semester questions

Diagnosis of skin cancer is confirmed by which of the following diagnostic tests?

Biopsy-Skin cancer is diagnosed by visual inspection and confirmed by biopsy

______ is the virus that causes AIDS

HIV

a common connective tissue cancer, _____ sarcoma, is common among people with AIDS

Kaposi's

In which of the following situations is conflict always present

Lose-lose=Conflict is active and always present in a lose-lose situation. There are never winners when this management style is used. Anger and frustration are constantly present, and most people will not remain in this work environment

Category-two conflict, or mental struggle resulting from incompatible or opposing needs, drives, wishes, or internal or external demands, is best demonstrated by which scenario

Students compete for front-row seating in the classroom-When individuals or groups of people participate in a mental struggle resulting from incompatible or opposing needs, drives, wishes, or external or internal demands, they have a category-two conflict. This is a conflict that often focuses on the distribution of scarce resources

A client being treated for an allergy has been prescribed antihistamines. The Kardex of this client reads as follows: Age: 32; Profession: Carpenter; Lifestyle & diet: Lives alone, average smoker, nonalcoholic, no food preferences, practices yoga; Medical history: Suffers from hay fever, recent urinary tract infection that has been treated successfully. What information from the Kardex is likely to have the greatest implication in educating the client about antihistamine administration?

The client's profession- Most antihistamines cause drowsiness, so the nurse should advise the client not to operate machinery or perform tasks that require alertness when taking antihistamines.

A client with early stage rheumatoid arthritis asks the nurse what they can do to help ease the symptoms of their disease. What would be the best response by the nurse?

The doctor could prescribe anti-inflammatory drugs.- Drug therapy using antiinflammatory and immunosuppressive agents is the mainstay for alleviating symptoms

The ELISA test for the initial screening of HIV is repeated if the results are positive.

True

Category-three conflict is best demonstrated by which scenario

Two nurse's aides argue about whose turn it is to take care of a belligerent patient-. The third category of conflict is a hostile encounter or a collision

the technical term for baldness

alopecia

a client with autoimmune disorder tells the nurse they are not sure they understand what an autoimmune disorder is. What would be the nurse's best response

an autoimmune disorder is characterized by progressive tissue damage without any verifiable cause.

an infection within a burn wound can be left-threatening. T/F

an infection within a burn wound can be life-threatening. outcome of a burn injury depends on the initial first aid and subsequent acute treatment. three complications of burns can be life-threatening: inhalation injury, hypervolemic shock, and infection.

Category one, or the conflict from competitive or opposing actions, is shown by: (Select all that apply.)

an ongoing feud between two neighbors. racial prejudice.-Category one conflict results from competitive or opposing actions of incompatible people, groups, or whole societies. Family feuds, wars, and all racial prejudice are examples of this type of conflict.

a pt who is HIV positive is taking zidovudine. What adverse effect should you closely monitor for

anemia and granulocytopenia

people with HIV/AIDS are treated with ________ drugs

antiretroviral

before LPN can delegate a function to the CNA, they must

assess the patient carefully

As an LPN charge nurse, one of the best actions you can take when there is a problem of scarce resources is to

be proactive and manage potential conflict-A problem of scarce resources calls for you to be proactive and manage potential conflicts before they escalate into unmanageable situations.

you are working on a transplant unit and you know to carefully monitor your pts. What is the rationale for closely monitoring pts taking immunosuppressive drugs?

because of an increased risk of respiratory or urinary system infection

another name for a comedone

blackhead

a _____ is a boil that contains pus

carbuncle

Points on the HIV genes where mutations occur are called ______

codons

____ is the application of extreme cold to destroy tissue.

cryosurgery

the nursing instructor is discussing allergice reactions with their clinical group. what allergic reactions would the nursing instructor talk about

cytotoxic, atopic, immune complex

______ is the technique used to remove damaged or dead tissue from a wound.

debridement

there are many different etiologies for dermatitis. T/F

dermatitis is an allergic reaction to a specific substance. so while there may be many different irritants, the etiology of dermatitis is the allergic reaction.

medications that are used to soothe, protect, and soften the skin.

emollients

a new science nurse manager provides which of the following environments for employees?

empowering

a school nurse is talking about infection with a high school health class. What would be the nurse's best explanation of the process of phagocytosis?

engulfment and digestion of bacteria and foreign material

the ____ is the outermost later of skin.

epidermis

During the asymptomatic period of HIV, the infecter person cannot spread the disease to other T/F

false

HIV is transmitted by direct casual contact T/F

false-HIV is transmitted by bodily fluids such as blood, semen, vaginal secretions, and breastmilk

psoriasis is cured by the use of various typical agents that specifically inhibit the proliferation of epidermis cells. T/F

false.

the skin will return to its pre-tattoo appearance after the removal of an existing tattoo. T/F

false.

convection is the transfer of heat loss through the skin by means of direct contact with a cool object. T/F

false. it is the transfer of heat by means of currents of liquids or gases in which warm air molecules move away from the body. EX: cool breeze that blows across warm body.

the primary function of the integumentary system is to regulate body temp. T/F

false. it is to protect the body.

all tattoos must be created by certified tattoo artists. T/F

false. tattoo may be applied by anyone.

new science nursing is

focused on person outcomes

skin grafts are necessary for what type of burn.

full thickness

The most effective way for you, the charge nurse, to manage perceived conflict is to

have individual conversations with those you think sense these feelings-Perceived or felt conflict is the feeling you have when you think someone is upset with you. When there is a perceived conflict, for any reason, people feel that something is going to happen. They are nervous and edgy, so it is important for you to talk to people individually in a pleasant and caring manner about their perception of the situation. After you have obtained enough information, you can return to the group and share the information with them.

What neuroendocrine changes occur within the first 24 hrs of a serious burn.

hyperglycemia and sodium retention(peripheral edema)

a client who is HIV/AIDS positive has developed neuropathy, which may be an adverse effect of the antiretroviral drug therapy. What advice should the nurse give?

increase the intake of vit B-12 and thiamine supplements

What is the effect of protein catabolism in a pt with severe burns?

it compromises would healing and immunocompetence.

which of the following techniques should be used when a staf member has lost his or her temper?

listen in a respectful, polite way

Conflict is best handled by

managing it-Currently, sociologists say that conflict should not be encouraged or discouraged, but when it occurs, it must be managed

a mother has brought her 4 mo old infant to the clinic for a well-child check. while talking with the nurse, the mother asks the nurse to suggest a diet that will maximize the immune function of her growing children. What dietary pattern should the nurse suggest?

moderate diet that is balanced and varied

What is the dermatophyte infection of the fingernails or toes

onychomycosis

_______ infections are infections that usually do not occur in people with healthy immune systems.

opportunistic

when chaos exists in your work situation, what will happen?

people will self organize

what is your responsibility in a threatening situation with a staff member on your unit?

protect yourself, other employees, and patients and their family

In order for you to understand conflict, you must be able to

realize that conflict is inevitable-Conflict is a reality that is present in all aspects of life, and also in all organizations because of their complexity and the multiple interactions of those who work in these organizations. Conflict is inevitable.

Poorly managed conflict

results in lowered productivity-Poorly managed conflict can create distance and distrust among employees and lead to lowered productivity or less attention to the quality indicators of patient care.

_____ is an infestation of the itch mite

scabies

_______ is the physical force that separates layers of tissue in opposite directions.

shearing

herpes zoster

shingles

diagnosis of skin cancer is confirmed by what

skin cancer is diagnosed by visual inspection and confirmed by biopsy

eccrine and aprocrine glands are also known as _____

sweat glands

a pt receiving emergency treatment for severe burns has just been assessed to establish the burn depth. why does the nurse assess the burn depth again after 72 hrs?

the nurse is required to reassess and revise the estimate of burn depth b/c the early appearance of the burn injury may change. assessing the burn depth helps determine the potential of the damaged tissue to survive.

licensed nurses have the authority to delegate duties. which of the following gives nurses that authority?

the nurse practice act

What nursing interventions should the nurse perform on a pt who is prescribed the open wound treatment

the skin of the client with burn is sensitive to drafts and temp changes; therefore, a bed cradle or sheets should be placed over the client. room is kept warm and humidified. pt put on isolation. bed made with sterile dry linen. whirlpool baths may be prescribed to loosen the crust, eschar, which forms over the wound.

which superficial fungal infection begins in the skin between the toes and spreads to the soles of the feet

tinea pedis

It is recommended that patients with HIV/AIDS receive yearly flu vaccines

true

aprocrine glands secrete fluid during perspiration. T/F

true

the color of the nail bed is a good indicator of circulatory perfusion. T/F

true

the rate of prgression of HIV to AIDS depends onthe concentration ofthe virus in the blood. T/F

true

burns can affect fluid balance. T/F

true.

lice can be transmitted via direct contact with infected clothing. T/F

true.

parasitic fungal infections are contagious. T/F

true.

the epidermis contains the ridges which comprise the fingerprints. T/F

true.

a burn's severity is affected by the temperature of the heat source.

true. additional factors, which affect the burn's severity includes duration of contact, thickness of tissue exposed to the heat, and the location of the burn.

a stage IV pressure ulcer is the most life threatening. T/F

true. can be traumatic; life-threatening. deeply ulcerated. exposes muscle and bone. May have rank odor. local infections can spread throughout body-instead the risk of sepsis.

skins effectiveness as a protective barrier declines with age. T/F

true. in older adults, reduced sebum production less to skin dryness and roughness.

furuncles, furunculosis, carbuncles are treated with antibiotic therapy. T/F

true. they are a result of skin infection or DM. a C&S lab results will indicate the proper antibiotic to use in treatment.

A strong and frequent cause of conflict for licensed practical nurses (LPNs) is

unclear roles-Unclear roles for LPNs are a potential source of conflict. The way that LPNs are assigned in healthcare often leads to unclear roles. To alleviate or prevent any conflict when a change in assignment is taking place, the LPN should clarify with management the extent of the role and the length of time this change will remain in effect

What might occur if an outbreak of shingles affects the vestibular nerve

vertigo and permanent hearing loss

What advice should the nurse give a pt w/ dermatitis until the etiology of it is identified

wear rubber gloves when in contact with soap

what is the term for listening respectfully and not responding with anger to another who is angry?

white out

normal urine values and characteristics

yellow, clear, specific gravity 1.003-1.029, urine osmolarity 50-1200(avg 500-800), neg protein, neg glucose, RBCs 0-3, WBCs 0-4, bilirubin none, crystals none, bacteria neg. pH:4.5-7.5

the Palm represents which% of a person's TBSA

1%

normal serum value: magnesium

1.3-2.1mEq/L changes seen in renal disease: decrease

normal serum value: carbon dioxide combining power

23-30mmol/L changes seen in renal disease: decrease

normal serum value: calcium

8.8-10mg/dL change seen in renal disease: decreases

Your client is about to have a skin test for an allergic disorder. What critical instruction should the nurse give this client?

Avoid antihistamines and cold preparations for 48 to 72 hours before the test-The nurse should instruct the client to avoid taking prescribed or over-the-counter antihistamine or cold preparations for at least 48 to 72 hours before a skin test because this reduces the potential for false-negative test results