Ch 25

Which statement by a client with psoriasis indicates to the nurse that additional teaching about the client's condition is required?

"A tanning bed will supply the ultraviolet light I need."

In teaching a client about primary prevention of skin cancer, which instruction does the nurse include?

"Avoid sun exposure between 11 a.m. and 3 p.m."

A client with a bacterial skin infection is being taught home care for treatment of this infection. Which statement by the client indicates a need for further teaching?

"I may stop using the topical antibiotic when the lesions disappear."

Which statement by a client with psoriasis indicates that teaching about the condition has been effective?

"I should practice good handwashing technique."

A young client has been diagnosed with tinea corporis (ringworm), but the mother would like the child to return to school. To avoid spreading the infection, what does the nurse suggest to the mother?

"Keep the site covered with a bandage."

The nurse is teaching a client about decreasing the risk for melanomas and other skin cancers. Which primary prevention technique is most important for the nurse to include?

Avoiding or reducing skin exposure to sunlight

A client has an odorous, purulent wound. How does the nurse best support this client?

Changes the dressing frequently

During morning rounds, the nurse discovers that an older adult client has been incontinent during the night. To protect the skin, what does the nurse do first?

Clean and dry the client's skin.

The nurse is developing a teaching plan for a client diagnosed with methicillin-resistant Staphylococcus aureus infection. The nurse plans to include which instruction in the client's teaching plan?

Cover the infected area with a clean, dry bandage.

A discharged obese client will require frequent dressing changes for a skin condition on his left foot. How does the nurse assess whether the client is able to perform this task at home?

Determines whether the client can reach the affected area

A client with a foot ulcer says, "I feel helpless." What is the nurse's best response?

Encourages participation in care of the wound

Which nursing interventions can the nurse working in a long-term care facility delegate to a nursing assistant?

Every 2 hours, reposition a client who has had a stroke and is incontinent.

The nurse anticipates that a client with a deep necrotizing wound caused by a brown recluse spider bite may require which type of healing therapy?

Hyperbaric oxygen

The nurse is teaching a client who has loss of sensation and movement in the lower extremities secondary to spinal cord injury about protecting skin integrity. Which daily prevention strategy does the nurse include in the client's teaching plan?

Lift hips off the chair at least every hour.

The nursing instructor reviews instructions with the nursing student about caring for an older adult client with a pressure ulcer. What action by the nursing student indicates a need for further instruction about proper skin care for this client?

Massages bony prominences

A client has had a melanoma lesion removed. For secondary prevention, what is most important for the nurse to teach the client?

Perform a total skin self-examination monthly with a partner.

An older adult client who is bedridden has a documented history of protein deficiency. What does the nurse plan to monitor for?

Pressure ulcer development

What is the best way for the nurse to prevent a client's stage I pressure ulcer from advancing to stage II?

Promote mobility and/or frequent repositioning.

Deep tissue wounds, such as chronic pressure ulcers, take longer to heal because they heal by which intention?

Second

The nurse is evaluating the effectiveness of interventions for pressure ulcer management. Which diagnostic test result with an increased level indicates client progress and effective health care team collaboration?

Serum albumin

The nurse is caring for a client who has several infected lesions on both arms. The client is afebrile and does not have enlarged regional lymph nodes. The nurse notifies the provider who will most likely order which medication?

Topical mupirocin

The nurse is preparing to perform a dressing change for a client who has methicillin-resistant Staphylococcus aureus (MRSA) infection. What precaution will the nurse take while performing this dressing change?

Wearing disposable gloves