MedSurg 1 Integumentary Disorders Tutorial

A nurse is making the initial assessment of a burned adult in the emergency room and observes the entire right arm, both anterior and posterior, right anterior leg, chest and abdomen. Based on the rule of 9 what percentage is burned?

36%

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?

Athletes foot

When transferring a client to a chair, a nurse notices the pressure relieving mattress overlay has deep imprints of the client's buttocks, heels and scapulae. Which action should the nurse implement?

Apply a different pressure relieving device.

A nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which indicates the mother fully understands when administering antibiotic?

48 hours after using the antibiotic ointment.

What is your expected finding with patient with SLE?

A butterfly facial rash

On assessment, a linear crack from the epidermis to the dermis is noted at the corner of the patient's foot. How should the nurse document this finding?

A fissure

A nurse is inspecting a lesion on the client who has basal cell carcinoma. Which of the following findings should the nurse expect?

A pearly, shiny nodule

In reviewing the medical records, the nurse notes the client's medications include isotretinoin (Accutane). The nurse recognized the client is being treated for what?

Acne

In a patient who has herpes zoster, what is the antibiotic of choice?

Acyclovir

A nurse is caring for a 35 year old adult with diagnosis of eczema. Which nursing intervention is appropriate for a patient with eczema?

Administer tepid baths and use moisturizers immediately after the bath

Burn wound is periodically debrided using hydrotherapy. Which nursing intervention is essential either before or after the therapeutic modality?

Administering a prescribed analgesic.

A nurse is caring for a client who has partial thickness to full thickness burns to his head, neck, and chest. The nurse should recognize which of the following is a priority risk to the client?

Airway obstruction

A nurse is contributing to the care of a client for a school age child with moderate partial thickness burns to both lower extremities. Which of the following interventions should the nurse include ?

Allow the child to set their own schedule for care

A nurse is contributing to a plan of care with a client who has herpes zoster. Which of the following actions should the nurse recommend in the plan of care?

Apply cold compresses to the effected area

A nurse is caring for a patient who has burns to his face, ears, and eyelids. Which is the priority finding to report to the provider?

Difficulty swallowing

A nurse is checking a school age child for pediculosis capitis. Which of the following findings is a definitive indication of this condition?

Firmly attached white particles on the hair

A client complains of burning pain in his lower thoracic area. Upon inspection, there is an area that is found to be erythematous and edematous with a cluster of vesicles on one side of the body. What do you suspect?

Herpes Zoster

A nurse is caring for a patient with partial and full thickness burns to 65% of the body. When planning nutritional intervention for the patient, what dietary choices should the nurse implement?

High calorie and high protein foods

The nurse is planning care for a client with burns on the upper torso. which of the following nursing diagnosis takes the highest priority?

Ineffective airway clearance

A nurse is caring for a client who comes to a provider's office for treatment of acne vulgaris on her cheeks. Which of the following instructions should the nurse reinforce to this client?

Minimize sun exposure

A nurse is caring for a client who has recurring herpes simplex type 1 lesions. A nurse should perform focused assessment on which of the following areas of the client's body?

Mouth

A nurse is collecting data from a client who has herpes zoster or shingles. Which of the following is an expected finding?

Painful vesicles following a nerve pathway.

A nurse is collecting data from a client with SLE. Which of the following is the highest priority to report to the provider?

Presence of peripheral edema.

A nurse is caring for a child who has atopic dermatitis. Which of the following finding should the nurse expect?

Rashes with thick skin

When examining the client's skin who has psoriasis, which finding would the nurse expect to observe?

Red skin patches covered with silvery scales

In a patient admitted with cellulitis of the left foot, which clinical manifestation or symptoms would the nurse expect to find on assessment of the left foot?

Redness and swelling

A nurse in a provider's office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?

Scaling and redness between the toes

The home health nurse is assessing skin lesions using the PQRST mnemonic as a guide. What does the "S" in this guide indicate?

Severity of the symptoms

Impetigo contagiosa is highly contagious inflammatory skin disorder diagnosed by inspection and symptom manifestation. Diagnostic test is preformed, culture taken from exudate to isolate the causative agent. What is the causative agent?

Staphylococcus and streptococcus aureus.

A nurse is reinforcing teaching with a 20 year old patient who has atopic dermatitis. Which of the following information should the nurse include?

The doctor might recommend an antihistamine to control your symptoms.

A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed rest. Which of the following actions should the nurse take?

Turn your patient every two hours

A nurse is instructing a mother about caring for a child who has impetigo contagiosa. Which of the following should the nurse care plan include?

Wash the child's clothes in tepid water.

In report, the nurse finds the assigned client is suspected of having scabies. Which precaution will the nurse institute during the care of the client?

Wearing gown and gloves

A nurse in a provider's office is collecting data from a client who has systemic lupus erythematosus (SLE) and takes hydroxychloroquine (Plaquenil) to reduce skin inflammation. The nurse should identify the adverse effects of taking hydroxychloroquine.

blurred vision

A nurse treatment plan includes using open method of burn wound management. It is most appropriate to use this method for which of the following complications?

infection