skin disorders

A nurse collecting tissue for a Tzanck smear should (Select the appropriate interventions and place the steps in sequence

Wash the lesion. Open the lesion with a hypodermic needle. Saturate the sterile swab with exudates. . Place the specimen in a culture tube and take it to the laboratory

a pt has just been prescribed isotretinoin accutane for resistant acne. which are teaching points for this patient

a serious adverse effect of isotretionoin

a nurse is teaching a class about the functions of skin. what would be the correct teaching about how the skin protects the body

shields underlying tissues from trauma and pathogens and prevents excess loss of fluids from those tissues

covering a wound with skin

skin grafting

characterized by scaly ulcers or raised lesions

squamous cell carcinoma

types of carcinomas, unlike basal cell carcinomas, that grow rapidly and metestasize

squamous cell carcinoma

usually caused by overuse of alcohol and tobacco.

squamous cell carcinoma

which factor may aggrevate psoriasis in this patient

stress

burn affecting only the epidermis

superficial burn

pink to red and painful, like a sunburn

superficial burn

a severe sunburn

superficial partial thickness burn

blistered, weepy, and pale to red or pink

superficial partial thickness burn

the type of biopsy indicated for deep specimens in which sutures are required to close the site

surgical excision

when completing an assessment of an older patients skin what are some of the age related changes the nurse may expect to see

thinning of skin layers resulting in wrinkling dryness and itching increase development of skin lesions including lentigines, acrochordons, and angiomas size and number of sweat glands decreased.

effectove against fungi, used to treat fungal infections

topical antifungal agents ( nystatin)

reduce inflammation in various skin disorders

topical antiinflammatories ( hydrocortisone)

A test that used to diagnose vial infections

tzsanck smear

herpes simplex, herpes zoster

vesicle

which are true statements about impetigo

vesicle or pustule tat ruptures leaving a thick crust treated with antibiotic therapy, erythromycin or dicloxacillin.

allergic response, insect bites, hives

wheak

an examination in which the pt's skin inspected under a black light in a darkened room

woodslight

which are statements that should be included in this patient's teaching plan

your condition is chronic but not contagious and usually responds to treatment report signs of secondary infection to your provider, such as fever , purulent discharge and increased redness psoriasis typically has periods of exacerbation and remission.

A patient reveals the use of angelica as an alternative therapy. Which instruction should the nurse provide for this patient

The agent can cause a skin rash if a patient is exposed to sunlight

An older adult patient is complaining about her wrinkled skin. How could the nurse explain this occurrence to her?

This is caused by thinning of the skin and degeneration of elastin fibers."

A patient has received an order for ketoconazole (Nizoral). The nurse knows that this medication is used for which purpose

To treat a fungal infection

Which is an appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image, related to skin lesions"?

Touching the patient often

24. During the first 24 hours after a burn, fluid replacement is the treatment priority. Which assessment should alert the nurse that the fluid protocol is ineffective?

Urine output of 20 mL/hr

A woman of childbearing age is to begin taking Soriatane. Which instructions should the patient receive concerning this medication?

Use reliable contraception during therapy and for 3 years after therapy with Soriatane.

who is at greatist risk for skin cancer

caucasians

the nurse advises the pt with shingles that the condition is communicable to people who have never been exposed to

chickenpox

a type of therapy used in the treatmetn of psoriasis, vitiligo, and chronic eczema is

phototherapy

psoriasis

plaque

a prominent symptoms of psoriasis, dermatitis, eczema, and insect bites is

pruritus

you are giving a lecture to a group of clients who have psoriasis. your discussion should include which of the following

psoriasis can be aggravted by stress treatment may include methotrexate and ultaviolet light uva.

the type of biopsy in which circular tool cuts around the lesion, which is then lifted and severed

punch biopsy

acne, impetigo

pustule

disfiguring scars

reconstrictive scars

development defects

reconstrictive surgery

birthmarks

reconstructive surgery

thin, red lines on skin itching

scabies

A patient had a deep skin biopsy. How should the nurse respond to the patient's concern about postprocedure care?

"An appointment will be made for you to return for suture removal."

A family member of an older patient with severe dermatitis says, "I was always so careful to bathe him every day. I guess I just wasn't careful enough." What is the best response by the nurse?

"Dermatitis is not caused by poor hygiene

used to detect mites

scabies scraping

1. A patient with severe psoriasis who is to be treated with the systemic drug methotrexate sodium anxiously asks, "Is this cancer drug safe? Are there some side effects I need to know about?" What is the best response by the nurse

"We use this drug to treat many kinds of patients, including patients with cancer. You will have periodic blood tests."

What information should a nurse provide to a patient with vitiligo receiving phototherapy?

"Wear protective clothing

Displaying her hands, a patient asks, "Do you think my liver is OK? Look at all these liver spots!" What is the most appropriate nursing response?

. "The spots are normal aging changes and have nothing to do with your liver."

. A daughter of an older adult patient who has just returned from surgery is distressed about her father's pale, cold hands and feet. What is the best response by the nurse after covering the patient with an extra blanket?

. "When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities."

A nurse is caring for a patient with pruritus. Which implementation can the nurse perform without a physician's order?

. Apply lubricant to unbroken skin

Which action should a nurse implement to make a patient with atopic dermatitis more comfortable

. Instruct the patient to wear loose clothing.

A confused patient has been restrained because of combativeness and hyperactivity. What skin assessment may occur as a result of the restraints?

. Senile purpura

Which sign or symptom suggests that a patient with impaired skin integrity is developing a systemic infection

. Temperature that has risen to 101

8. A physician asks a nurse to take a smear from herpetic lesions in an older patient's hip to diagnose the disorder. What is the most probable test that will be performed

. Tzanck smear to test for viral culture

the assessment of patients with seborrheic dermatitis includes inspecting affected areas for

scales and crusts

if one arm and one leg are burned what is the estimated burn size, according to the rule of nines.

27 %

When assessing the capillary refill, a nurse should document as normal a refill time of __________ seconds

3

when asssessing capilliary refill, after applying pressure to cause blanching and then releasing the pressure, the nurse should observe that the color returns to normal within

3-5 seconds

A nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of both legs. How should the nurse document the burn size using the rule of nines?

37 percent

can be reduced by use of custom fitted garments that apply continous pressure hours a day

scarring

A nurse is screening patients that the plastic surgeon is considering for phototherapy. Which patient should the nurse exclude?

A 34-year-old woman with lupus erythematosus

A nurse is caring for an obese patient who has been bedridden for a long time and who has a nursing diagnosis of "Risk for infection, related to obesity." Where is the best location for the nurse to assess for the moist red lesions of Candida albicans

Abdominal skin folds

A patient presents with a Stage 3 pressure ulcer to the sacrum. The wound has a large amount of exudate. What type of dressing would be utilized for this type of wound?

Absorptive

An obese patient is admitted with intertrigo between the abdominal skinfolds. The physician treats the patient for the presence of C. albicans. Which interventions are used for this condition?

Apply antifungals and corticosteroids as ordered

A patient with a minor skin infection has orders to apply which of these topical medications?

Bacitracin and polymyxin B (Polysporin

can be reduced by use of pressure dressings in early stages of care

scarring

the most common problem for patients with pruritis is potential for skin breakdown related to

scratching

a specimen no deeper than the dermis is obtained with a scalpel

shave biopsy

Patients who are pregnant, malnourished, immunosuppressed, or taking antibiotics are among those who are at risk for which condition?

Candidiasis

What should a nurse be sure to frequently assess when caring for a burn patient with eschar formation around an entire arm?

Capillary refill

17. An 80-year-old patient comes to the emergency department with extreme pain and itching in the hip and leg and has herpetic vesicular lesions on the left hip. What should the nurse inquire about patient exposure to

Chickenpox

. What information is most essential for a nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane) for acne?

Current method of birth control

. What should a nurse ask about when taking the functional assessment of a patient with a skin disorder?

Exposure to chemicals or irritants

The nurse is caring for a patient who sustained a burn injury 1 week ago and has been transferred to the nursing unit. The patient has a bounding pulse and hypertension. This would signify which condition?

Fluid volume excess

A nurse organizes a nursing care plan on the nursing diagnosis of "Acute pain, related to postherpetic neuralgia." Which is the least appropriate implementation

Give antiviral medication as prescribed

. A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2) expresses relief that she is cured. What should the nurse include in her teaching?

HSV lies dormant and can be triggered without any sexual contact.

How does cutaneous T-cell lymphoma differ from squamous cell and basal cell carcinoma

Has a cause unrelated to sun exposure

used to diagnose fungal infections by studing a skin specimen

KOH examination

"Pigmented spots on sun-exposed areas, commonly called liver spots, although they have nothing to do with the liver" is a description of which of the following?

Lentigines

Which of these is a general term used to document a wound, sore, tumor, or other tissue damage?

Lesion

The LVN/LPN is preparing to change a dressing on a patient with negative pressure wound therapy. Which of these is the most important nursing intervention?

Medicate the patient about 1 hour before the procedure.

The LVN/LPN is conducting an assessment on a patient with anxiety and notes that the patient has white lips, mucous membranes, and nail beds. How is this documented?

Pallor

Which of these are accurate descriptions of basal cell carcinomas?

Pearly appearance Treated with surgical excision Related to sun exposure

Which conditions can be improved with negative pressure therapy

Pressure ulcers Skin grafts Dehisced surgical wound

A patient is being treated with intravenous amphotericin B for a severe fungal infection. This drug treatment is highly toxic to which body system?

Renal

Which of the following is not a function of the skin?

Secretion of hormones

An older adult patient is admitted to the hospital with multiple large, purplish bruises on the arms. When questioned further, the patient states "these happen when I barely bump into something". How are these lesions documented?

Senile purpura

The nurse is determining the presence of jaundice in a dark-skinned patient. Observation of which areas would assist in the visual evaluation?

Soles of feet Oral mucous membrane Palms of hands Conjunctivaes

Which assessment by an emergency department nurse most indicates that a burn patient might be at risk for respiratory impairment?

Sooty sputum

A patient presents for a shave biopsy of a skin lesion on the shoulder. What type of excision is done with this procedure?

Specimen obtained from the dermis with a scalpel

5. An excited mother of a teenage boy with severe acne furiously reports to the nurse, "I've told him a thousand times he should bathe more often! I've kept after him about all that junk food he eats. I jump on him when I see him squeezing his zits. I tried to get him to scrub his face three times a day!" Which statement indicates the most likely cause of the boy's acne?

Squeezing lesions

25. Which age-related skin changes should a nurse anticipate when performing a physical assessment on an 80-year-old man

a. Increased nasal hair b. Flattened nails Increased hair on the helix of the ea . Presence of seborrheic keratosis

which of the following is a drug used to treat HSV-1?

acyclovir ( zovirax)

excess tissue around the eyes

aesthetic surgery

facial wrinkles

aesthetics surgery

receding chin

aesthetics surgery

you are caring for a client who asks you about the causes of contact dermatitis. you understand that contact dermatitis. you understand that contact dermatitis is caused by which of the following

an allergic response

benign tumors filled with blood vessels

angiomas

which drug used to remove heavy scales in patients with psoriasis can stain normal skin and hair

anthralin anthra- derm

a common risk factor for developing candidiasis is

antibiotic therapy

used to treat psoriasis

antipsoriatics ( anthralin)

interfere with viral replication

antiviral agents ( acyclovir)

the nurse is taking care of a patient who has a skin biopsy scheduled. when a skin biopsy is scheduled, the provider may advise the patient to avoid which drugs before the procedure to reduce bleeding

aspirin

food allergies can cause

atopic dermatitis

what is the cause of psoriasis?

autoimmune disorder

what should be included in the teaching plan for a patient with atropic dermatitis?

avoid constrictive clothing use sunscreens and moisturizers topical corticosteroids provide the best control of inflammation.

what is the best way to prevent skin cancer?

avoid excessive sun exposure

which is a topical herbal preparation used as an emollient

balm of gillead

a condition with painless, nodular lesions, that have a pearly appearance

basal cell carcinoma

carcinomas that grow slowly and rarely metastasize, but they should be removed because they can cause local tissue destruction

basal cell carcinoma

the removal of skin for microscopic examination

biopsy

a nursing problem for the patient with atopic dermatitis may include potential for infection related to

breaks in skin

which are true statement about candidiasis?

candidiasis infections, which are manifested as red lesions, with white plaques,. three common sites for candidiasis include the mouth, skin,and vagina. oral candidiasis is treated with nyastatin. one area that is susceptible to candidiasis owing to the contant moisture found there , is an ostomy site.

which are assessments of the fingernails and toenails that nurses monitor

capillary refill color of nail bed

after a burn injury, shifts in fluids and electrolytes cause local edema and a decrease in

cardiac output

which are true statements about acne skin disorders

comedones ( whiteheads and blackheads) pustules, and cysts are characteristics of acne. two oral antibiotics that are frequently given for acne are tetracycline and erythromycin. a drug prescribed for patients if acne is severe and unresponsive to antibiotics isotretinoin ( accutane). acne is a condition in which androgenic hormones cause increased sebum production and bacteria proliferation, causing hair follicles to block and become inflammed.

which should not be used in patients with intertigo because it supports the growth of c albicans.

cornstarch

which are skin changes related to malnutrition?

crackled skin dermatitis dry skin

may be accomplished by mechanical means, surgical excision or enzymes

debridement

removal of debris and necrotic dead tissue from a wound

debridement

the nurse is taking care of patient with psoriasis in the hospital. the nurse recognizes that which are problems for the patient with psoriasis

decreased socialization related to embarrassment about flaky skin lesions

burned tissue is painful and sensitive to cold air

deep partial thickness burn

large thick walled blisters or edema

deep partial thickness burn

weeping , cherry red , exposed dermis

deep partial thickness burn

you are caring for several clients with skin disorder. you understand that the skin regulates body temperature by which of the following

dilating and constrictive surface blood vessels

burn involving the epidermis, dermis and underlying tissue including fat, muscle and bone

full thickness burn

burned tissue lacking sensation

full thickness burn

dry, leathery, and sometimes red, white, brown or black.

full thickness burn

the potassium hydroxide ( koh) examination is used in combination with a culture to diagnose infections of the skin, hair, or nails that are

fungal

vitamin A is essential for

healthy skin

the nurse is working in the postoperative area and just received a patient recovering from a bleproplasty. for which complication should the nurse monitor

hematoma corneal injury

a pt with a burn experiences a shift of plasma proteins from the capillaries. This is likely to result in

hypoproteinemia

which is a complication of untreated fluid shifts in burn patients.

hypovolemic shock

you are caring for a female patient who is being treated with isotretinon ( accutane) at the clinic for severe acne after other treatments have failed. all of the following statements should be included in the teaching plan. which of the following statements should be included in the teaching plan. which of the following statements is most important.

if sexually active, you must used reliable contraception.

the nurse is teaching a pt with burns and his family about the different stages of burns. which problems are more likely to occur in the emergent stage of patient with burns

impaired tissue perfusion fluid imbalance related to fluid volume excess

what is the primary problem for this patient

inadequate self care related to lack of understanding of psoriasis and its treatment

which are changes that occur in older adults

increased facial hair thinning of scalp hair

acne lesions develops when there is

increased sebum production

the burn patient is at greatist risk for

infection

inflammation of the skin where two skin surfaces touch

intertigo

which skin disorder characterized by irritation and redness in body folds is common among patients in long term care facilities

intertrigo

characteristics of typical melanomas include which of the following

irregular lesion with uneven coloration

nevi moles are carefully inspected for pigmentation, ulcerations, changes in surrounding skin, and

irregularities in shape

while assessing an obese older patient in a long term care facility, you notice that the patient has intertrigo in body folds axilla, beneath the breast. which measuress is most important to reduce the risk of a reccurrence?

keep the body fold clean and dry

dissolve keratin and slow bacterial growth, used to treat acne and psoriasis

keratolytics

topical drug capable of dissolving keratin

keratolytics

decrease proliferation of epidermal cells in psoriasis

keratolytics ( cool tar)

when inspecting the skin of an older adult you observe flat, pigmented spots on the backs of both hands. you should recognize these as

lentigines

itching of hairy areas of body head, pubis, nits eggs seen as tiny white particles attached to hair shafts

lice

which foods contain nutrients that are vital for healthy skin

liver sweet potatoes cantaloupe spinach carrots

which are true statements about cellulitis?

local tenderness and reddened and redness at first, then malaise, chills, and fever site becomes more erythematous, nodules , and vesicles may form, vesicles, may rupture releasing purulent material

freckle, petechia, hypopigmentation

macule

you are caring for a client who is experiencing severe itching secondary to atopic dermatitis. which of the following meausres should be recommended to help prevent scratching and skin injury

maintain the room temperature around 70 degree F wash new clothing before wearing it wear loose clothing

disorder that arises from the pigment producing cells in the skin

melanoma

the most serious form of skin cancer is

melanoma

treatment used is mohs surgery to determine margins of malignancy

melanoma

mole

nevi

fibroma

nodule

which are true statements about herpes zoster virus

older adults are especially susceptible to complications, including opthalmic involvement, from herpes zoster virus. patient with herpes zoster virus exhibit early symptoms of heightened sensitivity along a nerve pathway, pain and itching. wet dressings soaked in Burow's solution may be used to treat lesions associated with herpes zoster virus herpes zoster infection is commonly called shingles

the nurse is taking care of a pt with shingles at an outpatient clinic. the nurse will monitor the pt for which problem

pain related to lesions and postherpetic neuralgia

the nurse is assisting with teaching a community health program about patients with burns which problems are related to patients with burns

pain related to the tissue trauma potential infection related to loss of protective skin barrier hypothermia related to impaired heat regularities ability of injured skin impaired mobility related to contractures pain

mole, wart

papule

vitiligo

patch

a test used to identify allergens in which common irritants are applied to the skin

patch testing

kill parasites and their eggs used to treat pediculosis lice and scabies mite infestations

pediculicides and scabicides ( crotamiton ) eurax

a chronic autoimmune condition in which bullae ( blisters) develop on the face , back, chest, groin, and umbilicus

pemiphigus

following a burn injury, plasma leaks into the tissue due to increased capillary

permeability