LS1 Week 8 Chapter 61 Management of pt with Dermatologic Problems

Which condition is an autoimmune disease involving immunoglobulin G? a. Toxi epidural necrolysis(TEN) b. Pemphigus c. Bollous pemphigoid d. Stevens-Johnson syndrome (SJS)

b. Pemphigus

Which sedative medication is effective for treating pruritus? a. Benzoyl peroxide b. Tetracycline c. Hydroxyzine d. Fexofenadine

c Hydroxyzine

A client is receiving autolytic debridement therapy. It would be important for the nurse to complete which procedure? a. Ensure that the wound is kept open to the air for at least 6 hours/day b. Use an enzymatic debriding agent such as Pancrease c. Advise the client about the foul odor that will occur during therapy d. Ensure that the dressing is kept dry at all times

c. Advise the client about the foul odor that will occur during therapy

Which drug is an oral retinoid used to treat acne? a. Tetracycline b. Estrogen c. Isotretinoin d. Benzoyl peroxide

c. Isotretinoin

Which material consists of a powder in water? a. Paste b. Hygroscopic agent c. Suspension d. Liniment

c. Suspension

The nurse recommends which type of therapeutic bath for its antipruritic action? a. Water b. Saline c. Sodium bicarbonate (baking soda) d. Colloidal (oatmeal)

d. Colloidal (oatmeal)

What medication classification may be used for contact dermatitis? a. Antifungals b. Antivirals c. Saline irrigations d. Corticosteroids

d. Corticosteroids

The nurse is developing a plan of care for a client with toxi epidermal necrolysis (TEN) or Steven-Johnson syndrome. Which actin should the nurse include? a. Limit fluids b. Use friction when repositioning the client c. Apply a continuous cuurent of warm air d. Frequently inspect the oral cavity

d. Frequently inspect the oral cavity

`The nurse is caring for a client with a skin lesion that is oozing. The surrounding skin is acutely inflamed. What type of dressing should the nurse apply? a. Protective b. Occulusive c. Passive d. Interactive

d. Interactive

Which statement indicates a characteristic of a basal cell carcinoma (BCC) a. It metastasizes throough blood or the lymphatic system b. it is more invavsive than squamous cell carcinoma (SCC) c. It is a malignant proliferation arising from the epidermis d. It begins as a small, wasy nodule with rolled tanslucent, pearly borders

d. It begins as a small, wasy nodule with rolled tanslucent, pearly borders

Which infecting agent causes scabies? a. Bacteria b. REactivated virus c. Parasitic fungi d. Itch mite

d. Itch mite

Which drug is a topical corticosteroid used to treat psoriasis?' a. Triamcinolone b. Neutrogena c. Methotrexate d. Coal tar

a. Triamcinolone

The nurse is teaching a client about the correct use of topical concentrated corticosteroids. The nurse include which statement? Select all that appltt

a. Avoind prolonged c. Avoid applying to the face

Which is the primary preventable cause of skin cancer? a. Exposure to UV radiation b. Skin disease c. Excess melanin d. Fair skin

a. Exposure to UV radiation

Which skin condition is caused by staphylococci, streptococci, or multiple bacteria? a. Impetigo b. Scabies c. Poison Ivy d. Pediculosis capitis

a. Impetigo

Which statement is accurate regarding isotretinon? a. It is teratogenic in humans b. The side effects are irreversible c. To achieve the full effect of the mediation, the client should take vitamin A supplement d. Contraceptives are note needed during tx

a. It is teratogenic in humans

The nurse working at a physician's office is providing teaching to the parent of a child diagnosed with Tinea capitis (ringworm of the head). How often should the nurs instruct the parent to shampoo the child's hari with ketoconazole or a selenium sulfide shampoo? a Twice weekly b. Daily c. Once d. Weekly

a. Twice weekly

The nure notes that the client's lower extremities are covered with very dry skin and the horny layer of the sking has become thickened. The nurse notes the findings as a. Lichenification b. Pyodermas c. drmatitis d. acantholysis

a. licethenification

The nurse teaches the client who demonstrates herpes zoster (shingles) that a. the infection result from reactivation of teh chickenpox virus b. once a client has had shingles, they will not have it a second time c. a person who has had chickenpox can contract it again up exposure to a person with shingles d no know medicatios affect the course of shingles

a. the infection results from reactivation of teh chickenpos virus

Which statement are accurate with regard to methotrexate? Select all that apply a. Liver function tests need to be obtained when using the medication b. the medication is teratogenic c. The medication does not cause bone marrown suppression d. The medication inhibits DNA synthesisq

b the medication is teratogenic

Development of malignant melonoma is associtate with which risk factor? a. African American heritage b. History of severe sunburn c. Skin that tans easily d. Residence in the Northeast

b. History of severe sunburn

The nurse assesses the client and observes reddish-purple to dark blue macules, plaques, nodules. The nurse recognizes that these manifestations are associated with which condition? a. Platelet disorders b. Kaposi sacroma c. Allergic reactions d. Syphillis

b. Kaposi sarcoma

A client comes into the hospital with a Tegaderm dressing in place on the buttocks. The nurse documents this as beintg which type of dreassing? a. Inactive b. Passive c. Active d. Interactive

b. Passive

Which term refers to a graft derived from one part of a client's body and used on another part of that same client's body? a. Heterograft b. Homograft c. Autograft d. Allograft

c. Autografte

Which primary lesions are associated with acne caused by sebum blockage in hair follicles? a. Striae b. CArbuncles c. Comedones d. Furuncles

c. Comedones

The nurse is conducting an admission history and physcial examination of a client with a hx of contact dermatitis. The nurse assess wheter the client uses which medication classification? a. Antivirals b. Saline irrigations c. Corticosteroids d. Antifungals

c. Corticosteroids

The nurse is assessing a client's skin when the client points out a mole. The nurse brings the mole to the physician's attention when which characterisitcs is noted? a. Symmetrical appearance b Uniform light brown color c. Diameter exceeding 6 mm d. Distinct borders

c. Diameter exceeding 6 mm

Which factor aggravates the condition caused by acne vulgaris? a. Chocolate b Sunlight c. Friction d. High fat diet

c. Friction

Which term refers most precisely to a localized skin infection of a single hair follicle? a. Cheilitis b. Carbuncle c. Furuncle d. Comedone

c. Furuncle

The nurse is providing instruction to a client with acne. The nurse protoes avoidance of thic food? Select all that apply. a. Bananas b. Onions c. Ice Cream d. Choclate

c. Ice Cream, d. Chocolate

The nurse instructing the parents of a child with head lice. Which statemtn should the nurse includer? a. Use shampoo with Kwell b. Disinfect brushes and combs with bleach c. Wash clothes in cold water d. use shampoo with piperonyl butoxide

d. Use shampo with piperonyl butoxide

The classic lesions of impetigo manifest as a. commedones in the facial area b. abscessed skin and subcutaneous c. patches of grouped vesicles on red and swollen skin d. honey yellow crusted lesions on an erythematous base

d. honey yellow crusted lesions on an erythematous base