Ch 61: Practicing for NCLEX
A patient has a moisture-retentive dressing for the treatment of a sacral decubitus ulcer. How long should the nurse leave the dressing in place before replacing it?
12-24 hours
The nurse is changing the dressing of a chronic wound. there is no sign of infection or heavy drainage. How long will the nurse leave the wound covered for?
48-72 Hours
A patient is being treated for chronic venous stasis ulcers of the lower extremities. What medication does the nurse understand will increase peripheral blood flow by decreasing the viscosity of blood and assist with the healing of the ulcers?
Pentoxifyline
A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse where this was "caught". What is the best response by the nurse?
Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin
The nurse is assessing a patient for psoriatic lesions after tx with a nonsteroidal cream. What type of lesion does the nurse know is a characteristic of psoriasis?
Red, raised patch covered with silver scales
A patient reports sever itching that intensifies at night. The nurse assesses the skin using a magnifying glass and penlight to look for the "itch mite". What skin condition does the nurse anticipate finding?
Scabies
The nurse is caring for a patient with extensive bullous lesions on the trunk and back. Prior to initiating skin care, what is a priority for the nurse to do?
Administer analgesic pain medication
A patient is diagnosed with seborrheic dermatitis on the face and is prescribed a corticosteroid preparation for use. What should the nurse educate the patient about regarding use of the steroid on the face?
Avoid using the medication around the eyelids because it may cause cataracts and glaucoma.
A patient has developed a boil on the face, and the nurse observes the patient squeezing the boil. What complication should the nurse discuss with the patient after encouraging him or her not to manipulate the boil?
Brain abscess
The nurse should assess all possible causes of pruritis for a patient reporting generalized pruritis. What does the nurse understand can be other causes for this condition?
End-stage kidney disease
A patient is advised to apply a suspension type lotion to a dermatosis site. The nurse should advise the patient to apply the lotion how often to be effective?
Every 3 Hours
A patient is being evaluated for nodular cystic acne. What systemic pharmacologic agent may be prescribed for the treatment of this disorder?
Isotetinoin
The nurse is instructing the patient in how to apply a corticosteroid cream to lesions on the arm. What intervention can the nurse instruct the patient to do to increase the absorption of the medication?
Apply an occlusive dressing over the site after application
The nurse is assessing a patient with toxic epidermal necrolysis (TEN). What assessment data would indicate that the patient may be progressing to conjunctivitis? SATA
Pruritis of the eyes Burning of the eyes Dryness of eyes
What should the nurse assess for to determine if a patient using corticosteroids for a dermatologic condition is having local side effects? SATA
Skin atrophy, Striae, Telangiectasia
