EAQ: Integumentary

Which finding would a nurse expect when assessing a diabetic client receiving long-term corticosteroid therapy admitted to the hospital with leg ulcers?

Inadequate wound healing

Which information about the occurrence of alopecia would a nurse discuss with a client scheduled to receive chemotherapy after surgery for cancer?

It is not permanent.

Which form of skin cancer is associated with human immunodeficiency virus (HIV) infection?

Kaposi sarcoma

Which change in hair is responsible for white hair observed in a 23 year old client?

Decreased melanocytes

Which complication would the nurse state is a serious side effect of x-rays?

Desquamation

Which test would the client undergo to diagnose systemic lupus erythematosus?

Direct immunofluorescence test

Which condition would a nurse suspect in a client with pitting edema?

Kidney disease

Which method for putting out flames is most effective and would be discussed by a nurse teaching campfire safety to a group of community members?

Log-roll the victim in the grass.

Which event occurs soon after the time of injury in a client who sustained minor skin injuries from an accident?

Migration of leukocytes to the site of injury

A client is admitted with extensive bone and soft-tissue injuries to the leg. Sterile dressings are applied. Two days later, when removing the dressings, the nurse finds that one of the dressings has adhered to tissue in several places. Which action would be taken by the nurse to loosen the dressings?

Moisten the dressing with sterile saline.

Which symptom would the nurse observe in a client diagnosed with herpes zoster infection?

Pain and vesicles along a nerve pathway

Which feature does the nurse associate with a stage 2 pressure ulcer?

Presence of non-intact skin

Which expected response does a nurse need to address in the plan of care of a client with pemphigus vulgaris?

Skin lesions

Which process is an example of third spacing in a burn injury?

Blister formation

Which client has the least chance of a false-positive result while undergoing assessment of capillary refill time?

Client with epilepsy

Which manifestation is characterized by eczematous eruptions with well-defines geometric margins?

Contact dermatitis

Which intervention for itching would the nurse determine puts the client at risk for injury?

Addition of oils to the bath water

Which location of a fungal infection relates to tinea cruris?

Groin

Which response would the nurse give to a client who asks, "What is causing my acne?"

Increased androgenic hormones

Which complication may be caused by sepsis in burns?

Paralytic ileus

Which response would the nurse give to a client who asks, "What is the cause of my psoriasis?"

"Psoriasis is an autoimmune disease where your skin cells divide more rapidly than normal."

A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be avoided. Which response by the nurse is appropriate?

"Scratching results in skin breaks that can lead to infection."

A nurse is caring for an older adult admitted to the hospital for dehydration. While the nurse is providing discharge teaching, the client says, "What should I do about my dry skin? It is so itchy." Which response by the nurse is appropriate?

"Use a moisturizer on the skin daily to help reduce itching."

Which response would a nurse give to a client who just had a total hip replacement and states that the plan is to go swimming at the community pool the day after discharge?

Explain that the incision should not be immersed in water until it has healed.

Which intervention will decrease the occurrence of pressure ulcers when caring for a client with quadriplegia?

Frequent repositioning of client

Which type of infection would the nurse expect to find in the nails of a client who has artificial nails applied and reports redness, swelling, and pain around the nails?

Fungal infection

Which precaution would the nurse take when examining a client with herpes simplex?

Gloves

Which information would a nurse consider when planning care for a client with scabies?

Highly contagious

Which conclusion is made by a nurse who admits a client receiving patient-controlled analgesia (PCA) after surgery?

The client is able to self-administer pain-relieving drugs as necessary.

Which area of the body would the nurse list as being susceptible to fungal infection? (Select all that apply.) Feet Hand Groin Lungs Mouth

All of the above

Which condition can trigger a recurrence of an active herpes simplex infection? Select all that apply Fever Fatigue Trauma Sunburn Emotional distress

All of the above

Which sign would the nurse observe in a client with an inhalation injury in addition to a burn injury? Cough Facial burns Restlessness Black soot around mouth and nose Elevated carboxyhemoglobin levels

All of the above

Which treatment applies to pruritus? Select all that apply Lubricants Emollients Corticosteroids Antihistamines Stress management Avoidance of known irritants

All of the above

Which alteration in skin color would be observed in a client diagnosed with methemoglobinemia?

Blue

Which mode of transmission would a nurse include in a teaching session for clients with fungal infections when explaining how tinea infections are spread?

By direct contact or by inanimate objects

Which recommendation would a nurse include to a client with psoriasis when providing health teaching concerning skin care at home?

Apply moisturizing lotion several times a day.

Which action would a nurse explain as the next step to take after the flames are extinguished when a person's clothes catch on fire?

Assess the person's breathing.

For which purpose would aesthetic surgery be performed? (Select all that apply.) To repair scars To eliminate benign lesions To correct developmental defects To restore body contours after radical surgery To restore features damaged by trauma or disease To alter a body feature the client perceives as unattractive

To alter a body feature the client perceives as unattractive

Which action by a family member of a client with a wound requiring sterile dressings would indicate the need for additional teaching?

Using a back-and-forth motion while cleaning the wound