Hinkle Chap. 61 Management of Patients with Dermatologic Disorders

While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the wound. Until a wound specialist can be contacted, which type of dressing should the nurse apply?

Moist sterile saline gauze

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 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?

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?

Autograft

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?

Avoid cosmetics with fragrance.

The nurse is working with community groups. At which of the following locations would the nurse anticipate a possible scabies outbreak?

College dormitory

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?

Corticosteroids

Which term refers most precisely to a localized skin infection of a single hair follicle?

Furuncle

Development of malignant melanoma is associated with which risk factor?

History of severe sunburn

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?

Kaposi Sarcoma

The nurse is caring for a client who may have a lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff?

Nits are difficult to move from hair shafts.

Skin condition characterized by patches of redness covered with silvery scales.

Psoriasis

A patient is complaining of severe itching that intensifies at night. The nurse decides to assess the skin using a magnifying glass and penlight to look for the "itch mite." What skin condition does the nurse anticipate finding?

Scabies

One classic sign of _________ is the increased itching that occurs during the evening hours, perhaps because the increased warmth of the skin has a stimulating effect on the parasite

Scabies

Which of the following is also known as "jock itch"?

Tinea cruris

To treat a client with acne vulgaris, the physician is most likely to order which topical agent for nightly application?

Tretinoin (retinoic acid [Retin-A])

The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?

Use hot water throughout wash cycle.

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?

administer analgesic pain medication

The nurse is assessing a client's skin when the client points out a mole. The nurse brings the mole to the physician's attention when which characteristic is noted?

diameter exceeding 6mm

A _________ is skin tissue obtained from a donor of the same species. These grafts are also referred to as allogeneic or allografts.

homograft

The classic lesions of impetigo manifest as

honey-yellow crusted lesions on an erythematous base.

What advice should the nurse give a client with a furuncle to prevent the spread of the infection?

never pick or squeeze a furuncle

The nurse teaches the client who demonstrates herpes zoster (shingles) that

the infection results from reactivation of the chickenpox virus.

A __________ or ____________ is skin tissue obtained from another species, for human skin it is most commonly from a pig.

xenograft or heterograft