med/surg A chapter 50 quiz
Which statement by the patient newly diagnosed with psoriasis indicates the need for further teaching?
"I will be sure to wear long sleeves because my condition is contagious."
The nurse correlates which potential risk factors to the development of several lacerations over the coccyx area?
- shearing
Which statement by the patient diagnosed with herpes simplex virus-2 (HSV-2) indicates the need for further teaching?
- "I will use condoms with sexual intercourse to decrease the risk of transmission."
The nurse instructs a patient on medications prescribed to treat psoriasis. Which patient statement indicates that additional teaching is required?
- "this medication will cure the disease"
Which diagnostic test is indicated for the patient demonstrating signs of a herpes simplex virus (HSV) infection?
- HSV-1 antibody testing
The nurse correlates which material as being used to treat the patient requiring a secondary closure of a surgical wound?
- grafts - DOUBLE CHECK WITH HODGINS BC SHE SAYS ALL DIFFERENT THINGS
The nurse correlates which treatment for the patient diagnosed with a carbuncle?
- incision and drainage
a patient's leg wound is not healing as quickly as expected. what does the nurse do to determine the reason for the patient's poor healing? (what are the ACTIONS being taken?)
- obtain referral for dietician (nutrition affects healing) - encourage fluid intake (hydration affects healing) - obtain order for pre albumin and albumin levels (protein status affects healing)
The nurse monitors for which clinical manifestations in the patient developing a complicated soft tissue bacterial infection?
- pain - fever - tachycardia
A patient has a leg wound that has beige exudate and a fishy odor. The nurse correlates this assessment data to which microorganism?
- proteus
When conducting a skin assessment for a patient, which term does the nurse use to document soft, moist, tan- or green-colored devitalized tissue?
- slough
The nurse monitors for which clinical manifestations on the patient's elbows and knees in the patient diagnosed with plaque psoriasis?
- thick, reddened plaques covered with silver scales
A patient is experiencing scaly, patchy skin changes on the upper back, chest, and arms. In some areas the skin is either red, dark in color, or lighter in color. The nurse correlates these findings to which type of fungal infection?
- tinea veriscolor * easy to remember because the name has the word "color" in it, and different colors on the skin is the main clinical manifestation
A patient is diagnosed with tinea corporis. The nurse correlates the mechanism of which medication to treat this infection?
- topical miconazole
The nurse sends 10 samples of body sites to assess an intensive care patient's Candida colonization index. Seven of the samples came back as being positive. What is this patient's colonization index? Record your answer to the nearest tenth decimal point.
0.7 - 7/10 = 0.7; how many positive tests divided by total tests
The nurse is preparing an educational tool to teach high school students about skin cancer and highlights which finding as the most common precancerous lesion?
Actinic keratoses are atypical keratinocytes found in the epidermis and represent the most common form of precancerous lesions.
a patient with a stage III pressure injury has an elevated temperature. what diagnostic test is most definitive in determining if the patient has osteomyelitis ?
CT scan
The nurse notes that a patient's wound is weeping and edematous and correlates these findings to which phase of wound healing?
In the inflammatory phase of healing, fluid escapes into the wound and causes edema.
The nurse is teaching at a community fair about ways to reduce the risk of skin cancer. What should the nurse emphasize in this presentation?
Wear clothing with UV protection
The nurse monitors for which assessment data in the patient diagnosed with a Staphylococcus skin infection?
creamy, yellow puss drainage