Deck 41: Skin Disorders

Question 1

While treating a client diagnosed with melanoma, the health-care provider also finds tumors in the liver. Which is the stage of melanoma for the client, based on the health-care provider's finding?
1)Stage 0
2)Stage II
3)Stage III
4)Stage IV

Answer 1

4

Question 2

The nurse is preparing teaching material for a community presentation about the prevention of skin cancer. Which factor presents a dilemma for the nurse regarding conflicting information?
1)Vitamin D production
2)Use of tanning beds
3)Danger of overexposure outdoors
4)The most common risks to skin cancer

Answer 2

1

Question 3

The nurse is reviewing terminologies used to describe skin lesions with a group of staff nurses. Which statement made by an attending nurse indicates a need for further review?
1)"A papule filled with pus is called a pustule."
2)"A purpura is a purplish lesion caused by free red blood cells in the skin."
3)"A scar is the permanent replacement of normal skin with connective tissue."
4)"The loss of epidermal and dermal tissue is called telangiectasia."

Answer 3

4

Question 4

The nurse is performing an assessment on a young adult client who presents with a skin infection related to trauma. The nurse notices lineal scars in the location of the infection and reports the finding to the health-care provider. Which initial prescription does the nurse expect?
1)Family counseling
2)Antidepressants
3)Antibiotics
4)Psychotherapy

Question 5

The nurse is assessing a client with a spider bite. The client is seeking medical care because of recent development of cramping, pain, weakness, fever, sweating, nausea, and vomiting. Which conclusion does the nurse draw based on the client's manifestations?
1)The client has developed septicemia.
2)A systemic reaction is occurring.
3)The spider injected toxic venom.
4)Manifestations are likely virus based.

Question 6

While caring for a client with an autoimmune skin disorder, the nurse observes a red butterfly-patterned lesion over the client's nose and cheeks. After reviewing the skin biopsy reports, the nurse also finds deposits of immunoglobulin M (IgM) in the lesions. Which skin disorder does the nurse expect to find in the medical record of this client?
1)Scleroderma
2)Systemic lupus erythematosus
3)Pemphigus
4)Erythema multiforme

Question 7

While caring for a client with a skin disorder, the nurse observes a cherry-red, dome-shaped papule over the abdomen of the client. Which skin disorder does the nurse anticipate in this client, based on this finding?
1)Telangiectasias
2)Systemic lupus erythematosus
3)Senile angiomas
4)Venous lakes

Question 8

The nurse is obtaining a history from a client with a skin disorder. The client states, "I have tried to remove the scales on my skin, but then they bleed." Which terminology does the nurse associate with the client's comment?
1)Auspitz sign
2)Herald patch
3)Angioedema
4)Pruritus

Question 9

While caring for a client with a skin disorder, the nurse finds wheals on the skin, as well as swelling of the eyes, face, lips and mucous membranes of the client. Which reason does the nurse attribute to this disorder?
1)Inflammation of the sebaceous glands
2)Release of histamine from mast cells
3)Delayed hypersensitivity reaction to metals
4)Increased levels of immunoglobulin E (IgE) levels

Question 10

After an assessment, the nurse discovers a ringworm infection on the client's hand. Which terminology does the nurse use to document the finding in the client's medical record?
1)Tinea manus
2)Tinea capitis
3)Tinea unguium
4)Tinea pedis

Question 11

The registered nurse is teaching a group of student nurses about disorders of the nails. Which statement made by the student nurse indicates a need for further teaching?
1)"Beau's lines occur with rheumatoid arthritis."
2)"Splinter hemorrhages occur with endocarditis."
3)"Yellow nail syndrome occurs with immunodeficiency."
4)"Onycholysis occurs with thyroid diseases."

Question 12

Which birthmarks are characterized by pink, patchlike lesions that occur from permanent blood vessel abnormalities?
1)Port wine stains
2)Strawberry hemangiomas
3)Spider veins
4)Mongolian spots

Question 13

The nurse finds the medication betamethasone in the prescription of a client with a skin disorder. Which skin disorder does the nurse suspect in the client?
1)Eczema
2)Contact dermatitis
3)Seborrheic dermatitis
4)Psoriasis

Question 14

A client shows noninflammatory open comedones on the skin along with the presence of lesions. Which microorganism infection does the nurse suspect in the client?
1)Staphylococcus aureus
2)Propionibacterium acnes
3)Pseudomonas species
4)Borrelia burgdorferi

Question 15

A client is diagnosed with plugging and clogging of apocrine sweat gland openings on the skin. What instructions does the nurse give to this client?
1)Eat high amounts of fat-containing foods
2)Use antibacterial soaps daily
3)Shave the axillary and groin areas
4)Take oral corticosteroids daily

Question 16

Which disorder does the nurse recognize if assessment of a client's nails shows the characteristic symptom of koilonychia?
1)Endocarditis
2)Hypoferremia
3)Hypoalbuminemia
4)Rheumatoid arthritis

Question 17

The nurse is providing care for a client after a recent skin biopsy is positive for melanoma. The health-care provider prescribes chest x-ray, computerized tomography (CT) scan, magnetic resonance imaging (MRI) scan of the brain, and ultrasound testing of lymph nodes. Which explanation does the nurse give the client regarding the extensive testing?
1)Testing results will confirm the original diagnosis.
2)The prescribed tests are required before surgery for cancer.
3)Testing is performed to provide a baseline description of the lesion.
4)The tests are necessary to look for any evidence of metastases.

Question 18

While reviewing the medical record of a client with a skin disorder, the nurse finds the term "lichenification" in the record. Which symptom does the nurse anticipate assessing in this client?
1)A hardening or thickening of the skin with markings
2)An irregular, elevated scar tissue
3)A crack in the skin that breaks through keratin
4)A scratch that breaks the skin's surface

Question 19

The nurse is performing an assessment on a client, who states, "I had a rash a few weeks ago but it is gone now." Which assessment information is most important for the nurse to obtain next?
1)Determine if the client has developed any open sores on the body
2)Ask the client to verbally define the characteristics of the rash
3)Inquire if the rash was accompanied by fever, nausea, or vomiting
4)Ascertain if the client has experienced a similar rash in the past

Question 20

A school-age client diagnosed with Stevens-Johnson syndrome is admitted to the hospital. Which symptom does the nurse find in this client?
1)A group of dome-shaped papules
2)A butterfly-patterned lesion
3)A herald patch
4)A bull's-eye lesion

Question 21

While reviewing the medical record of a client with a skin disorder, the nurse finds the term "plaque" in the client's record. Which manifestation does the nurse expect to find?
1)Large blister greater than 0.5 cm in diameter
2)Solid lump greater than 0.5 cm in diameter
3)Raised, well-defined lesion less than 0.5 cm in diameter
4)Raised, flat-topped lesion greater than 2 cm in diameter

Question 22

Which disorders are precursors to malignant melanoma? Select all that apply.
1)Benign nevus
2)Psoriatic plaques
3)Dysplastic nevus
4)Keloid formation
5)Lentigo maligna

Question 23

Which client shows symptoms of hyperhidrosis? Select all that apply.
1)A client who takes phenylephrine
2)A client who has hyperthyroidism
3)A client who has peripheral neuritis
4)A client who takes alprazolam
5)A client who has febrile disease

Question 24

Which client is at high risk for psoriasis? Select all that apply.
1)The client who uses the medication Plaquenil
2)The client who has a history of skin trauma
3)The client who uses the medication lithium
4)The client who has a family history of hay fever
5)The client who has elevated immunoglobulin E (IgE) levels

Question 25

Which skin disorders are applicable to the hair? Select all that apply.
1)Telogen effluvium
2)Acanthosis nigricans
3)Hidradenitis suppurativa
4)Alopecia areata
5)Acne vulgaris