Skin Disorders

vitiligo

Areas of skin completely lacking pigmentation; localized loss of skin pigmentation characterized by milk-white patches

The nurse reinforces instructions to a group of a clients regarding measures that will assist with the prevention of skin cancer. Which statement by a client indicates the need for further teaching? A. I need to wear sunscreen when participating in outdoor activities B. I need to avoid sun exposure before 10am to 3pm C. I need to wear a hat, opaque clothing, and sunglasses when in the sun. D. I need to examine my body monthly for any lesions that may be suspicious

B. I need to avoid sun exposure before 10am to 3pm

The following are benign neoplasms except?

Basal cell carcinoma

A nurse prepares to assist the physician in examining the clients skin with a woods light. Which of the following would be included in the plan for this procedure?

Darken room for the examination

The following systematic antibiotic is a treatment for impetigo?

Dicloxacillin

What key symptom would a second degree burn wound show?

Fluid-filled vesicles

The following solution used on moist dressings is also known as Burrow's solution?

Silver Nitrate

Folliculitis

Staphylococcal infection tarting around the hair follicle; inflammation of the hair follicles

Important nursing data to collect in clients with angioedema associated with urticaria includes observation for?

Swelling around the eyes

fissure

a linear crack in the skin

An important safety information to include in teaching a client who is prescribed antihistamines for pruritus is?

a warning of not driving or work around machinery

The goal for treatment of skin condition is?

comfort and treatment of systematic problems

Inflammation of the skin is called

dermatitis

cryosurgery

destruction of tissue by using extreme cold, often by using liquid nitrogen

crust

dried residue of exudates

plaque

large, flat, elevated solid surface

new growth

neoplasm

tumor

nodule that extends deep into the dermis

debridement

removal of foreign material and dead or damaged tissue from a wound

Vesicle

small, distinct elevation with fluid

Tzanck smear

smear used to examine cells and fluids from vesicles

scale

thin or thick flake of skin

graft

transplantation of living tissue

angioma

tumor composed of blood vessels; known as birthmarks

Impetigo

vesicles formed by bacteria, usually in infants and young children

The nurse teaches a client the following to prevent or reduce pruritus?

wear cotton clothing

A nurse reinforces instructions to a client who has complained of chronic dry skin and episodes of pruritus. Which of the following if stated by the client indicated the need for further teaching?

"I should use a dehumidifier especially during the winter nights"

A client is scheduled for for a skin biopsy asks the nurse how painful the procedure is. The most appropriate response by the nurse is?

"The local anesthetic may cause a burning or stinging sensation."

A nurse is caring for a client with a new skin disorder site that was harvested to treat a burn. The nurse should position the client to?

1. Allow ventilation of the site 2. avoid pressure on the site 3. Keep the site elevated 4. Keep the donor site dry and open to air

A nurse us reviewing the health record of a client with a lesion diagnosed as malignant melanoma. The nurse most likely would expect to find which characteristic of this type of lesion documented in this clients health record? 1. An irregularly shaped lesion 2. A small papule with a dry, rough scale 3. A firm, nodular lesion topped with crust 4. A pearly papule with a central crater and a waxy border

1. An irregularly shaped lesion

The nurse inspects the oral cavity of a client with candidiasis (thrush) how to care for the disorder. Which of the following should not be included in the instruction? 1. Rinse the mouth 4 times a day with a commercial mouthwash 2. Avoid spicy foods 3. Avoid citrus juices and hot liquids 4. Eat foods that are liquid or puree

1. Rinse the mouth 4 times a day with a commercial mouthwash

Which are appropriate for applying moist packs?

1. Soak the pack in the solution and apply semi dripping 2. Keep the pack wet as ordered 3. Change or resaturate the pack every 2 hours 4. Protect the bed from contact with the solution 5. Protect the nurse's body from contact with the solution 6. Protect the rest of the clients body from contact with the solution

A client undergoes a circular skin punch biopsy to confirm a diagnosis of skin cancer. Immediately following the procedure, the nurse should observe the site for: 1. infection. 2. dehiscence. 3. hemorrhage. 4. swelling.

3. Hemorrhage The nurse's main concern following a circular skin punch biopsy is to monitor for bleeding. Dehiscence is more likely in larger wounds such as surgical wounds of the abdomen or thorax. Infection is a later possible consequence of a skin punch biopsy and swelling is a normal reaction associated with any event that traumatizes the skin.

What is the best method for preventing hypovolemic shock in a client admitted with severe burns? 1. Administration of dopamine 2. Application of medical anti-shock trousers 3. Infusion of IV fluids 4. Infusion of fresh frozen plasma

3. Infusion of IV fluids

Which of the following is found in scabies? 1. Vesicles or pustules with a thick, honey colored crust 2. White patches scattered around the trunk 3. Red spots with rows of blackish dots 4. Patch hair loss and round red macules with scales

3. Red spots with rows of blackish dots

A client is admitted with a suspected maligant melanoma on his left shoulder. When performing a PA, the nurse would expect to find which of the following? 1. a brown birthmark that has lightened in color 2. an area of petechiae 3. a brown or black mole with areas of blue and irregular borders 4. a red birthmark that has recently became darker

3. a brown or black mole with areas of blue and irregular borders

Which of the following precautions should the nurse take in caring for a client with scabies? 1. wear a mask and gloves 2. wear gloves only 3. wear a gown and gloves 4. avoid touching the clients clothes

3. wear a gown and gloves

The nurse provides home care instructions to a client diagnosed with impetigo. Which statement by the client indicates the need for further instruction? 1. "I need to continue with the antibiotics as prescribed." 2. "I need to wash my hands thoroughly and frequently throughout the day." 3. "I should wash my dishes separately from those of other household members." 4. "It is not necessary to separate my linen and towels from those of other household members."

4. "It is not necessary to separate my linen and towels from those of other household members." must not wash laundry with other family members laundry

wheal

A localized area of edema, often irregular and of variable size and color

nodule

A palpable, solid, elevated mass

The treatment of choice for children over 2 years of age and non pregnant adults with scabies is?

Lindane (KWell)

A nurse reinforces discharge instructions regarding skin care to a client after grafting to burn injuries sustained on the left chest and left arm. Which of the following would not be a component of the discharge instructions?

Never wear warm clothing over newly healed skin area

Which of the following individuals would be at the greatest risk for developing a skin disorder?

Outdoor construction worker

Theraputic baths are used for which of the following purposes?

Promote wound healing

Deficient fluid volume

R/T burn trauma

Excess fluid volume

R/T edema

Risk for infection

R/T laceration, rash, skin, lesions

Impaired social interaction

R/T negative body image (acne) disfigurement

ineffective breathing pattern

R/T pain