Question 1

The client has scabies. The nurse has taught the client about safety in using topical scabicide medications and evaluates that teaching has been effective when the client makes which statement?

Accepted Answer

Scabicide medications should not be applied to the face unless specifically directed by a healthcare provider, as they can be irritating to sensitive areas like the face.

Question 2

A client has psoriasis. Prior to beginning education, the nurse assesses the client. Which statement indicates the client has a correct knowledge base about his illness?

Accepted Answer

Psoriasis is a chronic skin condition that can be managed with various treatments to reduce symptoms and discomfort, including topical treatments, phototherapy, and systemic medications.

Question 3

The nurse will know that a client with head lice understands principles of pediculicides when she can discuss

Accepted Answer

The nurse will know that a client with head lice understands principles of pediculicides when she can discuss the importance of following package directions exactly.

Question 4

Dermatitis is characterized by

Accepted Answer

Pruritus is a common symptom of dermatitis.

Question 5

The client is recovering from a severe sunburn. What will the best teaching by the nurse include?

Accepted Answer

Applying sunscreen when going out into the sun helps protect the skin from further damage and reduces the risk of additional sunburn.

Question 6

Skin cells in the epidermis are replaced and supplied by the

Accepted Answer

The stratum basale is the deepest layer of the epidermis and is responsible for producing new skin cells that replace the old ones.

Question 7

A teenager is taking isotretinoin (Accutane) for treatment of severe acne. The nurse has completed medication education with her mother and evaluates additional learning is required when the mother makes which statement?

Accepted Answer

Isotretinoin can have significant psychological side effects, including depression and mood changes, so the mother should still be concerned about her daughter's self-concept and mental health.

Question 8

The nursing instructor teaches the student nurses about the structure and function of the skin. What will the best teaching plan of the instructor include?

Accepted Answer

The outermost layer of the epidermis acts as a waterproof barrier. The amount of subcutaneous tissue varies based on nutrition and heredity. The deepest epidermal layer is responsible for generating new cells.

Question 9

The physician orders lindane (Kwell) for nursing home clients who have contracted head lice. The nurse will collaborate with the physician when one of the clients has which medical diagnosis?

Accepted Answer

Lindane can potentially lower the seizure threshold, so it should be used with caution in clients with a history of seizures.

Question 10

The client asks the nurse how skin cells are replaced. What is the best response by the nurse?

Accepted Answer

The epidermis is the outermost layer of the skin and is responsible for producing new skin cells.

Question 11

The mother of a client with head lice has completed the applications of topical medication. What is the best instruction by the nurse at this time?

Accepted Answer

Removing all nits from the hair shaft with a nit comb or a fine-tooth comb is essential to prevent reinfestation and ensure the treatment's effectiveness.

Question 12

The client receives a topical medication for treatment of an acne-like skin disorder. The nurse completes medication education and evaluates learning has occurred when the client makes which statements?

Accepted Answer

The answer of The client receives a topical medication for...

Question 13

The nurse's neighbor has a severe sunburn and cannot sleep. What is the best advice by the nurse?

Accepted Answer

The answer of The nurse's neighbor has a severe sunburn...

Question 14

The client calls the clinic and is frantic that her two children have been sent home from school with head lice. She has treated their scalps but does not know what else to do. What will be the best teaching by the nurse?

Accepted Answer

Washing bed linens and clothing that have come into contact with the children is important to prevent re-infestation and spread of lice.

Question 15

A client's medical record reveals presence of an erythematous urticarial rash with pruritus. What assessment findings would the nurse expect?

Accepted Answer

The term "erythematous" indicates redness (A), "urticarial" refers to hives which are raised and bumpy (B), and "pruritus" means itching (D).

Question 16

The primary function of the dermis is to

Accepted Answer

The dermis provides the foundation for hair and nails by housing hair follicles and nail beds.

Question 17

The nurse is teaching a patient about how skin recovers after burns. The nurse would identify which area as the level in which transmission of the itch sensation occurs?

Accepted Answer

The answer of The nurse is teaching a patient about...

Question 18

The client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Topical glucocorticoids are generally safer and more effective for localized skin conditions like dermatitis compared to systemic treatments like pills, which can have more widespread side effects.

Question 19

A client has been prescribed permethrin (Nix) for the treatment of body mites. What medication information should the nurse provide?

Accepted Answer

Permethrin is a topical medication used to treat scabies, which is caused by body mites. The medication information that the nurse should provide includes:- The medication should be applied to the entire body, from the neck down, and left on for 10 hours.- The medication may cause some stinging or tingling while it is being used.- The medication should not be used if the client is sensitive to chrysanthemums.

Question 20

The mother of a young child calls the clinic and tells the nurse that she has just discovered head lice in her daughter's hair. What is the best instruction by the nurse?

Accepted Answer

Permethrin lotion is a common and effective treatment for head lice, and following the package directions ensures proper use and effectiveness.

Quiz 49: Drugs for Skin Disorders