WGU Patho D236 Integumentary

A school-age patient diagnosed with Stevens-Johnson syndrome is admitted to the hospital. Which symptom does the nurse find in this patient?

A bull's-eye lesion

While reviewing the medical record of a client with a skin disorder, the nurse finds the term"lichenification" in the record. Which symptom does the nurse anticipate assessing in this client?

A hardening or thickening of the skin with markings

The nurse is assessing a client with a spider bite. The client is seeking medical care because of recent development of cramping, pain, weakness, fever, sweating, nausea, and vomiting. Which conclusion does the nurse draw based on the client's manifestations?

A systemic reaction is occurring.

While assessing a patient, the nurse finds evidence of superficial burns. Which treatment does the nurse anticipate to be beneficial for this patient?

Analgesics

The nurse is performing an assessment on a young adult client who presents with a skin infection related to trauma. The nurse notices lineal scars in the location of the infection and reports the finding to the health-care provider. Which initial prescription does the nurse expect?

Antibiotics

Which disorders are precursors to malignant melanoma?

Dysplastic nevus Lentigo maligna

The nurse finds the medication betamethasone in the prescription of a patient with a skin disorder. Which skin disorder does the nurse suspect in the patient?

Eczema

A new nurse on a burn unit is assisting the regular nurse in caring for a client in the emergent phase with deep partial-thickness burns on almost 60% of the body. Which action by the new nurse requires correction by the regular nurse?

Encouraging a low-liquid diet for the client

A nurse in an emergency department is caring for a patient with thermal burns on 30% of the body. Which nursing intervention prevents the risk of burn shock in the patient?

Ensuring adequate fluid resuscitation

The nurse is providing care for a toddler admitted to the burn unit for scalding burns to both legs.During assessment, the nurse notices diminished pedal pulses and cyanotic skin color to the left leg. The toddler cries without provocation. For which reason does the nurse contact the health-care provider immediately?

Evidence indicates development of compartment syndrome.

Parents bring a child to the emergency department because of the ingestion of a corrosive cleaner. Which physical manifestation does the nurse specifically expect to find during assessment?

Gray coloring of the skin

A client with partial-thickness burns is hemodynamically unstable. By which route does the nurse administer analgesics to the client?

IV

While caring for a patient with thermal injury of approximately 50% of the total body surface area (TBSA), the nurse assesses stridor in the patient. Which is the priority nursing intervention for this patient?

Intubating the patient

A patient with an electrical burn to one hand and arm is admitted to the intensive care unit (ICU). Entrance and exit wounds of electricity exhibit full-thickness burns, with partial-thickness and superficial burns to the remaining area. Which nursing intervention is appropriate before the first prescribed dressing change?

Medicate with an IV opioid before changing the dressing

Albinism is a defect in what pigment?

Melanin

A fair-skinned 64-year-old male patient presents to the clinic with an 8mm purplish-black, flat, irregularly shaped lesion over his left shoulder-blade. The patient is unsure of how long he has had the lesion and only presented after his spouse thought the lesion was getting larger. Which diagnosis is most likely?

Melanoma

While assessing a client, the nurse finds the client's cheek epidermal skin is dry, reddened, and warm. The client reports pain and tenderness at the area. Which cause does the nurse suspect for the condition?

Overexposure to the sun

While caring for a client with full-thickness burns, the nurse finds the client is exhibiting manifestations of Curling's ulcer. Which classification of medication does the nurse anticipate being prescribed for the client?

Proton pump inhibitors

Which physiological change can be observed in the prodromal stage of radiation burns in a client who has been exposed to 200 rads?

Pruritis

While caring for a client with a skin disorder, the nurse finds wheals on the skin, as well as swelling of the eyes, face, lips and mucous membranes of the client. Which reason does the nurse attribute to this disorder?

Release of histamine from mast cells

A nurse is caring for a client with severe bleeding from the right hand due to an injury acquired while working in a uranium mine. Which is a priority nursing intervention for the client?

Removing and bagging the client's clothes and shoes

The nurse is preparing teaching material for a community presentation about the prevention of skin cancer. Which factor presents a dilemma for the nurse regarding conflicting information?

Vitamin D production

A patient presents to the primary care office concerned about irregular patches of skin on the neck and arms that appear white. The patches are flat and smooth but burn easily in the sun. Which diagnosis is most likely?

Vitiligo

Which zone exhibits the greatest degree of thermal injury within the skin?

Zone of coagulation

You receive a patient who has experienced a burn on the right leg. The burn has small blisters, is markedly pinkish red and has a shiny and moist appearance. When the patient is asked about pain level, the patient describes it as severe. What level of burn does this patient present?

Second degree (partial thickness)

While caring for a client with a skin disorder, the nurse observes a cherry-red, dome-shaped papule over the abdomen of the client. Which skin disorder does the nurse anticipate in this client, based on this finding?

Senile angiomas

While treating a client diagnosed with melanoma, the health-care provider also finds tumors in the liver. Which is the stage of melanoma for the client, based on the health-care provider's finding?

Stage IV

An adolescent male patient is brought to the emergency department after spending a long day at the beach. The patient's head, neck, and trunk from the waist upwards and legs from the knees downward are bright red and edematous. The patient is crying and reports 8 out of 10 on the pain scale and an inability to find a comfortable position. What is the most likely classification of this burn?

Superficial

A client arrives in the emergency department with burns. After assessing a client, the nurse determines there is no need for a diagnostic evaluation of the burns. Which type of burns does the nurse identify on the client?

Superficial burns

After assessing the burns on a client, the nurse documents the finding as "first-degree burns" in the client's medical records. Which assessment finding supports the nurse's documentation?

Superficial burns

While caring for a client with an autoimmune skin disorder, the nurse observes a red butterfly-patterned lesion over the client's nose and cheeks. After reviewing the skin biopsy reports, the nurse also finds deposits of immunoglobulin M (IgM) in the lesions. Which skin disorder does the nurse expect to find in the medical record of this client?

Systemic lupus erythematosus

While assessing a patient, a nurse finds the skin on the wrist appears pearl-pink, wet, and blistered and the patient's dermis is exposed. The patient reports exposure to nearly boiling water. Which diagnosis does the nurse make?

The patient has superficial partial-thickness burns.

Which patient is at high risk for psoriasis?

The pt who has a history of skin trauma The pt who uses the medication lithium The pt who uses the medication Plaquenil

The nurse is providing care for a patient after a recent skin biopsy is positive for melanoma. The health-care provider prescribes chest x-ray, computerized tomography (CT) scan, magnetic resonance imaging (MRI) scan of the brain, and ultrasound testing of lymph nodes. Which explanation does the nurse give the patient regarding the extensive testing?

The tests are necessary to look for any evidence of metastases

A child is brought to the clinic for an itchy, scaly, dry lesion on the scalp. The healthcare provider uses a Wood's light to examine the lesion, which turns fluorescent yellow green. The healthcare provider prescribes a topical antifungal medication. Which type of tinea infection does the child have?

Tinea capitis

After an assessment, the nurse discovers a ringworm infection on the client's hand. Which terminology does the nurse use to document the finding in the client's medical record?

Tinea manus

Which physiological changes occur in the body after a thermal injury?

Decreased intravascular fluid volume Increased systemic vascular resistance Increased potassium ion flow into the extracellular fluid

The nurse is reviewing terminologies used to describe skin lesions with a group of staff nurses. Which statement made by an attending nurse indicates a need for further review?

"The loss of epidermal and dermal tissue is called telangiectasia."

The nurse is teaching a client preventive measures for scalds. Which statement does the nurse include in the teaching plan to ensure safety?

"You should set the temperature of the water heater below 140°F."

When a provider assesses a patient with bright red, edematous skin after a long day at the beach, the provider notes that the anterior face and neck, anterior and posterior arms, the anterior and posterior torso above the waist, and the anterior and posterior lower legs are burned. Using the Rule of Nines, what percentage of body surface area is burned?

58.5%

A 56-year-old female presents with superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Calculate the total body surface area percentage that is burned using the Rule of Nines.

63%

A patient presents with normal vital signs and urinary output of 49 mL/hr. They experienced a full thickness burn 72 hours ago. What phase of burn management is this patient experiencing?

Acute

The nurse is obtaining a history from a client with a skin disorder. The client states, "I have tried to remove the scales on my skin, but then they bleed." Which terminology does the nurse associate with the client's comment?

Auspitz sign

The nurse is performing an assessment on a client, who states, "I had a rash a few weeks ago but it is gone now." Which assessment information is most important for the nurse to obtain next?

Determine if the client has developed any open sores on the body

Which symptoms are associated with exposure to the highest levels of radiation?

Diarrhea Vomiting Nausea

The nurse is providing care to a client admitted to the intensive care burn unit with serious thermal burns. Which finding is indicative of improvement of this client?

Minimal tissue edema is present at the injury sites.

While caring for a patient after a thermal injury, the nurse finds that the patient is showing signs and symptoms of hyperkalemia. Which is the most important nursing intervention for this patient?

Monitoring cardiac function through electrocardiogram