Chapter 56 Integumentary Function

The nurse is caring for a patient with extensive bullous lesions on the trunk and back. Prior to initiating skin care, what is a priority for the nurse to do? Apply cold compresses. Wash the lesions vigorously. Rupture the bullous lesions. Administer analgesic pain medication.

Administer analgesic pain medication

The nurse caring for a client with repeated episodes of contact dermatitis is providing instruction to prevent future episodes. Which information should the nurse include? Wear gloves during the day. Wash skin in very hot water. Use a fabric softener. Avoid cosmetics with fragrance.

Avoid cosmetics with fragrance

A patient is diagnosed with seborrheic dermatitis on the face and is prescribed a corticosteroid preparation for use. What should the nurse educate the patient about regarding use of the steroid on the face? Scrape the scaly patches off prior to applying the medication. Use very warm water to clean the face prior to applying the medication. Wash the face several times a day and reapply the medication. Avoid using the medication around the eyelids because it may cause cataracts and glaucoma.

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

Which primary lesions are associated with acne caused by sebum blockage in hair follicles? Striae Carbuncles Furuncles Comedones

Comedones

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? Antifungals Corticosteroids Saline irrigations Antivirals

Corticosteroids

Which medication classification may be used for contact dermatitis? Antifungals Corticosteroids Saline irrigations Antivirals

Corticosteroids

The patient is advised to apply a suspension-type lotion to a dermatosis site. The nurse should advise the patient to apply the lotion how often to be effective? Every 12 hours Every 3 hours Every day at the same time Every hour

Every 3 hours

The nurse is developing a plan of care for a client with toxic epidermal necrolysis (TEN) or Stevens-Johnson syndrome. Which action should the nurse include? Limit fluids. Apply a continuous current of warm air. Frequently inspect the oral cavity. Use friction when repositioning the client.

Frequently inspect the oral cavity

Development of malignant melanoma is associated with which risk factor? Skin that tans easily African American heritage History of severe sunburn Residence in the Northeast

History of severe sunburn

The classic lesions of impetigo manifest as comedones in the facial area. abscessed skin and subcutaneous tissue. patches of grouped vesicles on red and swollen skin. honey-yellow crusted lesions on an erythematous base

Honey-yellow crusted lesions on an erythematous base

When writing a plan of care for a client with psoriasis, the nurse would know that an appropriate nursing diagnosis for this client would be what? Anxiety Related to Risk for Melanoma Impaired Tissue Integrity Related to Epidermal Shedding Impaired Skin Integrity Related to Scaly Lesions Acute Pain Related to Blistering and Erosions of the Oral Cavity

Impaired Skin Integrity Related to Scaly Lesions

A client presents in the emergency department with complaints of cough, headache, and generalized aches and pains. Upon assessment, the nurse documents a temperature of 102.5°F (39.2°C) and redness on the arms, legs, and upper chest. She also notes that the client takes eight different medications each day. What nursing diagnosis is the priority for this client? Impaired tissue integrity Impaired physical mobility Ineffective therapeutic regimen management Impaired thermoregulation

Impaired tissue integrity

Which skin condition is caused by staphylococci, streptococci, or multiple bacteria? Poison ivy Impetigo Pediculosis capitis Scabies

Impetigo

Which is not a category of medications used for treatment of the skin? topical corticosteroids antibiotics antihistamines inhaled steroids

Inhaled steroids

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? Occlusive Protective Interactive Passive

Interactive

A patient is being evaluated for nodular cystic acne. What systemic pharmacologic agent may be prescribed for the treatment of this disorder? Retin-A Isotretinoin (Accutane) Salicylic acid Benzoyl peroxide

Isotretinoin (Accutane)

A client asks the nurse what psoriasis is. What is the best answer? It is a chronic, infectious inflammatory disease. It is characterized by patches of redness covered with silvery scales. The onset typically occurs in young children. A cure is possible with prompt treatment.

It is characterized by patches of redness covered with silvery scales

Which infecting agent causes scabies? Bacteria Parasitic fungi Reactivated virus Itch mite

Itch mite

The nurse assesses the client and observes reddish-purple to dark blue macules, plaques, and nodules. The nurse recognizes that these manifestations are associated with which condition? Allergic reactions Platelet disorders Kaposi sarcoma Syphilis

Kaposi sarcoma

Which of the following information regarding the transmission of lice would the nurse identify as a myth? Lice can be seen without magnification. Lice can jump from one individual to another. Lice can be spread by sharing of hats, caps, and combs. Lice need to be removed from the hair with a fine comb.

Lice can jump from one individual to another

The nurse and nursing assistant are moving a client who slid down in the chair. What does the nurse encourage the assistant to avoid shearing when moving the client to a higher position in the chair? Use a donut device while the client is in the chair. Encourage the client to slide up without assistance. Tilt the chair back when moving the client. Lift the client, do not slide them.

Lift the client, do not slide them

Which procedure done for skin cancer conserves the most amount of normal tissue? Electrosurgery Cryosurgery Mohs micrographic surgery Surgical excision

Mohs micrographic surgery

The nurse is caring for a client with a furuncle. What advice should the nurse give a client with a furuncle to prevent the spread of the infection? Use tepid bath water. Never pick or squeeze a furuncle. Keep hair short, clean, and away from the face and forehead. Avoid the use of cosmetics.

Never pick or squeeze a furuncle

A client is being treated for acne vulgaris. What contributes to follicular irritation? overproduction of sebum potato chips chocolate stress

Overproduction of sebum

Which condition is an autoimmune disease involving immunoglobulin G? Bullous pemphigoid Toxic epidural necrolysis (TEN) Stevens-Johnson syndrome (SJS) Pemphigus

Pemphigus

A nurse is admitting a client with toxic epidermal necrolysis. What is the nursing priority in preventing sepsis? Hydrating to prevent renal failure Limiting protein to limit liver failure Assessing for hemorrhage Preventing infection

Preventing infection

A client is being treated for acne vulgaris. What warning must be given to this client regarding the application of benzoyl peroxide? Use with over-the-counter drying agents. Apply a thick layer to assure coverage. Use gloves with application. Only use with contact dermatitis.

Use gloves with application

The nurse is instructing the parents of a child with head lice. Which statement should the nurse include? Wash clothes in cold water. Use shampoo with Kwell. Disinfect brushes and combs with bleach. Use shampoo with piperonyl butoxide.

Use shampoo with piperonyl butoxide

A patient is diagnosed with psoriasis after developing scales on the scalp, elbows, and behind the knees. The patient asks the nurse where this was "caught." What is the best response by the nurse? Psoriasis is an inflammatory dermatosis that results from an overproduction of keratin. Psoriasis is an inflammatory dermatosis that results from a superficial infection with Staphylococcus aureus. Psoriasis results from excess deposition of subcutaneous fat. Psoriasis comes from dermal abrasion

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

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

The infection results from reactivation of the chickenpox virus

What advice should the nurse give a client with dermatitis until the etiology of the dermatitis is identified? Use hot water for bathing. Use wool, synthetics, and other dense fibers. Rub the skin vigorously to dry. Wear rubber gloves when in contact with soaps.

Wear rubber gloves when in contact with soaps

Which term describes a fungal infection of the scalp? Tinea capitis Tinea cruris Tinea pedis Tinea corporis

Tinea capitis

To treat a client with acne vulgaris, the physician is most likely to order which topical agent for nightly application? Zinc oxide gelatin Tretinoin (retinoic acid [Retin-A]) Fluorouracil (5-fluorouracil, 5-FU [Efudex]) Minoxidil (Rogaine)

Tretinoin (retinoic acid [Retin-A])

A client recently received lip and tongue piercings and subsequently developed a superinfection of candidiasis from the antibacterial mouthwash. What would the nurse recommend for this client? Move the piercing back and forth during washing. Use an antifungal mouthwash or salt water. Rinse the mouth after eating food. Use a soft-bristled toothbrush.

Use an antifungal mouthwash or salt water

A physician orders an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond? "To make the skin feel soft." "To prevent skin inflammation." "To prevent evaporation of water from the hydrated epidermis." "To minimize cracking of the dermis."

"To prevent evaporation of water from the hydrated epidermis."

A client has been diagnosed with shingles. Which of the following medication classifications will reduce the severity and prevent development of new lesions? Analgesics Antipyretics Antiviral Corticosteroids

Antiviral

Which of the following terms refers to a graft derived from one part of a patient's body and used on another part of that same patient's body? Heterograft Homograft Allograft Autograft

Autograft

The nurse is providing instruction to a client with acne. The nurse promotes avoidance of which food(s)? Select all that apply. Onions Chocolate Bananas Ice cream

Chocolate Ice cream

The nurse is working with community groups. At which of the following locations would the nurse anticipate a possible scabies outbreak? Shopping mall Gymnasium Swimming pool College dormitory

College dormitory

A night-shift nurse receives a call from the emergency department about a client with herpes zoster who is going to be admitted to the floor. Based on this diagnosis, where should the nurse assign the client? Isolation room with negative airflow Private room Semi-private room with a client who had chickenpox and was admitted with a GI bleed Semi-private room with a client diagnosed with pneumonia

Private room

A nurse assesses a client with dry, rough, scaly skin without lesions on the legs. The client reports itching in the affected area. What skin assessment would the nurse document? Pruritus Shingles Seborrhea Candidiasis

Pruritus

Photochemotherapy has been used as a treatment for which of the following skin disorders? Psoriasis Rosacea Allergic dermatitis Shingles

Psoriasis

A client is coming to the office to have a growth removed by the doctor. The client asks "What does cryosurgery do to the growth?" What is the correct response? Lasers the growth off Removes the entire growth Through the application of extreme cold, the tissue is destroyed. Freezes the growth, so the physician can remove it at the next appointment

Through the application of extreme cold, the tissue is destroyed