Evolve - Med Surg - Integ

A farmer seeks medical care for a large crusty patch of skin on the cheek. The client states that even after using different remedies, it still bleeds easily and has not gotten better. From the client's history, the nurse suspects skin cancer because the major precipitating factor associated with skin cancer is:

Exposure to radiation

A client sustains full-thickness and deep partial-thickness burns. The client asks, "What is the difference between my full-thickness and deep partial-thickness burns?" The nurse explains that full-thickness burns:

Extend into the subcutaneous tissue; deep partial-thickness burns extend through the epidermis and involve only part of the dermis

During the first 48 hours after a thermal injury, the nurse should assess the client for

Hyperkalemia and hyponatremia

A burn victim has waxy white areas interspersed with pink and red areas on the chest and all of both arms. The nurse calculates that the percentage of total body surface area (TBSA) on which the client has sustained burns is:

36

The nurse is providing care for a client that is on bed rest. The nurse can prevent skin breakdown for this client by:

Encouraging the client to move around as much as possible

A client is admitted for malignant melanoma that was discovered during a routine eye examination. For which preferred treatment does the nurse expect the client to be scheduled?

Enucleation

A nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. What interventions should the nurse include that will decrease the risk of complications?

Examining the feet daily, Wearing well-fitting shoes, Performing regular exercise

A health care provider prescribes oral loperamide (Maalox) and intravenous ranitidine (Zantac) for a client with burns and crushing injuries caused by an accident. The client asks how these medications work

"They limit acidity in the gastrointestinal tract."

A client is diagnosed with psoriasis and the nurse is providing health teaching concerning skin care at home. What recommendation does the nurse include in the teaching?

Apply moisturizing lotion several times a day

A nurse is caring for a client with severe burns. The nurse determines that this type of client is at risk for hypovolemic shock because of the:

Plasma proteins moving out of the intravascular compartment

After a basal cell carcinoma is removed by fulguration, a client is given a topical steroid to apply to the surgical site. The nurse evaluates that the teaching regarding steroids and skin lesions is effective when the client states that the primary purpose of the medication is to:

Reduce inflammation at the surgical site

A nurse is assessing a client with a diagnosis of psoriasis. Which clinical findings should the nurse expect to observe?

Scaly lesions, Pruritic lesions, Reddened papules

A nurse is caring for a client with the diagnosis of pemphigus vulgaris. Which expected response does the nurse need to address in the client's plan of care?

Skin lesions

A client is admitted to the hospital with severe burns. What client response should the nurse anticipate when caring for the client during the acute phase of burn recovery?

Stable vital signs

A client is admitted for treatment of partial- and full-thickness burns of the entire right lower extremity and the anterior portion of the right upper extremity. Performing an immediate appraisal, using the Rule of Nines, what is the percent of body surface area burned?

22.5%

A hospitalized client develops an infection at a catheter insertion site. The nurse uses the term iatrogenic when describing this infection because it resulted from:

A procedure performed at the hospital

During the first 48 hours after a client has sustained a thermal injury, the nurse should assess for:

Hyperkalemia and hyponatremia

A client with psoriasis asks the nurse what can help this condition. Which should the nurse include in a teaching plan for this client?

Topical application of steroids

A client with scleroderma complains of numbness and tingling in the hands followed by blanching of the fingers. The nurse concludes that the client has Raynaud's phenomenon, a condition commonly associated with scleroderma. The nurse plans to advise the client to:

Keep the hands warm by wearing gloves

A client arrives at the emergency department after being bitten by a dog. The bite involved tearing of skin and deep soft tissue injury. The first nursing action is to:

Assess the client's injury, vital signs, and past history

A person on the beach sustains a deep partial-thickness burn because of a severe sunburn. What is the best first aid measure that a nurse should instruct the person to apply before seeking health care?

Cool, moist towels