ATI Terminology #10
A nurse is assessing a lesion on a client who has basal cell carcinoma. The nurse should expect which of the following findings?
A pearly, shiny nodule
A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?
A small, translucent papule with rolled borders
During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest. The lesion is raised and flesh-colored with pearly white borders. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer
Basal cell carcinoma
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 is assessing a client at a dermatology clinic. Which of following findings places the client at risk for developing malignant melanoma?
History of chronic skin irritation
A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Hyperkalemia
A nurse is developing an education program about skin cancer for a community center. Which of the following instructions should the nurse plan to include?
Keep a body map of skin lesions.
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 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 teaching a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
"I will clean the hearing aids with alcohol wipes."
A nurse is caring for a new mother who is concerned that her newborn's eyes cross. Which of the following statements is a therapeutic response by the nurse?
"This occurs because newborns lack muscle control to regulate eye movement."
A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma (BCC). Which of the following treatments should the nurse include in the discussion? (Select all that apply.
-Cryosurgery -Electrosurgery -Radiation therapy -Micrographic surgery
A nurse is 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.)
1. paresthesias 2. redness & swelling 3. vesicles 4. weeping blisters 5. crusted lesions 6. postherpetic neuralgia
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
An employee presents to an occupational health nurse with concerns that their hearing is worse on one side. Which of the following actions should the nurse take first to address the employee's concern?
Conduct a physical examination.
A nurse is admitting a client who has a partial hearing loss. Which of the following is the priority action by the nurse?
Determine if the client uses hearing aids.
A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?
Many clients experience pain in the affected area for weeks after the lesions have resolved.
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 in a clinic is caring for an older adult client who reports dry, flaky skin on her upper back. Which of the following is an interventions should the nurse complete?
Pinch up a fold of skin to check for turgor.
A nurse is caring for a client who is at risk for sensory overload. Which of the following actions should the nurse take?
Provide the client with a blindfold.
A school nurse is performing a routine health assessment for a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis?
Pruritus of the scalp
A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing the lesion?
Purplish in color
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the following is an expected finding?
Report of exposure to a skin irritant
A nurse in a provider's office is caring for a client who has a new diagnosis of tinea pedis. Which of the following findings should the nurse expect?
Scaling and redness between the client's toes
A nurse is assessing a client who has a new skin lesion that has a wavy border. The nurse should document the lesion using which of the following descriptions?
Serpiginous
A nurse in the outpatient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?
Silvery, white scales
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 red in color with eschar present.
A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?
The physiologic status of the clients on the unit
