Skin Disorders Text/ATI

A nurse is reinforcing discharge instructions with a client who had a skin biopsy with sutures. Which of the following client statements indicates that the teaching has been effective?

"I should apply an antibiotic ointment to the area." - Antibiotic ointment is applied as precsribed to prevent infection

A nurse is reinforcing teaching with a client about a new prescription for clotrimazole topical cream. Which of the following statements should the nurse include in the teaching?

"I will apply the topical medication for up to 2 weeks after the lesions are gone." - Clotrimazole is a medication used to treat a fungal infection and is applied for 1 to 2 weeks after the infection is resolved

A nurse is reviewing informaiton about a new prescription for corticosteroid cream with a client who has mild psoriasis. Which of the following instructions should the nurse include? (Select all that apply) (3)

1. Apply an occlusive dressing after application 2. Wear gloves after application to lesions on the hands 3. Avoid applying in skin folds - An occlusive dressing can enhance the efficacy of the topical corticosteroid on the exposed lesions - Wearing gloves after applying the medication can enhance the efficacy of the topical corticosteroid on the exposed lesions of the hands - Applying corticosteroid cream to lesions in skin folds increases the risk of yeast infections

A nurse is collecting data from a client who sustained deep partial-thickness and full-thickness burns over 40% of his body 24 hr ago. Which of the following findings should the nruse expect? (Select all that apply.) (3)

1. Dyspnea 2. Hyperkalemia 3. Hyponatremia - Dyspnea can occur during the initial phase following a burn due to airway injury and fluid shifts - Hyperkalemia occurs during the initial phase following a burn as a result of leakage of fluid from the intracellular space - Hyponatremia occurs during the initial phase of a burn as a result in sodium retention in the interstitial space

A nurse is reinforcing teaching with a female client on the use of calcipotriene topical medicaiton for the treatment of psoriasis. Which of the following information should the nurse include? (Select all that apply.)

1. Expect a stinging sensation upon application 2. Apply to the scalp 3. Obtain a pregnancy test 4. Limit application to skin folds

A nurse is assiting with the plan of care for an adult client who sustained severe burn injuries. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) (3)

1. Limit visitors in the client's room 2. Increase protein intake 3. Restrict fresh flowers in the room - The nurse should limit the number of visitors and the amount of time they can visit to decrease the risk of infection - The client should increase protein consumption, which promotes wound healing and prevents tissue breakdown - Flowers should not be in the client's room due to the bacteria they carry, which increase the risk for infection

A nurse in a clinic is preparing to obtain a skin specimen from a client who has suspected herpes infection. Which of the following actions should the nurse take? (Select all that apply)

1. Puncture the crusted area with a sterile needle 2. Place cotton-tipped applicator in culturette tube 3. Place culturette tube in ice

Which would be the most liekly candidate for a pedicle graft?

A client with third-degree burns on his hand

A nurse is reinforcing teaching with a client who has a history of psoriasis about photochemotherapy and ultraviolent light (PUVA) treatments. Which of the following instructions should the nurse include in the teaching?

Administer a psoralen medication before the treatment

A nurse is caring for a client with full-thickness burns on the entire left side of the body. For which complications should the nurse monitor during the client's recovery period?

Anemia

A nurse is caring for a client with a filiform wart. The nurse understands that filiform warts are nonmalignant. What is an example of a nonmalignant skin tumor?

Angioma

A nurse is reinforcing teaching with a client on home care after a culture for a bacterial infection and cellulitis. Which of the following information should the nurse include?

Apply warm compresses to the affected area

A _______ is the term used for several interconnecting boils found in a cluster.

Carbuncle

The American Cancer Society has developed a helpful ABCDE rule for evaluating a mole? Which is one of these guidelines?

Color: color is not uniform and has varying shades

The nurse is providing discharge teaching for a client who suffered minor burns using a steam cleaner. Which teaching points should the nurse include?

Cover the burn loosely with sterile gauze

The process wherein the physician or other healthcare provider removes loose skin, crusts, and denuded tissue is called _______.

Debridement

T/F - A port-wine angioma usually involutes spontaneously.

False

T/F - Vitiligo is characterized by the sudden appearance of edematous, raised pink areas associated with itching and burning sensations.

False

Which types of diet would be prescribed for a client with a third-degree, full thickness burn on 30% of the body?

High-calorie, high protein

A nurse is caring for a client who has sustained burns over 35% of his total body surface area. Most of the burns are full-thickness burns on the arms, face, neck, and shoulders. The client's voice has become hoarse. He has a brassy cough and is drooling. These findings are indications of which of the following?

Inhalation injury - Wheezing and hoarseness indicate inhalation injury with impending loss of the airway. These require immediate reporting to the provider

The _______ system composed of the skin, which includes the epidermis and dermis along with its accessory organs (the epithelial and connective tissue, nerves, and sweat and oil glands).

Integumentary

A nurse is assisting with the care of a client who sustained deep partial-thickness and full-thickness burns over 60% of his body 24 hr ago and is requesting pain medication. The nurse should ensure the medication is administered using which of the following routes to administer the medication?

Intravenous - The nurse should ensure the use of the IV route for administration of pain medication for rapid absorption and fast pain relief during the resuscitation phase

Painless, benign overgrowth the develops at the site of trauma or scar is called _______.

Keloid

What makes the eyebrows a common site for seborrheic dermatitis to develop?

Large concentration of sebaceous glands

What is the priority observation of the nurse caring for a client diagnosed with psoriasis?

Low self-esteem

A nurse is reinforcing teaching with the parent of a child who has contact dermatitis. Which of the following information should the nurse include?

Place the child in a bath with colloidal oatmeal - A colloidal oatmeal bath will relieve the child's itching

The hallmark of _______ is red papules that care covered with silvery yellow-white scales that are constantly being shed.

Psoriasis

A client presents with skin that is moist and pinkish with blisters and some blanching. What degree of burns would the nurse document?

Second degree: superficial, partial thickness

A nurse in a provider's office is collecting data from a client who has a severe sunburn. Which of the following classifications should the nurse use to document this burn?

Superficial thickness - A sunburn is a superficial thickness burn. Superficial burns damage the top later of the skin

T/F - A client with burns loses body fluids from capillary leaks and open wounds.

True

T/F - Angioedema of the larynx causes severe respiratory distress due to airway obstruction.

True

T/F - Vigilon is a form of synthetic dressing used for burns injury dressing/

True

A nurse is caring for a client who has a suspected viral skin lesion. Which of the following laboratory findings should the nruse anticipate the provider reviewing to confirm this diagnosis?

Tzanck smear report

A nurse caring for a client who has contact dermatitis and a new prescription for diphenhydramine. For which of the following adverse effects should the nurse monitor?

Urinary retention

A client with a skin disorder is undergoing electrodessication. For which disorder is this a common treatment?

Warts