Adult Nursing: Integumentary System
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."
Which statement by the patient diagnosed with herpes simplex virus-2 (HSV-2) indicates the need for further teaching?
"I will take my medication as prescribed so that I don't have another outbreak."
The nurse notes that a patient's wound is weeping and edematous and correlates these findings to which phase of wound healing?
Inflammatory
A patient with a pressure injury is prescribed a zinc supplement. What does the nurse explain to the patient about this supplement?
It is needed for protein synthesis.
In providing care to a patient diagnosed with a squamous cell lesion, the nurse prepares the patient for which treatment?
Mohs' surgery
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? Select all that apply.
Obtain a referral for a dietitian. Encourage fluid intake. Obtain an order for prealbumin and albumin levels.
The nurse monitors for which clinical manifestations in the patient developing a complicated soft tissue bacterial infection? Select all that apply.
Pain Fever Tachycardia Low blood pressure
A patient is diagnosed with herpes simplex viral encephalitis. Which medication does the nurse prepare to administer to this patient?
Parenteral acyclovir
The nurse should question a patient prescription for surgical/sharp debridement in which situations? Select all that apply.
The patient who is diagnosed with a clotting disorder. The patient who is receiving chemotherapy and is neutropenic.
A patient is prescribed phototherapy as treatment for psoriasis. Which patient statement indicates that teaching about this treatment has been effective?
"I should not have a treatment if my skin gets red or is blistered."
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."
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
A patient recovering from reconstructive surgery is experiencing unrelenting postoperative pain. The nurse correlates this finding to which potential complication?
Infection
The nurse correlates the development of community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) infections to which skin conditions? Select all that apply.
Abscess Cellulitis Impetigo Folliculitis
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
The nurse monitors for which clinical manifestations in the patient is experiencing a recurrent herpes simplex virus infection? Select all that apply.
Areas of redness Tingling sensation Fluid-filled vesicles
A patient with a sacral stage III pressure injury has an elevated temperature. What diagnostic test is most definitive in determining if the patient is developing osteomyelitis?
Computed tomography (CT) scan
The nurse monitors for which assessment data in the patient diagnosed with a Staphylococcus skin infection?
Creamy, yellow pus drainage
The nurse includes what information about the mechanism of action of salicylic acid prescribed for the patient with psoriasis?
Decreases scaling and softens plaques
The nurse correlates which material as being used to treat the patient requiring a secondary closure of a surgical wound?
Grafts
The nurse correlates which physiological responses that occur during the proliferative phase of healing? Select all that apply.
Granulation Angiogenesis Collagen synthesis
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 treatment for the patient diagnosed with a carbuncle?
Incision and drainage
A patient has a leg wound that has beige exudate and a fishy odor. The nurse correlates this assessment data to which microorganism?
Proteus
The nurse correlates which potential risk factors to the development of several lacerations over the coccyx area?
Shearing
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 red plaques covered with silvery 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 versicolor
A patient is diagnosed with tinea corporis. The nurse correlates the mechanism of which medication to treat this infection?
Topical miconazole
The nurse monitors for which clinical manifestations in the patient diagnosed with basal cell carcinoma?
Translucent papule
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
