Integumentary Disorders Prep-U

The nurse is teaching the client how to prevent development of basal cell epithelioma. Which of the following statements is the most important when the nurse instructs the client?

Avoid exposure to sun

A nurse is caring for a 12-year-old child with a diagnosis of eczema. Which nursing interventions are appropriate for a child with eczema?

Administer tepid baths, and use moisturizers immediately after the bath

A client has been admitted with burns on his legs. Which nursing intervention helps prevent contractures?

Applying knee splints

A client who was bitten by a wild animal is admitted to an acute care facility for treatment of rabies. Which type of isolation does this client require?

Contact isolation

A client has a possible postoperative wound infection. Which technique should the nurse use to obtain a wound culture from a surgical site?

Gently roll a sterile swab from the center of the wound outward to collect drainage

Which nursing diagnosis is correct for a client with a reddened sacrum unrelieved by position change?

Impaired skin integrity

Which intervention has the highest priority when providing skin care to a bedridden client?

Keeping the skin clean and dry without using harsh soaps

A child has a healed wound from a traumatic injury. A lesion formed over the wound is pink, thickened, smooth, and rubbery in nature. Which condition best describes this wound?

Keloids

A nurse is caring for a client who is at risk for skin breakdown. To decrease the risk, the nurse must help ensure that the client remains adequately hydrated. Which action can the nurse take to help determine the client's fluid needs?

Measure intake and output

The nurse is performing wound care. Which of the following practices violates surgical asepsis?

Pouring solution onto a sterile field cloth

The nurse is performing wound care on a client. Which task indicates surgical asepsis?

Preparing sterile surgical instruments for the physician to debride the wound

During a physical examination, a child is noted to have nails with "ice-pick" pits and ridges. The nails are thick and discolored and have splintered hemorrhages easily separated from the nail bed. Which condition would cause this to occur?

Psoriasis

The nurse is caring for a wheelchair-bound client. Which piece of equipment impedes circulation to the area it's meant to protect?

Ring or donut

Isotretinoin, which is used for the treatment of severe acne, is associated with which adverse effect?

Teratogenesis

A surgical client has just been admitted to a unit from the postanesthesia care unit. When should the nurse change the dressing for the first time?

The surgeon changes the first dressing; then the nurse follows written orders

A nurse receives a report on a client who has circular lesions on his neck. Which condition is the client most likely to have?

Tinea corporis

To treat a client with acne vulgaris, the physician is most likely to prescribe which topical agent for nightly application?

Tretinoin (retinoic acid)

A client transferred to a long-term care facility has a stage II pressure ulcer on her coccyx. Who should the nurse consult about the care of this client?

Wound care nurse

A female client with genital herpes simplex is being treated in the outpatient department. The nurse teaches her about measures that may prevent herpes recurrences and emphasizes the need for prompt treatment if complications arise. Genital herpes simplex increases the risk of:

cancer of the cervix

While caring for a 2-day-old neonate, a nurse notices the left side of the neonate reddens for 2 to 3 minutes. The nurse interprets this finding as suggestive of:

harlequin color change