Transitions Chapter 61

d) passive

A client comes into the hospital with a tegaderm dressing in place on the buttocks. The nurse documents this as being which type of dressing? a) Active b) inactive c) interactive d) passive

a) honey-yellow crusted lesions on an erythematous base

The classic lesions of impetigo manifest as? a) honey-yellow crusted lesions on an erythematous base c) comedone in the facial area c) patches of grouped vesicles

d) corticosteroids

What medication classification may be used for contact dermatitis ? a) antifungals b) saline irrigation c) antivirals d) corticosteroids

a) Pemphigus

Which condition is an autoimmune disease involving immunoglobulin G? a) Pemphigus b) Bullous pemphigoid c) Toxic Epidural necrolysis (TEN) d) Steven Johnson syndrome

d) triamcinolone

Which drug is a topical corticoid steroid used to treat psoriasis ? a) methotrexate b) coal tar c) Neutrogena d) triamcinolone

b) Isotretinoin

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

b) friction

Which factor aggravates the condition caused by acne vulgaris? a) high fat diet b) friction c) chocolate d) sunlight

d) itch mite

Which infecting agent causes scabies? a) parasitic fungi b) bacteria c) reactivated virus d) itch mite

b) exposure to UV radiation

Which is the primary preventable cause of skin cancer? a) fair skin b) exposure to UV radiation c) skin disease d) excess melanin

d) suspension

Which material consists of a powder in water? a) liniment b) hygroscopic agent c) paste d) suspension

c) comedones

Which primary lesions are associated with acne caused by sebum blockage in hair follicles a) striae b) carbuncles c) comedone d) furuncles

c) Hydroxyzine

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

b) impetigo

Which skin condition is caused by staphylococci, streptococci, or multiple bacteria? a) poison Ivy b) impetigo c) scabies d) pediculosis capitis

b) It begins as a small, waxy, nodule with rolled translucent, pearly borders

Which statement indicates a characteristic of a basal cell carcinoma? a) it metastasizes through or the lymphatic system b) It begins as a small, waxy, nodule with rolled translucent, pearly borders c)It is a malignant proliferation arising from the epidermis d) It is more invasive than squamous cell carcinoma

d) It's a teratogenic in humans

Which statement is accurate regarding isotretinoin? a) the side effects are irreversible b) contraceptives are not needed during treatment c) to achieve the full effect of medication, the client should take Vitamin A supplements d) It's a teratogenic in humans

b)furuncle

Which term refers most precisely to a localized skin infection of a single hair follicle? a) comedone b)furuncle c) cheilitis d) carbuncle

b) autograft

Which term refers to a graft derived from one part of a clients body and used on another part of that same clients body? a) allograft b) autograft c) homograft d) heterograft

d)Kaposi sarcoma

the nurse assesses the client and observes a reddish-purple to dark blue macules, plaques and nodules. the nurse recognizes that these manifestations are associated with which condition? a) platelet disorders b) allergic reactions c) syphilis d)Kaposi sarcoma

c) history of severe sunburn

Development of malignant melanoma is associated with which risk factor? a) skin that tans easily b) residence in the northeast c) history of severe sunburn d) African American heritage

d) advise the client about the foul odor that will occur during therapy

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

a) use shampoo with piperonyl butoxide

The nurse is instructing the parents of a child with head lice, which statement should the nurse include? a) use shampoo with piperonyl butoxide b) disinfect brushes and combs with bleach c) use shampoo with kwell d) wash clothes in cold water

a) colloidal (oatmeal)

The nurse recommends which type of therapeutic bath for its antipruritic action? a) colloidal (oatmeal) b) sodium bicarbonate (baking soda) c) water d) saline

d) Avoid cosmetics with fragrance

The nurse caring for a client with repeated episodes of contact dermatitis is providing instructions to prevent future episodes. Which information should the nurse include? a) wear gloves during the day b) wash skin in very hot water c) Use fabric softener d) Avoid cosmetics with fragrance

b) diameter exceeding 6 mm

The nurse is assessing a clients skin when the client points out a mole. The nurse brings the mole to the physicians attention when which characteristic is noted? a) Uniform light brown color b) diameter exceeding 6 mm c) Distinct borders d) symmetrical appearance

c) interactive

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) occlusive b) passive c) interactive d) protective

b) family history of pancreatic cancer

The nurse is conducting a community education program on malignant melanoma. The nurse knows that the participants understand the teaching when they identify which characteristic as a risk factor? a) dark skin b) family history of pancreatic cancer c) history of sun tans

c) corticosteroids

The nurse is conducting an admission history and physical examination of a client with a history of contact dermatitis. The nurse assesses whether the client uses which medication classification? a) saline irrigations b) antifungals c) corticosteroids d) antivirals

a) frequently inspect the oral cavity

The nurse is developing a plan of care for a client with toxic epidermal necrolysis or Steven Johnson's syndrome. Which action should the nurse include? a) frequently inspect the oral cavity b) limit fluids c) Apply a continuous current of warm air d) use friction when repositioning the client

a) ice cream d) chocolate

The nurse is providing instruction to a client with acne, the nurse promotes avoidance of which foods? SATA a) ice cream b) onions c) bananas d) chocolate

a) avoid applying to the face d) avoid prolonged use

The nurse is teaching a client about the correct use of topical concentrated corticosteroids, The nurse includes which statements? SATA a) avoid applying to the face b) hypertrichosis is normal c) apply to intertriginous areas d) avoid prolonged use

a) lichenification

The nurse notes that the clients lower extremities are covered with very dry skin and that the horny layer of the skin has become thickened. The nurse notes the findings as a) lichenification b) dermatitis c) acantholysis d) pyodermas

c) the infection results from a reactivation of the chicken pox

The nurse teaches the client who demonstrates herpes zoster (shingles) that a) no known medications affect the course of shingles b) a person who has had chicken pox can contract it again upon exposure to a person with shingles c) the infection results from a reactivation of the chicken pox d) once a client has had shingles, they will not have it a second time

c) twice weekly

The nurse working at a physicians office is providing teaching to the parent of a child diagnosed with Tinea capitis. How often should the nurse instruct the parent to shampoo the child's hair with ketoconazole or selenium sulfide shampoo? a) weekly b) daily c) twice weekly d) once