Integumentary

A nurse in an emergency department is assessing a client who has extensive burns, including on her face. Which of the following assessments should the nurse perform first? A. Estimation of burn injury B. Characteristics of the cough and sputum C. Extent of peripheral edema D. Amount of urine output

B. Characteristics of the cough and sputum

A nurse is assess a client who has a lesion on his skin. Which of the following findings is a clinical manifestation of malignant melanoma> A. Rough, dry, scaly lesion B. Firm nodule with crusting C. Pearly papule with ulcerated center D. Irregularly shaped lesion with blue tones

D. Irregularly shaped lesion with blue tones

A nurse is planning care for a client who has been admitted for the treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? A. Curettage B. External radiation therapy C. Regional chemotherapy D. Surgical exicision

D. Surgical excision

A nurse is assessing a client who sustained superficial partial thickness and deep partial thickness burns 72 hours ago. Which of the following findings should the nurse report to the provider? A. Edema in the burned extremities B. Sever pain at the burn sites C. Urine output of 30 ml hour D. Temp of 39.1 (102..4 F)

D. Temp of 39.1

A nurse is conducting discharge teaching about foot care for a client who has diabetes mellitus. Which of the following instructions should the nurse include? A. Wear nylon socks with shoes everyday B. Trim toenails by rounding the edges of the nail C. Apply lotion between the toes after bathing D. Test water temp with the wrist

D. Test water temp with the wrist

A community health nurse is teaching a group of clients about melanoma. Which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching? A. One solid color B. Symmetrical shape C. <6mm in diameter D. Irregular border

D. Irregular border

A nurse is teaching a client who has extensive deep partial and full thickness burns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes? A. Bacterial growht B. scarring C. Skin graft size D. Pain

A. Baceterial growth

A nurse is providing discharge instructions to a client who is postop following surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of a mole's potential malignancy? A. Ulceration B. Blanching of surrounding skin C. Dimpling D. Fading of color

A. ulceration

A nurse in a providers office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? A. Zoster vaccine B. Acyclovir C. Amoxicillin D. Infliximab

B. Acyclovir

A nurse in a dermatology clinic is using the ABCDE method while screening several skin lesions for skin cancer on a client. Which of the following findings should the nurse report to the provider? A. Symmetric shape B. Border regularity C. Color variation within a lesion D. Diameter >4 mm

C. Color variation within a lesion

A nurse is teaching a group of clients about skin cancer. The nurse should explain that the basal cell carcinoma originates from which of the following tissues? A. Subcut B. Epidermis C. Dermis D. Stratum corneum

B. Epidermis

A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her burn wounds. The nurse should evaluate the client for which of the following laboratory findings? A. Hyponatremia B. Leukopenia C. Hyperchloremia D. Elevated BUN

B. Leukopenia

A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? A. Basal cell carcinoma B. Melanoma C. Actinic keratosis D. Squamous cell carcinoma

B. Melanoma

A community health nurse is teaching a group of clients about malignant melanoma. Which of the following tratis places a client at risk for developing malignant melanoma? A. Brown eyes B. light skin C. Black hair D. Dark skin

B. light skin

A nurse is planning care for a client who has a deep partial thickness and full thickness thermal burns over 40 percent of his body surface and is in the acute phase of burn injury. Which of the following interventions should the nurse include in the plan? A. initiate range of motion exercises B. Use clean technique to provide wound care C. Place the client on a low protein diet D. Maintain the client on bed rest

A. Imitate range of motion exercises.

A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement? A. Immobilize the limb at the level of the heart B. Apply a tourniquet to the affected limb C. Use sterile scapula to incise the wound D. D. Apply ice to the skin over the snakebite wound

A. Immobilize the limb at the level of the heart

A nurse in a providers office is assessing a clients skin lesions. The nurse notes that the lesions are 0.5 cm in size, elevated, and solid with distinct borders. The nurse should document these findings as which of the following skin lesions? A. Papules B. Macules C. Wheals D. Vesicles

A. Papules

A nurse on a surgical unit is caring for 4 clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention? A. Partial thickness burn B. Stage III pressure ulcer C. Surgical incision D. Dehisced sternal wound

C. Surgical incision

A nurse is assessing the abdominal incision of a client who is 3 days postop. The incision is slightly edematous and pink with crusting on the edges and is draining serosanguineous fluid. Which of the following assessments describes the incisions? A. The incision is showing early signs of infection B. The incision is showing early signs of dehiscence C. The incision is showing signs of healing without complications D. The incision is showing signs of developing fistula

C. The incision is showing signs of healing without complications

A nurse is assessing the skin of a client who has frostbite. The client has small blisters that contain blood, and the skin of the affected area does not blanch. The nurse should classify this injury as which of the following? A. First degree B. Second degree C. Third degree D. Fourth degree

C. Third degree frostbite

A nurse is caring for a client who has regular occupational exposure to sunlight and presents for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma? A. A pearly papule that is 0.5 cm wide with raised, indistinct borders on the upper right shoulder B. Several flat, pigmented, circumscribed areas of various sizes over the bridge of the nose C. A raised, circumscribed lesion on the face that contains yellow white purulent material D. An irregularly shaped brown lesion with light blue areas of the neck

D. An irregularly shaped brown lesion with light blue areas on the neck

A nurse is caring for a client whose wounds are covered with a hetrograft dressing. In respose to the clients questions about the dressing, the nurse exxplains that it is obtained from which of the following sources? A. Cadaver skin B. Pig skin C. Amniotic membranes D. Beef collagen

Pig skin