Quiz 10
A patient has a moisture-retentive dressing for the treatment of a sacral decubitus ulcer. How long will the nurse leave the dressing in place before replacing it?
12-24 hours
The nurse is changing the dressing of a chronic wound. There is no sign of infection or heavy drainage. How long will the nurse leave the wound covered?
48-72 hours
The nurse is caring for an adult patient with a body temperature within normal range. Which is the approximate insensible water loss per day in this patient?
600
A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles has a yellow-orange tint. There is no yellowing of the sclera or mucous mem-branes. Which question would be most appropriate to ask the patient to identify a potential cause of the skin discoloration?
"Have you been eating a large amount of carotene-rich foods?"
The nurse observes an African American patient with a large hypertrophied area of scar tissue on the left ear lobe. Which does the nurse document this finding as?
Keloid
The epidermis is composed of three types of
Keratinocytes, merkel cells, and langerhans cells
What are the potential complications of stevens Johnson syndrome and TEN?
Keratoconjunctivitis, sepsis, and multiple organ
A patient has contact dermatitis on the hand, and the nurse observes an area that is thickened and rough between the thumb and forefinger. How will the nurse document this finding?
Lichenification
A patient is visiting the health care provider to determine what type of allergy is causing a rash. Which type of testing will be appropriate in order to determine the cause of this finding?
Patch test
A patient is be the reader for chronic venous stasis ulcers of the lower extremities. Which redication prescribed by the health care provider will increase peripheral blood flow by decreasing the viscosity of blood and "Assist with the healing of the ulcers?
Pentoxifylline
A prescription scabicide
Permethrin
The nurse is assessing a patient with a primary skin lesion called a macule. Which does the nurse identify is a clinical example of this lesion?
Port-wine stains
The nurse is assessing a patient with toxic epidermal necrolysis (TEN). Which assessment data will indicate that the patient may be progressing to keratoconjunctivitis? (Select all that apply.)
Pruritus of the eyes Burning of the eyes Dryness of the eyes
The nurse assesses a patient with silvery-white, thick scales on the scalp, elbows, and hand of a patient that bleed when picked off. Which skin disorder correlates with this assessment finding?
Psoriasis
The nurse is assessing the fingernails of a patient at the clinic. The nurse observes pitting on the surface of the nail. Which disorder is this finding indicative of?
Psoriasis
A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse, "Where did I catch this from?" Which is the best response by the nurse?
Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin.
The nurse is assessing a patient with risk factors related to human immune deficiency virus (HIV). Which assessment finding does the nurse identify as a manifestation of the disease?
Purplish cutaneous lesions
The nurse is assessing a patient for psoriatic lesions after treatment with a nonsteroidal cream. Which characteristic is typical of a plaque psoriatic lesion?
Red, raised patch covered with silver scales
Scabies is an infection of the skin by the itch mite
Sarcoptes scabiei
A patient reports severe itching that intensifies at night. The nurse assesses the skin using a magnifying glass and penlight to look for the "itch mite." Which skin condition does the nurse assess?
Scabies
There are three different types of therapy indicated for the treatment of psoriasis?
Topical, phototherapy, and systemic
The nurse assesses a patient and observes a herpes simplex/zoster skin lesion. How will the nurse document this lesion?
Vesicle
any abnormal skin condition
dermatosis
an insoluble, fibrous protein that forms the outer layer of skin
keratin
The substance responsible for coloration of skin
melanin
What are the three types of wound dressings?
passive, interactive, active
pinpoint red spots that appear on the skin as a result of blood leakage into skin
petechiae
What are the major physical processes involved in loss of heat from the body to the environment
radiation, conduction, convection
What are two types of skin glands?
sebaceous and sweat glands
The nurse is caring for a patient with extensive bullous lesions on the trunk and back Prior to initiating skin care, which is a priority for the nurse to do?
Administer analgesic pain medication.
The nurse is instructing a patient on how to apply a corticosteroid cream to lesions on the arm. Which intervention will the nurse instruct the patient to do to increase the absorption of the medication?
Apply an occlusive dressing over the site after application.
The nurse will assess all possible causes of pruritus for a patient reporting generalized pruritus. Which does the nurse understand can be other causes for this condition?
End-stage kidney disease
A patient is advised to apply a suspension-type lotion to a dermatosis site. The nurse will advise the patient to apply the lotion how often to be most effective?
Every 3 hours
An antiviral agent used to treat herpes zoster
Famvir
Topical Corticosteroids with medium to high potency
Fluocinonide
An important principle of psoriasis treatment
Gentle removal of scales
The nurse is assisting with the collection of a Tzanck smear. Which is the suspected diagnosis of the patient?
Herpes zoster
A patient is being evaluated for nodular cystic acne. Which systemic pharmacologic agent may be prescribed for the treatment of this disorder?
Isotretinoin
A patient has a serum bilirubin concentration of 3 mg/100 mL. Which will the nurse observe when performing a skin assessment on this patient?
Jaundice
The nurse is applying a cold towel to a patient's neck to reduce body heat. How will the nurse determine that the heat is reduced?
Conduction
A patient is diagnosed with seborrheic der. matitis on the face and is prescribed a corticosteroid preparation for use. Which will the nurse educate the patient about regarding use of the steroid on the face?
Avoid using the medication around the eyelids because it may cause cataracts and glaucoma
The nurse assesses a dark-skinned patient who has cherry-red nail beds, lips, and oral mucosa. Which disorder does the nurse identify correlates with this assessment finding?
Carbon monoxide poisoning
A patient has developed a boil on the face, and the nurse observes the patient squeezing the boil. Which complication will the nurse discuss with the patient after encouraging them not to manipulate the boil?
Cellulitis
Dry crackling of the corners of mouth
Cheilitis
Which will the nurse assess for to determine if a patient using corticosteroids for a derma-tologic condition is having local side effects? (Select all that apply.)
Skin atrophy, Striae, Telangiectasia
The nurse is caring for a patient with dark skin who is having gastrointestinal bleeding. How will the nurse determine from skin color change that shock may be present?
Skin is ashen gray and dull
A potentially fatal skin disorder
TEN
Describe what function the hair of the skin serves
The hair of the skin provides thermal insulation in mammals with hair or fur. This function is enhanced during cold or fright by piloerection, caused by contraction of the tiny erector muscles attached to the hair follicle.