med surg dermatology adaptive quizzing
a nurse is caring for an adolescent client who has burn wounds on her face and hands. which of the following statements by the clients indicates that she has adapted to her changed body image ?
" may I go with my family to the visitors lounge"
a nurse is reinforcing teaching with a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. which of the following instructions should the nurse include
"shift your weight in the wheelchair every 15 minutes"
a nurse is caring for a client who has been applying silver sulfadiazine cream to a deep partial- thickness arm burn for the past 2 weeks. the nurse should monitor the client for which of the following adverse effects
leukopenia - adverse effect of silver sulfadiazine
a nurse is caring for a client who has a lesion on the back of his right hand the client asks the nurse which type of skin cancer is the most serious. which of the following responses should the nurse make?
melanomas
a nurse in a provider office is collecting data fro ma client who has skin lesions. the nurse should document these findings as which of the following skin lesions
papules
a nurse in an urgent care clinic is collecting data from a client who has extensive burns, including on her face. which of the following data should the nurse collect first
respiratory rate - nurse should apply the abc priority setting framework
A nurse is contributing to the plan of care for a client who is being admitted for the treatment of a malignant melanoma of the upper leg without metastasis the nurse should expect the provider to perform which of the following procedures
surgical excision
a nurse is reinforcing discharge teaching about foot care with a client who has diabetes mellitus. which of the following instructions should the nurse include in the teaching
test water temperature with the wrist - because clients who have diabetes have peripheral nerve damage, making it difficult to determine temperature and increasing the risk of burns
a nurse is collecting data from a client who is 3 days postoperative following abdominal surgery. the client incision is slightly edematous appears in pink with crusting on the edges and is draining serosanguinous fluid. which of the following statements describes this incision
the incision is showing signs of healing without complications
a nurse is observing the skin of a client who has frostbite. the client has small blisters that contain blood and the skin of the affected area does not blanch. the nurse should classify this injury as which of the following
third degree frostbite
a nurse is reinforcing discharge teaching with a client who is postoperative following surgical excision of a basal cell carcinoma. which of the following findings should the nurse include as an indication of malignancy of a mole
ulceration, bleeding are indications of a moles potential malignancy.
a nurse is reinforcing teaching with a client who has a large wound healing by secondary intention. the nurse should instruct the client that which of the following nutrients promotes wound healing
vitamin C
a nurse is assisting with the admission of a client who is bedridden and was admitted from home. the nurse notes a shallow crater in the spiders of the clients sacral area,. the nurse should document that client has a pressure ulcer at which of the following stages
II
a nurse is assisting with the development of an education session about malignant melanoma for a group of clients. the nurse should include that which of the following clients had increased risk of developing malignant melanoma
a client who has light complexion
a nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. the nurse should anticipate a prescrpition for which of the following medications
acyclovir
a nurse is caring for a client who has regular occupational exposure to sunlight and presents to clinic for evaluation of several skin lesions which of the following findings should alert the nurse to the possibility of malignant melanoma
an irregularly shaped brown lesion with light blue areas on the neck
a nurse is assisting with the development of a program to educate clients about measures to reduce the risk of skin cancer. which of the following instructions should the nurse include
avoid exposure to the midday sun
a nurse is caring for a client who has deep partial-and full thickness burns and requires a topical antimicrobial drug. the goal of this medication therapy is to reduce which of the following outcomes
bacterial growth
a nurse in a dermatology clinic is using the ABDCE method while screening several of a clients skin lesions for skin cancer. which of the following findings should the nurse report to the finder
color variation within a lesion
a nurse is reinforcing teaching with a group of clients about skin cancer. the nurse should explain the basal cell carcinoma originates from which of the following tissues
epidermis
a nurse is screening a client for skin cancer. when reinforcing teaching with the client about skin cancer risk, which of the following risk factors should the nurse include
excessive exposure to ultraviolet light
a nurse is assisting with planning care for a client who has a deep partial thickness and full thickness thermal burns over 40% of his total body surface the client. the client is in the acute phase of burn injury. which of the following interventions should the nurse include in the plan
initiate range of motion exercises
a community health nurse is reinforcing teaching about melanoma with a group of clients. which of the following characteristics of lesions associated with melanoma should the nurse include in the teaching
irregular border
a nurse is collecting data from a client who has an arm lesion. which of the following characteristics is a clinical manifestation of malignant melanoma
irregularly shaped with blue tones
