Chapter 49

Which assessment finding should the nurse anticipate for a client diagnosed with rosacea? 1) Small papules 2) Inflammatory pustules 3) Greasy scales 4) Red plaques

1) Small papules p. 800

Which nonpharmacological interventions should the nurse recommend for a client prescribed topical metronidazole (MetroGel) for rosacea? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "Avoid drinking alcohol." 2) "Spend some time in the sun each day." 3) "Avoid eating spicy foods." 4) "Drink your coffee at room temperature. "5) "Keep the temperature in your home warmer."

1) "Avoid drinking alcohol." 3) "Avoid eating spicy foods." 4) "Drink your coffee at room temperature." 5) "Keep the temperature in your home warmer." p. 800

The nurse has provided education for a client prescribed topical scabicide. Which statement made by the client indicates an understanding of the teaching? 1) "I will monitor the area daily for the next few weeks." 2) "I can expect some redness to occur." 3) "I need to sign a consent for this medication." 4) "I will leave the treatment on longer to make sure it is effective."

1) "I will monitor the area daily for the next few weeks." p. 797

Which information should the nurse provide a client that has been prescribed tretinoin (Avita) for treatment of acne? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "It will take several weeks for you to see improvement in your skin." 2) "You should continue using your over-the-counter oil drying medication until you start to see effects from this prescription." 3) "Mild sun exposure will help this medication work more effectively." 4) "You will likely notice redness and scaling of your skin while using this medication." 5) "Continue to take the tetracycline previously prescribed for your cystic acne."

1) "It will take several weeks for you to see improvement in your skin." 4) "You will likely notice redness and scaling of your skin while using this medication." p. 799

A client has been advised to use an over-the-counter acne product that contains benzoyl peroxide and salicylic acid. Which information should the nurse include in the teaching? 1) "Test this product on a small area of skin for 3 days before applying to your face." 2) "Many people find this medication makes their acne worse." 3) "Gently wash your face within a few hours of applying this product." 4) "Do not take aspirin while using this product.

1) "Test this product on a small area of skin for 3 days before applying to your face." p.800

Which response should the nurse provide the client that asks how skin cells are replaced? 1) "The epidermis supplies new cells after older cells have been damaged or lost." 2) "The dermis supplies new cells after older cells have been damaged or lost." 3) "The stratum corneum supplies new cells after older cells have been damaged or lost." 4) "The stratum germinativum supplies new cells after older cells have been damaged or lost."

1) "The epidermis supplies new cells after older cells have been damaged or lost." p. 793

Which classification of prescription should the nurse evaluate the client for who is experiencing psoriasis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Beta blockers 2) NSAIDs 3) Tetracyclines 4) Antifungals 5) Angiotensin converting enzyme inhibitors

1) Beta blockers 2) NSAIDs 3) Tetracyclines 5) Angiotensin converting enzyme inhibitors p. 804

Which area of the structure of the skin is responsible for the sensation of itching? 1) Dermis 2) Stratum basale 3) Epidermis 4) Subcutaneous tissue

1) Dermis p. 793, 794

Which history should the nurse anticipate for a young child who is diagnosed with atopic dermatitis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Family history of asthma 2) Allergy to soaps and lotions 3) Family history of cardiac disease 4) Prematurity 5) Illicit drug use in the mother during pregnancy

1) Family history of asthma 2) Allergy to soaps and lotions p.802

The nurse is discussing the adverse effects of Phototherapy with ultraviolet-A (PUVA) therapy with a client experiencing psoriasis. Which symptoms should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Nausea 2) Depression 3) Weight loss 4) Headache 5) Skin sensitivity

1) Nausea 4) Headache 5) Skin sensitivity p.805

Which describes the primary function of the dermis? 1) Provides foundation for hair and nails 2) Insulates the body 3) Provides energy 4) Forms a protective a barrier against foreign matter

1) Provides foundation for hair and nails p. 793

Which should the nurse include in the client education about the structure and function of the skin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) The outermost layer of the epidermis serves as the major waterproof barrier to the environment. 2) The epidermis provides a foundation for the accessory structures such as hair and nails. 3) The amount of subcutaneous tissue varies and is determined by nutritional status and heredity. 4) Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat 5) The deepest epidermal layer provides new cells.

1) The outermost layer of the epidermis serves as the major waterproof barrier to the environment. 3) The amount of subcutaneous tissue varies and is determined by nutritional status and heredity. 5) The deepest epidermal layer provides new cells. p. 793, 794

Which instructions should the nurse provide to the parents of children in an elementary school which is experiencing an outbreak of lice and body mites? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "Obtain over-the-counter antiparasitic lotion and apply according to label directions." 2) "Look for small bugs in your children's hair or small objects attached to the hair shaft." 3) "Look for bugs between fingers, under the arms, and in the pubic area." 4) "Open the windows and doors of your house and let fresh air blow through to eliminate lice and mites in the home." 5) "If lice or mites are found, stuffed animals should be washed or sealed in an airtight bag for 2 weeks."

2) "Look for small bugs in your children's hair or small objects attached to the hair shaft." 5) "If lice or mites are found, stuffed animals should be washed or sealed in an airtight bag for 2 weeks." p. 797

A client prescribed ultraviolet (UV) light therapy for a skin condition states to the nurse, "This treatment is so expensive, I think I will go to the tanning salon instead." Which information should the nurse provide the client? 1) "Your insurance should pay for your treatments." 2) "The light therapy you require should be closely monitored." 3) "That will only work if your tanning salon has a particular type of bed." 4) "A tanning bed emits the same UV light that is used for therapy."

2) "The light therapy you require should be closely monitored." p. 805

Which types of dermatitis commonly respond to topical pharmacotherapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Acne 2) Contact 3) Atopic 4) Psoriasis 5) Seborrheic

2) Contact 3) Atopic 5) Seborrheic p. 802

Clients who have contracted head lice in the nursing home are prescribed lindane (Kwell). Which medical diagnosis should the nurse be concerned about when administering lindane? 1) Diabetes mellitus 2) Seizures 3) Stroke 4) Hypothyroidism

2) Seizures p. 798

Which interventions for the treatment of a client with a severe sunburn should the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) Benzophenone 2) Topical anesthetics 3) PO analgesics 4) Zinc oxide 5) Hydration

2) Topical anesthetics 3) PO analgesics 5) Hydration p. 807

The nurse reviewing the records of a client notes a prescription for tretinoin (Avita). Which question should the nurse include in the assessment? 1) "Have you noticed your eczema is clearing up?" 2) "Is your rosacea getting better?" 3) "Have you noticed the lesions healing?" 4) "Is your acne clearing up?"

4) "Is your acne clearing up?" p. 798

Which instructions should the nurse include in the education for a client who has lice infestation of the eyelids? 1) "Dilute the permethrin lotion with water before applying it to your eyelids." 2) "These lice should be pulled off manually." 3) "Apply a thin coat of petroleum jelly to your eyelashes once a day for a week." 4) "The systemic effect of the lotion you are using on your hair will kill these lice, so no specific treatment is necessary."

3) "Apply a thin coat of petroleum jelly to your eyelashes once a day for a week." p. 797

Which statement made by a client prescribed 0.1% tacrolimus (Protopic) for treatment of severe atopic dermatitis indicates an understanding of the information? 1) "I could use this for my 1-year-old who also has atopic dermatitis." 2) "I can use this ointment on an as-needed basis for as long as I need." 3) "I am at increased risk for skin cancer because I am using this drug." 4) "I cannot use this ointment on my face."

3) "I am at increased risk for skin cancer because I am using this drug." p.803

Which information should the nurse include in the education for a client with psoriasis vulgaris? 1) Appears after a streptococcal infection and will resolve spontaneously. 2) About 20% of clients will also have arthritis. 3) This type of psoriasis requires long-term treatment. 4) Average onset is 50 years of age.

3) This type of psoriasis requires long-term treatment. p. 804

A client asks why they cannot take a glucocorticoid pill for their dermatitis instead of using a lotion. Which information should the nurse discuss with the client? 1) Topical glucocorticoids are most effective in reducing pain. 2) Topical glucocorticoids have minimal adverse effects. 3) Topical corticosteroid (glucocorticoids) are most effective for controlling inflammation. 4) Topical glucocorticoids are the most effective for curing dermatitis.

3) Topical corticosteroid (glucocorticoids) are most effective for controlling inflammation. p. 803

Which treatment should the nurse anticipate for a client with tinea capitis? 1) Clotrimazole 2) Acyclovir 3) Undecylenic acid 4) Permethrin

3) Undecylenic acid p. 795, 796

Which information should the nurse include in the teaching for the parent of a child with head lice? 1) "Cutting your child's hair will make it easier to treat." 2) "Your child should be fine now just watch your child for a reinfection." 3) "Dispose of all the bedding in a sealed plastic bag." 4) "Remove all nits from the hair shaft with a nit comb or a fine-tooth comb."

4) "Remove all nits from the hair shaft with a nit comb or a fine-tooth comb." p. 796, 797

A client being treated for acne asks the nurse why they are prescribed doxycycline. Which response should the nurse provide? 1) "Your acne contains bacteria." 2) "Your acne looks infected." 3) "The prescription will prevent an infection." 4) "The prescription will lessen the inflammation."

4) "The prescription will lessen the inflammation." p. 800

Which information should the nurse provide for a client prescribed permethrin (Nix) for the treatment of body mites? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1) "Make certain you get the 1% lotion." 2) "You should leave the lotion on your body for 10 minutes." 3) "You should expect almost immediate relief from the itching." 4) "You may feel some stinging or tingling while the lotion is being used." 5) "You should not use this medication if you are sensitive to chrysanthemums."

4) "You may feel some stinging or tingling while the lotion is being used." 5) "You should not use this medication if you are sensitive to chrysanthemums." p. 796-798

Which level of potency does the topical corticosteroid dexamethasone have? 1) Very high 2) High 3) Medium 4) Low

4) Low p.803

Which area of a client's body should the nurse prepare to assess who is diagnosed with tinea unguium? 1) Feet 2) Pubic area 3) Scalp 4) Nails

4) Nails p.795

Which is a characteristic of dermatitis? 1) Flaky, silver scales 2) Swelling of nasal tissues 3) Small papules 4) Pruritus

4) Pruritus p. 802

Which supplies and replaces skin cells in the epidermis? 1) Stratum lucidum 2) Dermis basale 3) Melanocytes 4) Stratum basale

4) Stratum basale p. 793