Quiz 10

A patient has a moisture-retentive dressing for the treatment of a sacral decubitus ulcer. How long will the nurse leave the dressing in place before replacing it?

12-24 hours

The nurse is changing the dressing of a chronic wound. There is no sign of infection or heavy drainage. How long will the nurse leave the wound covered?

48-72 hours

The nurse is caring for an adult patient with a body temperature within normal range. Which is the approximate insensible water loss per day in this patient?

600

A patient comes to the clinic and asks the nurse why the skin of the forehead, palms, and soles has a yellow-orange tint. There is no yellowing of the sclera or mucous mem-branes. Which question would be most appropriate to ask the patient to identify a potential cause of the skin discoloration?

"Have you been eating a large amount of carotene-rich foods?"

The nurse observes an African American patient with a large hypertrophied area of scar tissue on the left ear lobe. Which does the nurse document this finding as?

Keloid

The epidermis is composed of three types of

Keratinocytes, merkel cells, and langerhans cells

What are the potential complications of stevens Johnson syndrome and TEN?

Keratoconjunctivitis, sepsis, and multiple organ

A patient has contact dermatitis on the hand, and the nurse observes an area that is thickened and rough between the thumb and forefinger. How will the nurse document this finding?

Lichenification

A patient is visiting the health care provider to determine what type of allergy is causing a rash. Which type of testing will be appropriate in order to determine the cause of this finding?

Patch test

A patient is be the reader for chronic venous stasis ulcers of the lower extremities. Which redication prescribed by the health care provider will increase peripheral blood flow by decreasing the viscosity of blood and "Assist with the healing of the ulcers?

Pentoxifylline

A prescription scabicide

Permethrin

The nurse is assessing a patient with a primary skin lesion called a macule. Which does the nurse identify is a clinical example of this lesion?

Port-wine stains

The nurse is assessing a patient with toxic epidermal necrolysis (TEN). Which assessment data will indicate that the patient may be progressing to keratoconjunctivitis? (Select all that apply.)

Pruritus of the eyes Burning of the eyes Dryness of the eyes

The nurse assesses a patient with silvery-white, thick scales on the scalp, elbows, and hand of a patient that bleed when picked off. Which skin disorder correlates with this assessment finding?

Psoriasis

The nurse is assessing the fingernails of a patient at the clinic. The nurse observes pitting on the surface of the nail. Which disorder is this finding indicative of?

Psoriasis

A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse, "Where did I catch this from?" Which is the best response by the nurse?

Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin.

The nurse is assessing a patient with risk factors related to human immune deficiency virus (HIV). Which assessment finding does the nurse identify as a manifestation of the disease?

Purplish cutaneous lesions

The nurse is assessing a patient for psoriatic lesions after treatment with a nonsteroidal cream. Which characteristic is typical of a plaque psoriatic lesion?

Red, raised patch covered with silver scales

Scabies is an infection of the skin by the itch mite

Sarcoptes scabiei

A patient reports severe itching that intensifies at night. The nurse assesses the skin using a magnifying glass and penlight to look for the "itch mite." Which skin condition does the nurse assess?

Scabies

There are three different types of therapy indicated for the treatment of psoriasis?

Topical, phototherapy, and systemic

The nurse assesses a patient and observes a herpes simplex/zoster skin lesion. How will the nurse document this lesion?

Vesicle

any abnormal skin condition

dermatosis

an insoluble, fibrous protein that forms the outer layer of skin

keratin

The substance responsible for coloration of skin

melanin

What are the three types of wound dressings?

passive, interactive, active

pinpoint red spots that appear on the skin as a result of blood leakage into skin

petechiae

What are the major physical processes involved in loss of heat from the body to the environment

radiation, conduction, convection

What are two types of skin glands?

sebaceous and sweat glands

The nurse is caring for a patient with extensive bullous lesions on the trunk and back Prior to initiating skin care, which is a priority for the nurse to do?

Administer analgesic pain medication.

The nurse is instructing a patient on how to apply a corticosteroid cream to lesions on the arm. Which intervention will the nurse instruct the patient to do to increase the absorption of the medication?

Apply an occlusive dressing over the site after application.

The nurse will assess all possible causes of pruritus for a patient reporting generalized pruritus. Which does the nurse understand can be other causes for this condition?

End-stage kidney disease

A patient is advised to apply a suspension-type lotion to a dermatosis site. The nurse will advise the patient to apply the lotion how often to be most effective?

Every 3 hours

An antiviral agent used to treat herpes zoster

Famvir

Topical Corticosteroids with medium to high potency

Fluocinonide

An important principle of psoriasis treatment

Gentle removal of scales

The nurse is assisting with the collection of a Tzanck smear. Which is the suspected diagnosis of the patient?

Herpes zoster

A patient is being evaluated for nodular cystic acne. Which systemic pharmacologic agent may be prescribed for the treatment of this disorder?

Isotretinoin

A patient has a serum bilirubin concentration of 3 mg/100 mL. Which will the nurse observe when performing a skin assessment on this patient?

Jaundice

The nurse is applying a cold towel to a patient's neck to reduce body heat. How will the nurse determine that the heat is reduced?

Conduction

A patient is diagnosed with seborrheic der. matitis on the face and is prescribed a corticosteroid preparation for use. Which will the nurse educate the patient about regarding use of the steroid on the face?

Avoid using the medication around the eyelids because it may cause cataracts and glaucoma

The nurse assesses a dark-skinned patient who has cherry-red nail beds, lips, and oral mucosa. Which disorder does the nurse identify correlates with this assessment finding?

Carbon monoxide poisoning

A patient has developed a boil on the face, and the nurse observes the patient squeezing the boil. Which complication will the nurse discuss with the patient after encouraging them not to manipulate the boil?

Cellulitis

Dry crackling of the corners of mouth

Cheilitis

Which will the nurse assess for to determine if a patient using corticosteroids for a derma-tologic condition is having local side effects? (Select all that apply.)

Skin atrophy, Striae, Telangiectasia

The nurse is caring for a patient with dark skin who is having gastrointestinal bleeding. How will the nurse determine from skin color change that shock may be present?

Skin is ashen gray and dull

A potentially fatal skin disorder

TEN

Describe what function the hair of the skin serves

The hair of the skin provides thermal insulation in mammals with hair or fur. This function is enhanced during cold or fright by piloerection, caused by contraction of the tiny erector muscles attached to the hair follicle.