Chapter 75 Exam - Skin Disorders

Tinnitus

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client knowing that which would indicate the presence of systemic toxicity from this medication?

Administer psoralen medication before the treatment

A nurse is reinforcing teaching with a client who has a history psoriasis about photochemotherapy and ultraviolet light (PUVA) treatments. Which of the following instruction should the nurse include in the teaching?

Place the child in a bath with with colloidal oatmeal.

A nurse is reinforcing teaching with the parent of a child who has contact dermatitis. Which of the following information should the nurse include?

Sanguineous

bloody

Superficial thickness

damage to epidermis

debridement

to remove loose skin, crusts, or denuded tissue

Cryotherapy

treatment of applying liquid nitrogen to remove warts

Axilla

The nurse is applying a topical corticosteroid to a client with eczema. The nurse should monitor for the potential for increased systemic absorption of the medication if the medication is being applied to which body area?

Apply a dressing that allows oxygen to pass through

The nurse is assessing the skin on a client who is immobile and notes the presence of a stage 2 pressure ulcer in the sacral area. Which nursing actions will encourage healing of a stage 2 pressure ulcer?

"I should apply an antibiotic ointment to the area."

A nurse is reinforcing discharge instructions with a client who had a skin biopsy with sutures. Which of the following client statements indicates that the teaching has been effective?

Warts

A client with a skin disorder is undergoing electrodesiccation. For which disorder is this a common treatment?

Intravenous

A nurse is assisting with the care of a client who sustained deep partial-thickness and full-thickness burns over 60% of his body 24 hr ago and is requesting pain medication. The nurse should ensure the medication is administered using which of the following routes to administer medication?

Urinary retention

A nurse is caring for a client who has contact dermatitis and a new prescription for diphenhydramine. For which of the following adverse effects should the nurse monitor?

Inhalation injury

A nurse is caring for a client who has sustained burns over 35% of his total body surface area. Most of the burns are full thickness burns on the arms, face, neck, and shoulders. The client's voice has become hoarse. He has a brassy cough and is drooling. These findings are indications of which of the following? Carbon monoxide poisoning

Indicate which are malignant (M) or benign (B) for the following neoplasms: (5 points)

Basal cell carcinoma M Pigmented nevi B Angiomas B Squamous cell carcinoma M Keloids B

The burn has probably caused laryngeal edema, which has occluded the airway.

The nurse is caring for a client who has just been admitted to the nursing unit after receiving flame burns to the face and chest. The nurse notes a hoarse cough, and the client is expectorating sputum with black flecks. The client suddenly becomes restless, and his color becoming dusky. The nurse should interpret this data as indicating which?

Heart rate less than 120 beats per minute

The nurse is caring for a client who has third-degree burns on 25% of her body. Which is a goal for this client when managing fluid and electrolyte balance?

Nails for shape, contour, color, thickness and cleanliness. Facial and body hair for distribution, color, quantity and hygiene. Skin for color, integrity, scars, lesions, and signs of breakdown.

The nurse is conducting a focused evaluation on a postoperative client's integumentary system. Which priority objective physical examination assessments are related to inspection? (Select all that apply.)

Use medicated bath oil instead of soap

The nurse is preparing a therapeutic bath for client recovering from third-degree burns. Which guideline is recommended for this procedure?

Wear a gown and gloves

The nurse is told that an assigned client is suspected of having methicillin-resistant Staphylococcus aureus (MRSA). Which precautions should the nurse institute during the care of the client?

Monitor the client's respiratory status.

What is the priority nursing intervention for a client with minor burns on 20% of his head and neck?

Low self-esteem

What is the priority observation of the nurse caring for a client diagnosed with psoriasis?

Large concentration of sebaceous glands.

What makes the eyebrows a common site for seborrheic dermatitis to develop?

laceration

What term is used to identify a soft tissue cut caused by a serrated knife?

Lightly slap the itching area Keep fingernails short. Rinse the clothes in clear water

Which interventions should be introduced to a client for the treatment and prevention of rashes? (Select all that apply.) (1 point)

Feet Eyes Lips Tongue

Which locations on the body would the nurse assess to confirm the presence of angioedema? (Select all that apply.) (1 point)

High calorie, high protein

Which types of diet would be prescribed for a client with a third-degree, full thickness burn on 30% of the body?

A client with third-degree burns on his hand

Which would be the most likely candidate for a pedicle graft?

purulent

Yellow, gray or green drainage due to infection

pruritis

itching

neoplasm

means new growth

folliculitis

staphylococcal infection starting around the fair follicle

Radiation

How would the nurse classify the source of a sunburn?

Triglyceride level

Isotretinon (Amenesteem, Clavaris.) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Serous

clear, watery plasma

Apply warm compresses to the affected areas.

A nurse is reinforcing teaching with a client on home care after a culture for a bacterial infection and cellulitis. Which of the following information should the nurse include?

Ambulation three times daily

After 7 days of wound care, a client who has a well-granulated pressure ulcer reports to the nurse, "I'm feeling better overall." Which nursing intervention most likely contributed to the client's feelings?

Deep full thickness

Damage to all layers of the skin; extends to muscle; tendons; and bones.

Deep partial thickness

Damage to the entire epidermis and deep into the dermis.

22.5%

An adult client trapped in a burning house suffered burns to the back of the head, the upper half of the posterior trunk, and the back of both arms. Using the rule of nines, the nurse determines the extent of the burn injury to be which percentage?

Write the correct sequence order of actions to take in the ER for a client with a burn injury.

Assess for airway patency Administer oxygen as prescribed Obtain vital signs Assist to initiate an IV line and begin fluid replacement as prescribed Elevate the extremities Keep the client warm and place the client on NPO status

Full thickness

Damage to the entire epidermis and dermis; can extend into subq tissue; nerve damage

superficial partial thickness

Damage to the entire epidermis and some parts of the dermis

Serosanguineous

Pink-colored due to presence of a small amount of blood cells/mixed with serous

Color: color is not uniform and has verying shades

The American Cancer Society has developed a helpful ABCDE rule for evaluating a mole. Which is one of these guidelines?

Follow standard precaution procedures.

The nurse is applying a moist dressing on the arm of a client with acute dermatitis. Which nursing intervention would be appropriate?