1430 PrepU Tissue Integrity Quiz

A client presents with an exacerbation of psoriasis. The most important question for the nurse to ask the client would be:

"Have you been under an excessive amount of stress at home or at work?"

The nurse is providing education to a client recently diagnosed with psoriasis. The client questions the nurse about the potential for curing the condition. What response by the nurse is most appropriate?

"You will likely experience periods of increased skin outbreaks and periods of remissions."

The nurse is obtaining a history from a patient with severe psoriasis. What question would be the most important to ask this patient to determine a genetic predisposition?

Does anyone in your family have more than one autoimmune disease?"

Which of the following is a true statement regarding psoriasis?

It is characterized by patches of redness covered with silvery scales.

The nurse is caring for a client who has paraplegia following a hunting accident. The nurse knows to assess regularly for the development of pressure ulcers on this client. What rationale should the nurse cite for this nursing action?

The risk for pressure ulcers is directly related to the duration of immobility.

A nurse working in long-term care is assessing residents at risk for the development of a decubitus ulcer. Which one would be most at risk?

an 86-year-old who is bedfast

The nurse is caring for a hospitalized client who has class II obesity and who has limited mobility. The nurse should address the client's risk for skin breakdown by:

cleaning and drying regularly within the client's skin folds.

The nurse is assessing a child who was brought into the clinic. The nurse notes honey-colored crusting on the toddler's face, as seen in the figure. The nurse recognizes this to be what type of infection?

impetigo

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. The nurse most likely is referring to:

impetigo.

Based on an established plan of care, a nurse turns a patient every 2 hours. What part of the nursing process is the nurse using?

implementing