Dermatological

A nurse is reinforcing teaching with a client who has burn injuries to his trunk about what to expect from the prescribed hydrotherapy. Which of the following statements by the client indicates an understanding of the teaching?

"I will be on a special shower table." (they use a special table since tub water is more difficult to keep at a steady temperature)

A nurse is caring for an adolescent client who has burn wounds on her face and hands. Which of the following statements by the client indicates she has adapted to her changed body image?

"May I go with my family to the visitor's lounge?"

A nurse is reinforcing teaching with a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include?

"Shift your weight in the wheelchair every 15 minutes."

A nurse is observing the skin of a client who has frostbite. The client has small blisters that contain blood and the skin of the affected area does not blanch. The nurse should classify this injury as which of the following?

3rd-degree frostbite (with this, the affected skin doesn't blanch and they'll have blood-filled blisters)

A nurse is assisting with the development of an education session about malignant melanoma for a group of clients. The nurse should include that which of the following clients has an increased risk for developing malignant melanoma?

A client who has light complexion

A nurse is assisting with the care of a client who is in the resuscitation phase following a major burn. Which of the following laboratory findings should the nurse expect?

Sodium 132 mEq/L (they'll have a low sodium level bc the sodium is trapped in interstitial space)

A nurse is contributing to the plan of care for a client who has admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should expect the provider to perform which of the following procedures?

Surgical excision (this will be the treatment for small superficial lesions)

A nurse is on a surgical unit is caring for four clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention?

Surgical incision (with primary intention, a clean wound is closed mechanically, leaving well-approximated edges and minimal scarring. A surgical incision is an example of a wound that heals by primary intention)

A nurse is collecting data from a client who sustained superficial partial-thickness and deep partial-thickness burns 72 hours ago. Which of the following findings should the nurse report to the provider?

Temperature of 102.4°F (39.1°C) (an elevated temp could be a sign of infection since there is open skin, and sepsis can also be a potential concern)

A nurse is in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse anticipates a prescription for which of the following medications?

Acyclovir (it's an antiviral medication)

A nurse is assisting with the development of a program to educate clients about measures to reduce the risk of skin cancer. Which of the following instructions should the nurse include?

Avoid exposure to the midday sun (exposure between 1100-1500 are the strongest)

A nurse is assisting with the admission of a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the client's sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages?

II (with this, there is partial-thickness skin loss involving the epidermis and dermis)

A nurse in an urgent care clinic is caring for a client who has a snakebite on her arm. Which of the following actions should the nurse take?

Immobilize the limb at the level of the heart (to limit the spread of venom, they'll do this and remove any restrictive clothing or jewelry since it can worsen swelling)

A nurse is collecting data from a client who has a new arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?

Irregularly shaped with blue tones (they usually are irregularly shaped with red, white, or blue tones; and they usually occur on the upper back and lower legs)

A nurse is caring for a client who has been applying silver sulfasaldiazine cream to a deep partial-thickness arm burn for the past 2 weeks. The nurse should monitor the client for which of the following adverse effects?

Leukopenia (transient leukopenia is an adverse effect of silver sulfadiazine, so we'd monitor their WBC count)

A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses should the nurse make?

Melanomas (it's the most lethal type of skin cancer since it metastases in the bone, liver, lungs, spleen, the CNS, & lymph nodes)

A nurse in a provider's office is collecting data from a client who has skin lesions. The nurse notes that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders. The nurse should document the findings as which of the following skin lesions?

Papules (they're usually smaller than 10 mm, and warts and moles fall into this category)

A nurse is caring for a client whose wounds are covered with heterograft dressing. In response to the client's questions about the dressing, the nurse explains that it is obtained from which of the following sources?

Pig skin

A nurse is reinforcing discharge teaching with a client who is post-op following a surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of malignancy of a mole?

Ulceration (this, bleeding, increasing size, or exudation are indications of malignancy, so the client should have lifetime follow-up evaluations and do self-examinations of their skin every month)

A nurse is reinforcing teaching with a client who has a large wound healing by secondary intention. The nurse should instruct the client that which of the following nutrients promotes wound healing?

Vitamin C (the nutrients in vitamin C help healing)