N320 Quiz 3

A nurse is providing information about a new prescription for corticosteroid cream to a client who has mild psoriasis. Which of the following should the nurse include in the information? (Select all that apply) A. Apply a occlusive dressing after application. B. Apply three to four times per day C. Wear gloves after application to lesions on the hands. D. Avoid applying in skin folds. E. Use medication continuously over a period of several months.

A, C, D,

A nurse is planning care for a client who has burn injuries. Which of the following interventions should be included in the plan of care? (Select all that apply) A. Use standard precautions when performing wound care. B. Encourage fresh veggies in diet C. Increase protein intake. D. Instruct client to consume 3,000 calories daily. E. Restrict fresh flowers in room

A, C, E

A nurse is instructing a client on a home care after a culture for bacterial infection and cellulitis. Which of the following information should be included in the teaching? Select all that apply A. Bathe with antibacterial soap B. Apply antibacterial topical medication to the crusted exudate C. Apply warm compresses to the affected area. D. Cover affected area with snug fitting clothing. E. Allow lesions to dry before applying topical medication

A, C, E.

A nurse is providing discharge instructions to a client who had a skin biopsy with sutures. Which of the following client statements indicates a need for further teaching? A. I can expect redness around the site for three days. B. I will call my doctor if I have a fever C. I should apply antibiotic ointment to the area. D. I will make a return appointment in 7 days for removal of my sutures

A. the client should report any redness to the provider

A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes they are 0.5 cm in size, elevated and solid, extends deep into the dermis with very distinct borders. Based on the findings, which of the following should the nurse document the presence of? A. papules B. Nodule C. Wheals D. Vesicles

b

A client with an undiagnosed lesion on the back of his right hand is concerned about the possibility of skin cancer. When the client asks about the most serious type of skin cancer is, the nurse responds based on the knowledge that most malignant tumors are A. basal cell carinomas B. melanomas. C. angiomas. D. squamous cell carcinomas

b

A nurse is caring for a client who sustained a thermal burn 4 days ago. Most of the burns are superficial partial-thickness, and deep partial-thickness, but there are large areas of full-thickness burns as well. Which assessment finding should the nurse report to the client's provider? A. edema in the burned extremities. B. temperature of 39.1 C (102.4 F) C. sever pain at the burn sites. D. urine output of 30 ml/hr

b

A client is admitted for treatment of a malignant melanoma of the left upper leg. Initially, the nurse plans to prepare the client for which of the following? A. cryosurgery B. external radiation therapy C. regional chemotherapy D. surgical excision

d

A client is hospitalized with extensive full thickness burns of both legs. In response to the client's questions, the nurse explains that during the acute phase of burn injury, biological dressing are used primarily to A. maintain range of motion. B. reduce fluid loss. C. relieve pain. D. promote healing

d

A nurse working in a providers office is assessing a client who has a severe sunburn. Which of the following is the proper classification of this burn? A. Superficial B. Superficial partial-thickness. C. Deep partial-thickness. D. Full-thickness

A

A nurse is assessing a client who has seborrheic keratosis on the forehead and nose. Which of the following manifestations should the nurse expect to find? (Select all that apply) A. waxy appearance of the lesions B. Black, rough lesions C. Pruritus of the lesions D. Purplish skin stain around the lesion E. Wartlike surface of the lesions

A, B, E,

When assessing a bedridden client admitted from home, the nurse notes a shallow crater in the epidermis of the clients sacral area. The nurse documents the presence of a pressure ulcer, noting that it is stage 1 2 3 4

2

A 15 year old girl was admitted with burns of her face and hands. Which statement indicates to the nurse that the client has adapted to her altered body image? A. "Can I go with my family to the visitor's lounge?" B. "I'll see friends when I get home." C. "My dad is here. Can I have pain medicine now?" D. "I told my cousins I'm in protective isolation"

A

A client arrives at the emergency department with a snakebite of the lower left leg. What should the nurse do? A. Immobilize the limb below the level of the heart. B. apply a tourniquet to the affected limb. C. Identify the type of snake causing the bite. D. Apply ice to the skin over the snakebite wound.

A

A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes they are 0.5 cm in size, elevated and solid, with very distinct borders. Based on the findings, which of the following should the nurse document the presence of? A. papules B. Macules C. Wheals D. Vesicles

A

A client has had a basal cell carcinoma removed by surgical excision. The nurse instructs the client to watch for indications of potential malignancy in other moles, including which of the following? A. ulceration B. blanching of surrounding skin. C. dimpling D. a raised appearance

A

A client is brought to the emergency department with severe frostbite. The nurse assessing the client knows the burned appearance of frostbitten tissue is a direct result of which of the following? A. red blood cell aggregation with microvascular occlusion B. histamine release with decreased capillary permeability C. tissue destruction by the ice crystals D. rewarming of previously damaged tissues

A

A client is being discharge after surgical excision of a malignant melanoma. Which statement indicates to the nurse as understanding of the dangers of ultraviolet light? A. I'll skip application of sunscreen on cloudy days B. I'll keep a tee shirt on when I go sailing so I don't get sunburned C. I'll reapply my sunscreen every 2 hours when I'm out in the sun. D. I'll use a sunscreen with a solar protection factor of at least 10 when I'm in the sun

C

A client is prescribed 1% silver sulfadiazine cream (Silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment the nurse suspects an adverse reaction to the medication when the client develops which of the following? A. hyponatremia B. leukopenia C. hyperchloremia D. hyperkalemia

B

A nurse is providing teaching to a client who has a prescription for methotrexate (Trexall) for severe psoriasis. Which of the following information should the nurse include? A. Drink a glass of wine daily B. Monitor for evidence of infection C. Monitor kidney function tests regularly. D. Expect increased bruising

B

A nurse is teaching a client who has a history of psoriasis about photochemotherapy and ultraviolet light (PUVA) treatments. Which of the following should the nurse include in the treatment? A. Apply coal tar before each treatment B. Administer a psoralen medication before the treatment. C. Use this treatment every evening. D. Remove the scales gently following each treatment.

B

A nurse plans to teach a group of young adults health promotion techniques to reduce the risk of skin caner. Which of the following should the nurse include? A. Use a topical hydrocortisone cream for sunburn. B. Avoid exposure to the midday sun. C. Wear a sun visor during early afternoon. D. Choose a tanning booth instead of a beach.

B

When targeting a group of clients for health teaching, the nurse should be aware that which group has the greatest risk for developing malignant melanoma? A. Clients who have brown eyes and are of Asian descent B. Clients who are fair-haired, fair-skinned, and of Celtic descent C. Clients who are olive-skinned, brown-eyed, and of European descent. D. Clients who are dark-skinned and of Native American descent

B

A nurse is educating a female client on the use of calcipotriene (Dovonex) topical medication for the treatment of psoriasis. Which of the following information should the nurse include? (Select all that apply) A. Recommended for facial lessons. B. Expect a stinging sensation upon application. C. Apply to the scalp. D. Obtain a pregnancy test. E. Limit application to skin folds

B, C, D, E

A nurse in the clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infestation. Which of the following actions should the nurse take? (Select all that apply) A. Scrape the site with a wooden tongue depressor B. Puncture the crested area with a sterile needle C. Swab the crested area with a sterile cotton-tipped applicator D. Place the cotton tip applicator in culturette tube E. Place tube in ice.

B, D, E

A client with a large healing deep partial-thickness burn of the forearm and wrist is being discharged from the burn treatment clinic. Which of the following should the nurse tell the client to avoid for a year? A. Immersion in water B. Sports that require wrist motion C. Exposure to the sun D. Application of topical lotions

C

A nurse is bathing a client with burn injuries in a hydrotherapy tub. The nurse limits the client's hydrotherapy sessions to no more than 30 mins to A. minimize bleeding. B. prevent cross contamination. C. minimize sodium loss. D. prevent hyperthermia

C

A nurse is caring for a client who has sustained burns to 35% of his total body surface area. Of this total, 20% are full-thickness burns on the arms, face, neck, and shoulders. The client's voice is hoarse, and he has a brassy cough. These findings are indicative of which of the following? A. Pulmonary edema B. Bacterial pneumonia C. Inhalation injury D. Carbon monoxide poisoning

C

A nurse is preparing to administer fentanyl (Sublimaze) to a client who was admitted 24 hrs ago with deep partial-thickness and full-thickness burns over 60% of his body the nurse should plan to use which of the following routes to administer this medication? A. Subcutaneous B. IM C. IV D. Transdermal

C

A nurse on a surgical unit is caring for four clients with healing wounds. Which of the four clients' wounds should the nurse anticipate will heal by primary intention? A. deep partial-thickness burn B. stage 3 pressure ulcer C. Gastroplasty incision D. dehisced sternal wound

C

To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and which of the following? A. Iron B. Folate C. Vitamin C D. Potassium

C

A nurse is providing teaching a client with a new prescription for clotrimazole (Lotrimin). Which of the following should be included in the teaching by the nurse? A. It reduces the discomfort of a herpetic infection B. This is a cream to treat a bacterial infection. C. Apply the topical medication for up to 2 weeks. D. Allow the area to remain moist before applying.

C Treats fungus infection. May take up to two weeks

A nurse is caring for a client who was admitted 24 hours ago with a deep partial-thickness and full-thickness burns to 40% of his body. Which of the following are expected findings with this client? (Select all that apply) A. Hypertension B. Bradycardia C. Hyperkalemia D. Hyponatremia E. Deceased hematocrit

C, D

A nurse is caring for a client who has a suspected viral skin lesion. Which of the following laboratory findings should the nurse anticipate reviewing to confirm this diagnosis? A. Potassium hydroxide (KOH) B. Culture and sensitivity C. Tznack smear report D. Biopsy

C. Tznack smear report

A client is about to undergo a biopsy of a 6-mm, bluish-red lesion. In addition to a thorough skin examination, the nurse knows the most critical assessment to be made at this time is the status of the client's A. cardiovascular system B. pulmonary function C. white blood cells. D. regional lymph nodes

D

A nurse teaches a wheelchair bound client to reduce the risk of pressure ulcer formation by instructing the client to which of the following? A. move between the bed and the wheelchair every 2 hours B. Make sure that your personal assistant massages your skin daily. C. Be certain to eat a diet that is high in both fiber and fluids D. shift your weight in the wheelchair every 15 minutes

D