Dermatology AI
A nurse is teaching a group of young adult clients about health promotion techniques to reduce the risk of skin cancer. Which of the following instructions should the nurse include?
Avoid exposure to the midday sun
A nurse is teaching a client who has extensive deep partial and full thickness burns and requires a topical antimicrobial medication. The goal of this med therapy is to reduce which of the following outcomes?
Bacterial growth
A nurse is assessing a client who has a lesion on his skin. Which of the following findings is a clinical manifestation of malignant melanoma?
Irregularly shaped lesion with blue tones
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 by the nurse is most appropriate?
Melanoma.
A nurse in a providers office is assessing a clients skin lesions. The nurse notes that the lesions are 0.5 cm (0.20in) in size, elevated, and solid with distinct border. The nurse should document these findings as which of the following skin lesions.
Papules. These are small, solid, elevated lesions with distinct borders. Usually like warts or moles
A nurse is caring for a client whose wounds are covered with a 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 evaluating the lab values of a client who is in the resuscitation phase following a major burn. Which of the following lab findings should be expected?
Sodium 132 mEq/L. This is below the expected range which is expected because sodium is trapped in the interstitial space
A nurse is providing discharge instructions to a client who is post op following surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of a mole's potential malignancy?
Ulceration.
A nurse is caring for a client who has a large wound healing by secondary intention. The nurse should inform the client that which of the following nutrients (in addition to protein) promotes wound healing?
Vitamin C. This promotes wound healing
A nurse is caring for an adolescent client who has burn wounds on her hands and face. Which of the following statements by the client indicates that she has adapted to her changed body image?
"May I go with my family to the visitor's lounge?"
A nurse is providing teaching to 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 15min". This will reduce risk of pressure ulcers
A nurse in a provider's office is caring for a client who has a new dx of herpes zoster. The nurse should anticipate a prescription for which of the following medications?
Acyclovir. This is an antiviral that inhibits replication of the virus that causes herpes zoster
A nurse is caring for a client who has regular occupational exposure to the sun and presents for eval of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma?
An irregularly shaped brown lesion with light blue areas on the neck
A nurse is screening a client for skin cancer. When teaching the client about skin cancer risk, which of the following risk factors should the nurse include?
Excessive exposure to UV light
A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the clients sacral area. The nurse should doc that the client has a pressure ulcer at which stage?
II
A nurse in the ED is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement?
Immobilize the limb at the level of the heart. This will limit venom spread
A nurse is planning care for a client who has deep partial and full thickness thermal burns over 40% of his total body surface and is in the acute phase of burn injury. Which of the following interventions should the nurse include in the plan?
Initiate ROM exercises. This will maintain mobility and prevent contractures
A nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention?
Surgical incision
A nurse is conducting discharge teaching about foot care for a client who has DM. Which of the following instructions should the nurse include?
Test water temp with wrist
A nurse is assessing the abdominal incision of a client who is 3 days post. The incision is slightly edematous and pink wit crusting on the edges and is draining serosanguineous fluid. Which of the following assessments describes the incision?
The incision is showing signs of healing without complications.
A nurse is assessing the skin of a client who has frostbite. The client has small blisters that contain blood, and the skin of the affected area doesn't blanch. The nurse should classify this injury as which of the following?
Third degree frostbite.
A nurse is an emergency department is assessing a client who has extensive burns, including her face. Which of the following assessments should the nurse perform first?
Characteristics of the cough and sputum
A nurse in a dermatology clinic is using the ABCDE method while screening several skin lesions for skin cancer on a client. Which of the following findings should the nurse report to the provider?
Color variation within a lesion
A community health nurse is teaching a group of clients about melanoma. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching?
Irregular border