Question 1

A patient has been admitted to the hospital with burns to his upper chest. The nurse notes singed nasal hairs. It would be important for the nurse to assess this patient frequently for

Accepted Answer

Signs and symptoms of inhalation injury include singed nasal hairs. Breathing difficulties may take several hours to occur.

Question 2

The most deadly skin cancer is ________________.

Accepted Answer

The answer of The most deadly skin cancer is ________________....

Question 3

Place the steps in order for the medical treatment during the emergent phase of burn management from the list below. Place a comma between each answer choice (a, b, c, d, etc.).

Accepted Answer

First, stop the burning process with "stop, drop, and roll" (C). Then, ensure an open airway (E) and control any bleeding (F). Remove non-adherent clothing and jewelry (D), cover the victim with a clean cloth or sheet (B), and finally, transport the victim to the hospital (A).

Question 4

A patient developed a severe contact dermatitis of her hands, arms, and lower legs after spending an afternoon picking strawberries. She states that the itching is severe and she cannot keep from scratching. Which instruction by the nurse will be most helpful in managing the pruritus?

Accepted Answer

Wet dressings and using Burrow's solution help promote the healing process. Cold compresses may be applied to decrease circulation to the area (vasoconstriction).

Question 5

Parasitic skin diseases are identified as pediculosis or scabies. The difference between pediculosis and scabies is

Accepted Answer

Scabies is caused by mites that penetrate the skin by burrowing. Pediculosis and scabies occur in any environment or in anyone using good personal hygiene. Lice attach themselves to the shaft of hair follicles.

Question 6

A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse uses what knowledge of skin assessment?

Accepted Answer

Assessment of color is more easily made in areas where the epidermis is thin, such as the lips and mucous membrane.

Question 7

A patient is a 32-year-old woman whose mother recently died from malignant melanoma. She asks the nurse about what she can do to prevent the development of malignant melanoma in herself and her children. The best response by the nurse includes which information regarding risk factors for melanoma?

Accepted Answer

Encourage the patient to protect skin from the sun by wearing protective clothing including a hat with 4-inch brim, applying sunscreen all over the body, and avoiding the midday sun from 10 am to 4 pm.

Question 8

A patient has been walking in the woods. He complains of severe pruritus. The nurse notes an erythematous area on his lower legs. The first nursing intervention for dermatitis venenata would be to

Accepted Answer

In dermatitis venenata (poison oak or ivy), the patient should wash the affected part immediately after contact with the offending allergen.

Question 9

In addition to medication management of systemic lupus erythematosus, which supportive therapy would help control the disease?

Accepted Answer

Balanced rest, activity, and diet will support medication management. Limited sunlight exposure is recommended to prevent photosensitivity. SLE often has kidney involvement, which would require reduction of sodium.

Question 10

The nurse debriding a wound explains the purpose of debridement is to:

Accepted Answer

Débridement is the removal of damaged tissue and cellular debris from a wound or burn to prevent infection and to promote healing.

Question 11

The three major glands of the skin are __________, ___________, and __________.

Accepted Answer

The answer of The three major glands of the skin...

Question 12

A common diagnostic criterion for identifying systemic lupus erythematosus (SLE) is: (Select all that apply.)

Accepted Answer

Butterfly rash on face, sensitivity to sunlight, polyarthralgias and polyarthritis are some of the main criteria leading to the diagnosis of SLE.

Question 13

During primary survey assessment of a burn patient, the nurse checks for early signs of carbon monoxide poisoning, which include: (Select all that apply.)

Accepted Answer

Early signs of carbon monoxide poisoning include headache, nausea, vomiting, and unsteady gait.

Question 14

Major functions of the skin include: (Select all that apply.)

Accepted Answer

Functions of the skin include protection from the environment (pathogenic organisms, foreign substances, natural barrier against infection), temperature regulation, prevention of dehydration, excretion of waste products, and vitamin D synthesis.

Question 15

Cellulitis is a potentially serious infection. In adults Staphylococcus aureus can cause which complications?

Accepted Answer

Sepsis, meningitis, and lymphangitis are the most common complications of cellulitis for adults caused by Staphylococcus aureus bacteria. Tinea pedis/corporis are fungal infections. Urticaria and psoriasis are noninfectious skin disorders.

Question 16

Nursing interventions and patient teaching for the treatment of head lice and scabies include: (Select all that apply.)

Accepted Answer

Identify involved contacts while stressing importance of preventing transmission of disease. Washable and cloth items should be cleaned in hot water to prevent reinfection. No special diet is required. Isolation is not necessary once medical management is completed.

Question 17

Nursing interventions for treatment of herpes virus infections are:

Accepted Answer

There is no cure for herpes virus infections, so nursing interventions will focus on managing symptoms and preventing the spread of the virus. Keeping lesions moist with options like cold, moist compresses may help alleviate pain, but it is not the primary intervention. Cleansing lesions with alcohol may actually irritate the skin and exacerbate symptoms.

Question 18

Which may indicate a malignant melanoma in a nevus on a patient's arm?

Accepted Answer

Any change in color, size, or texture and any bleeding or pruritus of a nevus deserves investigation. A malignant melanoma is a cancerous neoplasm in which pigment cells or melanocytes invade the epidermis, dermis, and sometimes the subcutaneous tissue.

Question 19

Melanocytes give rise to the pigment melanin which is responsible for skin color. The melanocytes can be found in

Accepted Answer

A layer in the epidermis contains highly specialized cells called melanocytes.

Question 20

A female patient is seen by the school nurse because of flat lesions that are clear in the center with erythematous borders. In assessing a patient for tinea corporis, the nurse would check

Accepted Answer

Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no hair.

Quiz 3: Care of the Patient With an Integumentary Disorder