Med/Surg Derm

The nurse is assessing a patient 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? Edema in the affected extremities Severe pain at the burn sites Urine output of 30 mL/hr Temperature of 39.1° C (102.4° F)

Temperature of 39.1°C

The nurse notes a shallow crater in the epidermis of the patient sacral area. The nurse should document that the patient pressure ulcer at which the following stages? IV I III II

Stage II pressure ulcer

The nurse is caring for a patient who has a prescription for silver sulfadiazine cream to be applied to her burn. The nurse should evaluate the patient? Hyponatremia Leukopenia Hyperchloremia Elevated BUN

Leukopenia

a nurse is evaluating the lab values and who's in the resuscitation phase following a major burn. Which of the following lab finding should the nurse expect? Hemoglobin 10 g/dL Sodium 132 mEq/L Albumin 3.6 g/dL Potassium 4.0 mEq/dL

Na 132 mEq/L

The nurse is caring for a patient who has burn injuries to his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statements by the patient indicates an understanding of the teaching? "I will be on a special shower table." "The water temperature will be very cool to ease my pain." "The nurse will use a firm-bristled brush to remove loose skin." "The nurse will use scissors to open small blisters."

"i will be on a special shower table"

a nurse is caring for an adolescent patient who has burned on her face and hands. Which of the following statements by the patient indicates that she has adapted to her change body image? "May I go with my family to the visitor's lounge?" "I'll see my friends one day when I feel better." "My dad is coming to visit. Can you fix my hair for me?" "I told my cousins I'm in protective isolation."

"may i go with my family to the visitor's lounge?"

a nurse is providing teaching to a patient 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? "Move between the bed and the wheelchair once every 2 hours." "Make sure that your caregiver massages your skin daily." "Use a rubber ring when sitting in the wheelchair." "Shift your weight in the wheelchair every 15 minutes."

"shift your weight in the wheelchair every 15 minutes"

a nurse is assessing the skin of a patient who has frostbite. The patient has small blisters that contain blood and the skin of the affected areas does not blanch. The nurse should classify this injury as which of the following? First-degree frostbite Second-degree frostbite Third-degree frostbite Fourth-degree frostbite

3rd degree frostbite

a nurse in a providers office is caring for a patient who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? Zoster vaccine Acyclovir Amoxicillin Infliximab

acyclovir

a nurse is teaching a group of young adult patients about health promotion techniques to reduce the risk of skin cancer. Which of the following instructions to the nurse include? Re-apply sunscreen every 4 hr during sun exposure. Wear a sun visor instead of a hat when outside in the sun. Avoid exposure to the midday sun. Use a tanning booth instead of sunbathing outdoors.

avoid exposure to the midday sun

a nurse in the urgent care clinic is caring for a patient who has a snakebite on her arm. Which of the following intervention should the nurse implement? Immobilize the limb at the level of the heart. Apply a tourniquet to the affected limb. Use a sterile scapula to incise the wound. Apply ice to the skin over the snakebite wound.

immobilize the limb at the level of the heart

The nurse is assessing a patient who has a lesion on the skin. Which of the following findings as a clinical manifestation of the malignant melanoma? Rough, dry, and scaly Firm nodule with crust Pearly papule with an ulcerated center Irregularly shaped with blue tones

irregularly shaped lesions w/ blue tones

The nurse is going for a patient who has a lesion on the back of his right hand. The patient asked the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? Basal cell carcinomas Melanomas Actinic keratoses Squamous cell carcinomas

melanomas

a nurse in the providers office is assessing a patient skin lesions. The nurse notes that the lesions are 0.5 cm (0.2 in) in size, elevated, and solid, with very distinct borders. The nurse should document the findings which of the following is commissions? Papules Macules Wheals Vesicles

papules

a nurse is caring for a patient whose wounds are covered with a heterograft dressing. In response to the patients questions about the dressing, the nurse explains that it is obtained from which of the following sources? Cadaver skin Pig skin Amniotic membranes Beef collagen

pig skin

a nurse is planning care for a patient who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the patient for which of the following procedures? Curettage External radiation therapy Regional chemotherapy Surgical excision

surgical excision

a nurse on a surgical unit is caring for four patients who have healing wounds. Which of the following would the nurse expect to heal by primary intention? Partial-thickness burn Stage III pressure ulcer Surgical incision Dehisced sternal wound

surgical incision A community health nurse is providing teaching about malignant melanoma to a group of patients. The nurse should inform the group that which of the following traits places a patient at risk for developing malignant melanoma? A client who has brown eyes A client who has a light complexion A client who has black hair A client who is 20 years of age light skin

a nurse is providing discharge instructions to patient who is postoperative following a surgical excision of a basal cell carcinoma. Which the following findings should the nurse include as an indication of a potential malignancy of a mole? Ulceration Blanching of surrounding skin Dimpling Fading of color

ulceration

a nurse is caring for a patient who has a large wound healing by secondary intention. The nurse should inform the patient that, in addition to protein, which of the following nutrients promotes wound healing? Vitamin B1 Calcium Vitamin C Potassium

vitamin C