Peds Study set (Skin)

A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report to the provider?

-Feelings of isolation

A school nurse is teaching a group of nurses newly hired to work in the school system about pediculosis capitis head lice). Which of the following information is appropriate to include in the teaching ?

-Nits that are shed into the environment are capable of hatching for up to 10 days

A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?

- How do you handle stress?

A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the Rule of Nines, the nurse should estimate that the client has burned what percentage of body surface area(Round the answer to the nearest tenth. Use a leading zero if it applies . Do not use a trailing zero. )

-31.5%

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

-All recently used clothing, bedding, and towels must be washed in hot water

A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?

-Apply a topical corticosteroid ointment to the affected area

A nurse providing care for a client who is immobile. Which of the following actions should the nurse take? (Select all that apply.)

-Check for personal items when changing the bed linens - Keep the bath water temperature between 43.3 C (110 F) and 46.1 C (115 F) - Shave client's hair in the direction of hair growth

A nurse a provider's office is caring for a client who reports pruritus and reddened, oozing lesions on her lower leg. The nurse should suspect which of the following disorders ?

-Contact dermatitis

A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching ?

-Eating a high fiber diet will reduce my risk for developing skin cancer

A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident report about the pressure ulcerthe nurse should take which of the following actions ?

-Include any relevant statements the client made about the ulcer

A nurse is teaching a client who has herpes simplex virus type 2 about disease transmission. Which of the following statements by the client indicates understanding of the teaching ?

-Itching or tingling occurs at the site where a blister forms

A nurse a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure of the following statements is appropriate?

-Large incisions will be made in the eschar to improve circulation

A nurse is assessing the depth and extent of injury on a client who has severe burns to the faceneck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns ?

-Location of the burn

A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

-Obtain a detailed history

A nurse is caring for a client who has herpes zoster. Which of the following findings should the nurse expect?

-Painful lesions following a nerve pathway

A nurse is planning care for a client who is confined to bed. Which of the following actions should the nurse include in the plan?

-Reposition client every 2 hr

A school nurse conducting a screening for pediculosis capitis identifies several children who require treatment. Which of the following Instructions should the nurse give the children's parents?

-Seal nonwashable items in airtight plastic bags

A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?

-Serosanguineous

A nurse is planning care for an older adult client who is at risk for developing pressure ulcers. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

-Use a transfer device to lift the client up in bed

A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate ? (Select all that apply.)

-Use pillows to keep heels off the bed surface -Minimize skin exposure to moisture

A nurse is preparing to teach a parent how to care for a child who has impetigo contagiosa. Which of the following information should the nurse plan to include in the teaching ?

-Washing clothing in hot water

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures ?

-Your pain gradually become less severe

A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?

-basal cell carcinoma has a low incidence of metastasis

A nurse in a dermatologist's office is planning an educational session about skin cancer. Which of the following should the nurse include as risk factors for skin cancer ? (select all that apply.)

-overexposure to uv light -previous skin injury -genetic predisposition

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Firmly attached white particles on the hair

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Provide client with a diet high in fiber

A nurse is caring for a client who has full-thickness burns over 75% of his body. The should use which of the methods to monitor the cardiovascular system?

Monitor the pulmonary artery pulse

A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?

A reddened area over the sacrum

A nurse is providing teaching about lice to the parents of a school-age child at a well-child visit. Which of the following information should the nurse include in teaching ?

-Encourage your child to avoid sharing hats with other children

A nurse is caring for a client who is prescribed diphenhydramine relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

-Take most of daily dose at bedtime

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

-Talk with the client during wound care

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound drainage specimen for culture?

-Cleanse the wound with sodium chloride saline irrigation before obtaining the specimen

A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of the burn injury. What percentage of body surface area should the nurse estimate the client has burned?

54%

A nurse is assessing a client who is brought to the emergency room with burn injuries. Which of the following findings should the nurse identify as a deep partial-thickness burn?

-The burned area is res in color with eschar present

A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?

-Assessing a client's sacrum for edema

A nurse in a clinic is caring for a female client who has a new diagnosis of acne vulgaris on her cheeks. Which of the following should the nurse include in the teaching plan for this client?

Use a new cosmetic pad with each limited application of makeup

A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?

-Athlete's foot

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instructions should the nurse give regarding the adverse effect of dry mouth associated with diphenhydramine?

-Chew sugarless gum or suck on hard, sour candies

A nurse is caring for an adult client who has atopic dermatitis. Which of the following findings should the nurse expect?

-Chronic rash with thick skin

A nurse is developing a plan of care for a client who has cellulitis of the leg. Which of the following interventions should the nurse include in the plan?

-Elevate the affected leg on two pillows

A nurse teaching an older adult client who has herpes zoster about the order of occurrence of findings associated with this disorder. Identify the order in which the findings typically occur. (Move the steps into the box on the right placing them in the selected order of performance . Use all the steps .)

-Paresthesia -Redness and swelling -Vesicles -Weeping blisters -Crusted lesions -Postherpetic neuralgia

A school nurse is assessing a school age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?

-Pediculosis capitis

A nurse in a community health clinic is caring for a client who has a new diagnosis of plantar warts. The nurse should include which of the following in the teaching plan for this client ?

-They may be painful with ambulation