that the client needs further teaching when she identifies which of the following as a factor that can exacerbate SLE? A. Exercise B. Pregnancy C. Infection D. Sunlight

A. Exercise

A nurse is assisting with planning an educational program for a group of young adults about Interventions that reduce the risk of cervical cancer. Which of the following interventions should the nurse include? A. Get the human papillomavirus (HPV) immunization B. Avoid the use of tampons on a routine basis C. Avoid drinking alcohol D. Get a papanicolaou test every year at age 30

A. Get the human papillomavirus (HPV) immunization

A nurse is reinforcing teaching with an assistive personnel who is caring for a client with active pulmonary tuberculosis. The client has been placed on airborne precautions and is scheduled for a chest x-ray. Which of the following instructions should the nurse include in the teaching? A. Have the client wear a surgical mask B. Wear a gown for protection from client's infection C. Ask radiology staff to perform a portable chest x-ray in the client's room D. Place an N-95 respirator on the client

A. Have client wear a surgical mask

A nurse in an urgent care clinic is caring for a client who has a snake bite on her arm, which of the following actions should the nurse take? A. Immobilize the limb at the level of the heart B. Apply a tourniquet to the affected limb C. Use a sterile scapula to incise the wound D. Apply ice to the skin over the snake bite wound

A. Immobilize the limb at the level of the heart

A nurse is reinforcing teaching with a client about the manifestations of an allergic reaction. The nurse should explain that the release of histamine causes which of the following reactions? A. Increased mucous secretions B. Bronchial dialation C. Bradycardia D. Vertigo

A. Increased mucus secretions

A nurse is assisting with the admission of a client who has manifestations of tuberculosis. Which of the following actions is the nurse's priority? A. Initiate airborne precautions B. Administer antimicrobial therapy C. Tell the client that his infection will be communicable for 2-3 weeks after the start of medication therapy D. Reinforce teaching about the manifestations of tuberculosis

A. Initiate airborne precautions

A nurse is assisting with planning care for a client who has deep partial thickness and full thickness thermal burns over 40% of his total body surface. The client is in the acute phase of burn injury. Which of the following interventions should the nurse plan? A initiate range of motion exercise B. Use clean technique to provide wound care C. Place client on a low protein diet D maintain the client on bedrest

A. Initiate range of motion exercises

A nurse in a provider's office is collecting data from anl client who has skin lesions. The nurse notes that the lesions are 0.5cm (0.2 in) 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. Vesicles

A. Papules

A nurse is caring for a client who has pseudomembranous colitis due to Clostridium difficile infection. Which of the following interventions is the nurse's priority? A. Performing hand hygiene before and after contact with client B. Reducing client's anxiety due to isolation Precautions C. Assisting the client with making nutritional choices D. Monitoring clients I&O

A. Performing hand hygiene before and after contact with the client

A nurse is reinforcing teaching with a client who has Raynaud's disease. Which of the following pieces of information should the nurse include in the teaching? A. Protect against cold by wearing layers of clothing B. Begin an exercise program of 2 mile walks per week C. Increase vitamin A in dier D. Elevate hands above heart level when dressing

A. Protect against the cold by wearing layers of clothing

A nurse is reinforcing discharge teaching with a client who is postoperative following surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of malignancy of a mole? A. Ulceration B. Blanching of surrounding skin C. Dimpling D. Fading of color

A. Ulceration

A nurse is reinforcing teaching with a client who has AIDS about preventing infection while at home. Which of the following instructions should the nurse include in the teaching? A. Wash genitalia using an antimicrobial soap B. Rinse dishes with cold water C. Clean toothbrush once per month D. Incorporate raw fruits and vegetables into the diet

A. Wash genitalia using antimicrobial soap

A nurse is reinforcing teaching with a client who has a human immunodeficiency virus (HIV) about how the virus is transmitted. Which of the following statements should the nurse include in teaching? A. "HIV can be transmitted as soon as a person develops manifestations" B. "HIV can be transmitted to anyone who has had contact with infected blood" C. "HIV is transmitted through respiratory route by droplets" D. "HIV is transmitted only during the active phases of the virus"

B. "HIV can be transmitted by anyone who has had contact with infected blood"

A nurse is reinforcing discharge teaching with the partner of a client who has acquired immune deficiency syndrome (AIDS ), which statement by the client's partner indicates the need for further teaching? A. "I will dispose of soiled tissues in a separate plastic bag" B. "I'll clean blood spills immediately with hot water" C. "I know that handwashing is an important preventative measure" D. "I will wash soiled clothes in hot water"

B. "I'll clean blood spills immediately with hot water"

A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements should the nurse include? A. "you can share razors with your partner as long as they are disposable" B. "you should clean bathroom surfaces with a bleach and water solution." C. "You should increase your intake of raw fruits and vegetables" D. "you can continue gardening as long as you wear a mask"

B. "you should clean bathroom surfaces with a bleach and water solution"

A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate which of the following medications? A. Zoster vaccine B. Acylovir C. Amoxicillin D. Infliximab

B. Acylclovir

Nurse is assisting with the development of an education session about malignant melanoma for a group of clients. The nurse should include that which of the following clients have an increased risk of devoloping malignant melanoma? A. Client who has brown eyes B. Client who has a light complexion C. Client who has black hair D. Client who is 20 years of age

B. Client who has a light complexion

A nurse is reinforcing teaching with 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

A nurse is assisting with a client who is 2 day postoperative. Which of the following findings should alert the nurse that the client is developing an infection? A. Temperature of 37.8°c (100°f) B. Erythema at the incision site C. WBC count 9,000/mm³ D. Pain reported as a 6 on a 0-10 pain-rating scale

B. Erythema at the incision site

A nurse is reinforcing teaching with a client about preventing the transmission of hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the following routes? A. Maternal-fetal B. Fecal-oral contamination C. Genital sexual contact D. Blood-to-blood

B. Fecal-oral contamination

A nurse is collecting data from a client who is experiencing an acute exacerbation of rheumatoid arthritis. The nurse should anticipate the client's affected joints will require which of the following treatments? A. Assistive device to use when client is ambulating B. Heat paraffin therapy applied to clients hands C. Gently massage client's hands D. Active range of motion exercises on the client's affected limbs

B. Heat paraffin therapy applied to clients hands.

A nurse is caring for a client who has been applying silver sulfadine cream to deep partial-thickness arm burn for the past 2 weeks. The nurse should monitor the client for which of the following adverse effects? A. Hyponatremia B. Leukopenia C. Hyperchloremia D. Elevated BUN

B. Leukopenia

A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses should the nurse make? A. Basal cell carcinomas B. Melanomas C. Actinic keratoses D. Squamous cell carcinomas

B. Melanomas

A nurse is caring for a male client who reports thick urethral discharge. Which of the following actions should the nurse take? A. Contact the client's sexual partners B. Obtain a urethral specimen for culture C. Prepare to administer Amoxicillin to the client D. Obtain blood for rapid plasma reagin test

B. Obtain a urethral specimen for culture

A nurse is caring for a client whose wounds are covered with a heterograft dressing. In response to client's question about the dressing, the nurse explains that it is obtain from which of the following? A. Cadaver skin B. Pig skin C. Amniotic membranes D. Beef collagen

B. Pig skin

The nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. Which of the following data should the nurse collect first? A. Estimation of burn injury B. Respiratory rate C. Presence of bowel sounds D. Level of pain

B. Respiratory rate

A nurse is reviewing laboratory results for a client who reports bilateral pain and swelling in her finger joints with stiffness in the morning. The nurse should recognize that an increase in which of the following lab values can indicate arthritis?

B. Rheumatoid factor

A nurse is collecting data from a client who has systemic scleroderma. Which of the following findings should the nurse expect? A. Excessive salivation B. Skin tightening C. Periorbital edema D. Alopecia

B. Skin tightening

The nurse is assisting with the care of a client who is in the resuscitation phase following a major burn. Which of the following lavatory findings should the nurse expect? A. Hemoglobin 10g/dl B. Sodium 132mEq/L C.albumin 3.6 g/dl D. Potassium 4.0 mEq/L

B. Sodium 132 mEq/L

A nurse is evaluating an injection site for a client who had a mantoux skin test 48 hrs ago. The nurse finds a 10mm of induration with slight redness. Which of the following conclusions should the nurse make? A. Client has an active tuberculosis B. Client has been exposed to tuberculosis C. The nurse must reevaluate the result in 24 hrs D. The test is negative to tuberculosis

B. The client has been exposed to tuberculosis

A nurse is assisting with a client who has systemic lupus erythematosus. The client asks "what should I do to care for my dry skin?" which of the following responses should the nurse make? A. "Keep the lesions covered with a light sterile dressing when going outdoors" B. "rub lesions with an washcloth to dry after washing." C. "Apply lotion twice per day to dry skin" D. "Apply Antibiotic ointment twice per day to dry skin"

C. "Apply lotion twice per day for dry skin"

A nurse is reinforcing teaching with a client who has tuberculosis about a new prescription of rifampin. Which of the following statements by the client indicates an understanding of the teaching? A. "I should take this medication with food." B. "I need to take a B-complex vitamin while taking this medication" C. "I can expect this medication to turn my skin orange" D. "I can expect this medication to make my vision blurry." ​

C. "I can expect this medication to turn my skin orange"

A nurse in a provider's office is reinforcing teaching with a client who has a recent diagnosis of rheumatoid arthritis and a new prescription for naproxen tablets. Which of the following statements by the client indicates that further teaching is needed? A. "once I start this medication it will take 4 weeks for me to notice relief in my joints." B. "I can take an antacid with this medication for indigestion." C. "I can take this medication with aspirin" D. "The naproxen goes down easier when I crush it and put it in applesauce"

C. "I can take this medication with aspirin"

A nurse is reinforcing teaching with a client who has recent diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following statements by the client indicates an understanding of the teaching? A. "I should limit my exposure to sunlight" B. "I should avoid drinking alcohol" C. "I should not smoke" D. "I should limit my intake of foods that are high in purine"

C. "I should not smoke"

A nurse is reinforcing teaching with a client who has a diagnosis of hepatitis A. Which of the following statements by the client indicates an understanding of the teaching? A. "I am unable to donate blood" B. "I will need a booster shot of immune serum globulin every year" C. "I should stop eating raw clams" D. "I can get this disease by getting a tattoo."

C. "I should stop eating raw clams"

A nurse is reinforcing teaching about a client who tested positive for a dust allergy about reducing her exposure to this allergy. The nurse should determine that the client understands these instructions when she states which of the following? A. "I will begin vacuuming once per week" B. "carpeting my entire house will be expensive, but it will be worth it." C. "I will install an electrostatic filter in my furnace" D. "Installing curtains on the windows will help control the dust in the house"

C. "I will install an electrostatic filter in my furnace"

A nurse is reinforcing discharge teaching about foot care with a client who has diabetic neuropathy. Which of the following statements by the client demonstrates an understanding of the teaching? A. "I can use a heating pad on my feet to keep them warm." B. "I can go barefoot as long as I stay inside the house" C. "I will wash my feet daily and apply lotion, except for between my toes" D. "I will trim my toenails every morning, rounding the corners"

C. "I will wash my feet daily and apply lotion, except for between my toes"

A nurse is caring for a client who Tests positive for HIV. The client asks the nurse, "should I tell my partner that I am HIV positive?" which of the following is an appropriate nursing response? A. "That is your decision alone." B. "I would if I were you." C. "It sounds like you are unsure of what to say to your partner" D. "Your provider is required by law to notify your partner"

C. "It sounds like you are unsure what to say to your partner"

A nurse is observing skin of a client who has frost bite. The client has small blisters that contain blood and the skin of affected area does not blanch. Nurse should identify this injury as... A. 1st degree frost bite B. 2nd degree frost bite C. 3rd degree D. 4th degree

C. 3rd degree frost bite

A nurse in a clinic is collecting data from a client was diagnosed with mononucleosis 2 weeks ago. Which of the following findings should the nurse report to the provider immediately? A. Headache and fatigue B. Swollen lymph nodes in the neck C. Abdominal pain in the upper left quadrant D. Fever and sore throat

C. Abdominal pain in the left upper quadrant

A nurse is assisting with the development of a program to educate clients about measures to reduce risk of skin cancer. Which of the following should the nurse include? A. Re-apply sunscreen every 4 hrs during sun exposure B. Wear a sun visor instead of a hat when outside in the sun C. Avoid exposure to the midday sun D. Use a tanning booth instead of sunbathing indoors.

C. Avoid exposure to midday sun

A nurse in a dermatology clinic is using the ABCDE method while screening several clients skin lesions for cancer. Which of the following should nurse report to the provider? A. Symmetric shape B. Border regularity C. Color variation within a lesion D. Diameter >4mm

C. Color variation within a lesion

A nurse is screening a client for skin cancer. When reinforcing teaching with the client about skin cancer risk, which of the following risk factors should the nurse include? A. Cigarette smoking B. Low fiber diet C. Excessive exposure to uv light D. Human papillomavirus

C. Excessive exposure to UV light

A nurse is reinforcing teaching with a client who has systemic erythematosus and a new prescription for Prednisone. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication? A. Hypoglycemia B. Tendinitis C. Infection D. Weight loss

C. Infection

A nurse is caring for a client who has smoke inhalation and full thickness burns covering 63% of her body. Which of the following nursing actions is the nurse's priority? A. Monitor intake and output B. Administer antibiotics C. Monitor respiratory status D. Encourage fluid and food intake

C. Monitor respiratory status

A nurse is reinforcing teaching with a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia (PCP). Which of the following pieces of information should the nurse include in the teaching? A. "PCP is secually transmitted from person to person" B. "You were most likely exposed to a contaminated surface like a drinking glass" C. "PCP results from an impaired immune system" D. "you might have contracted pcp from a family pet"

C. PCP results from an impaired immune system

A nurse is assisting with the care of a client who has human immunodeficiency virus (HIV). Which of the following types of isolation should the nurse implement to prevent the transmission of HIV? A. Protective isolation B. Droplet Precautions C. Standard Precautions D. Airborne precautions

C. Standard Precautions

A nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should nurse expect to heal by primary intention? A. Partial-thickness burn B. Stage 3 pressure ulcer C. Surgical incision D. Dehisced sternal wound

C. Surgical wound

A nurse is collecting data from a client who is 3 days postoperative following abdominal surgery. The client's incision is slightly edematous, appears pink with crusting on the edges, and is draining serosanguinous fluid. Which of the following describes this incision? A. Incision is showing early signs of infection B. The incision is showing early signs of dehiscense C. The incision is showing signs of healing without complications D. The incision is showing signs of a developing fistula

C. The incision is showing signs of healing without complications

A nurse is collecting data from a client who has an exacerbation of herpes zoster. Which do the following manifestations of the client's skin should the nurse expect to see? A. Confluent, honey-colored, crusted lesions B. Large tender nodule located on a hair follicle C. Unilateral, localized, nodular skin lesions D. Fluid filled vesicular trash in the genital region

C. Unilateral, localized, nodular skin lesions

A nurse is caring for a client with Clostridium difficile who has contact isolation Precautions in place. Which of the following actions should the nurse take? A. Instruct visitors to maintain a distance of at least 1m (3ft) from the client B. Wash hands with antimicrobial soap after leaving the client's room C. Use dedicated equipment for the client D. Keep door to client's room closed at all times

C. Use dedicated equipment for the client

A nurse is reinforcing teaching with a client who has a large wound healing by secondary intention. The nurse should instruct the client that which of the following nutrients promote wound healing? A. Vitamin b1 B. Calcium C. Vitamin C D. Potassium

C. Vitamin C

A nurse is working with an assisted personnel (AP) assigned to bathe a client who has herpes zoster. The AP asks the nurse if herpes zoster is contagious. Which of the following responses should the nurse make? A. "Adults receive a natural immunity to herpes zoster from casual exposure to children who have had chickenpox" B. "Herpes Zoster is not contagious to individuals who received an MMR vaccine as an infant." C. "a client who has herpes zoster is not contagious if blisters are present on the skin" D. "Herpes zoster is contagious to people who have never had chickenpox"

D. "Herpes Zoster is contagious to people who have never had the chicken pox"

A nurse is collecting data from a 66 year old client during a routine physical examination at her first clinic visit. The client does not have her medical records. When the nurse asks if she has received the pneumoccal immunization, the client replies, "I am not sure, but it's been at least 5 years since I had any immunizations." which of the following responses should the nurse make? A. "Just in case you had the immunization before, we can't give you another" B. "you'll need a series of 3 injections" C. "the immunization is unsafe for people over the age of 65" D. "Let's go ahead with giving you this immunization"

D. "Let's go ahead with giving you this immunization"

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse plan to include in the teaching? A. "avoid the use of any NSAIDs" B. "Stop taking the corticosteroids when your symptoms resolve" C. "Exposure to UV light will help control skin rashes" D. "Monitor your body temperature and report any elevations promptly"

D. "Monitor your body temperature and report any elevations promptly"

A nurse is reinforcing with 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 bed and wheel chair every 2 hrs" B. "Make sure that you're caregiver massages your skin daily C. "use a rubber ring when sitting in the chair" D. "shift your weight in the wheelchair every 15 mins"

D. "shift your weight in the chair every 15 mins"

A nurse is collecting data from a client who is concerned about the possibility of contracting Lyme disease after being bitten by a tick. For which of the following manifestations of Lyme disease should the nurse monitor the client? A. A diffuse maculopapular rash B. Stiff, swollen, painful joints C. Double vision D. A progressive circular rash

D. A progressive circular rash

A nurse is contributing to the plan of care for a client with AIDS who has developed stomatitis. Which of the following interventions should the nurse recommend for the plan of care? A. Rinse the mouth with chlorhexidine solution every 2 hrs B. Limit fluid intake with meals C. Provide oral hygiene with a firm bristled toothbrush D. Avoid salty foods

D. Avoid salty foods

A home health nurse is contributing to a plan of care for a client who is receiving chemotherapy and has neutropenia. Which of the following foods should the nurse include in the client's plan of care? A. Soft boiled eggs B. Brie cheese made with unpasteurized milk C. Cold sandwiches made with deli meat D. Baked chicken

D. Baked chicken

A nurse is collecting preoperative date from a client who is about to undergo a cholecystectomy. The nurse should identify a risk for latex allergy when the client reports an allergy to which of the following foods? A. Cabbage B. Oatmeal C. Milk D. Bananas

D. Bananas

A nurse is caring for a client who is suspected to have tuberculosis. Which of the following findings should the nurse expect? A. Recent weight gain B. High fever C. Rhinitis D. Blood-streaked sputum

D. Blood streaked sputum

A nurse is reviewing laboratory data of a client who reports manifestations that suggest systemic lupus erythematosus. The nurse should expect an increase in which of the following parameters for a client who has SLE? A. Platelet count B. RBC count C. HCT D. Erythrocyte sedimentation rate (ESR)

D. Erythrocyte sedimentation rate (ESR)

A nurse is assisting with the admission of a client who is bedridden and was admitted from home. The nurse notes a shallow crater of the clients sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages? A. IV B. I C. III D. II

D. II

A nurse is collecting data from a client who had radioallergosorbent (RAST) testing completed due to seasonal allergies. The nurse should anticipate an elevation in which of these immubiglobulin lab values? A. IgM B. IgA C. IgG D. IgE

D. IgE

A community health nurse is reinforcing teaching about melanoma with a group of clients. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? A. Solid color B. Symmetrical shape C. Less than 6mm in diameter D. Irregular border

D. Irregular border

Nurse is caring for a client who has a regular occupational exposure to sunlight and presents to the clinic for evaluation of several skin lesions. Which of the following should alert the nurse to the possibility of malignant melanoma? A. A pearly papule that is 0.5 cm (0.20 inch) wide with raised in distinct border on the upper right shoulder B. Several flat pigmented, circumscribed areas of various sizes over the bridge of the nose C. 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. Irregularly shaped brown lesion blue areas on the neck

A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of malignant melanoma? A. Rough, dry, scaly B. Firm nodule with crust C. Pearly papule with an ulcerated center D. Irregularly shaped with blue tones

D. Irregularly shaped with blue tones

A nurse is reinforcing teaching with a client who has genital herpes about self management which of the following instructions should the nurse include in the teaching? A. Use an alcohol based soap to clean lesions B. Wear a condom during sexual activity when lesions are present C. Tke a Sitz bath once per day D. Pour running water over lesions when urinating

D. Pour running water over lesions when urinating (to relieve discomfort)

A nurse is collecting data from a client who has Kaposi sacroma. Which of the following findings should the nurse expect with this condition? A. No productive cough with a fever and shortness of breath B. Lesions on the retina that produces blurry visions C. Onset progression of dementia D. Reddish-purple skin lesions

D. Reddish-purple skin lesions

A nurse is contributing to the plan of care for a client who has been admitted for the treatment of a malignant melanoma of the upper leg without metastasis. The nurse should expect the provider to perform which of the following procedures? A. Curettage B. External radiation C. Regional chemotherapy D. Surgical incision

D. Surgical incision

The nurse is collecting data from a client who sustained superficial Partial-thickness and deep partial-thickness burns 72 hrs ago. Which of the following findings should the nurse expect to report to the provider? A. Edema in affected extremities B. Severe burn pain at the burn sites C. Urine output 30ml/hr D. temperature of 39.1°c (102.4°f)

D. Temperature of 39.1°c (102.4°f)

A nurse is reinforcing teaching about foot care with client who has diabetes mellitus. What instruction should the nurse include in teaching? A. Wear nylon socks and shoes every day B. Trim toenails by rounding the edges of the nail C. Apply lotion in between toes D. Test water temperature with wrist

D. Test water temp with wrist

A nurse is preparing to administer a mantoux skin test to a client. What is the purpose of a Mantoux skin test using purified protein derivative? A. To identify whether a client lacks immunity to tuberculosis B. To find out if a client has active tuberculosis C. To decrease the hypersensitivity of the clients reaction to ppd D. To identify whether a client has been infected with myobacterium tuberculosis

D. To identify whether a client has been infected with myobacterium tuberculosis

A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following pieces of information should the nurse include in the teaching? A. "wear nylon socks with shoes" B. "where flip flops instead of going barefoot when you're outside C."Apply moisturizer cream between your toes" D. "wash your feet daily using lukewarm water and soap"

D. Wash your feet daily using lukewarm water and soap