Question 1

A patient is recovering from surgery to remove a large skin cancer and has a skin graft in place to cover the wound area. Consider the following menus and select the menu that would be most beneficial for this patient's diet. 11ea992e_0a6a_862c_9f38_4367b91e226f

Accepted Answer

Diet 1 is the most beneficial for this patient's diet because it is high in protein, which is essential for wound healing. It also contains plenty of fruits and vegetables, which are good sources of vitamins and minerals.

Question 2

A patient asks the nurse about possible options regarding treatment for a malignant melanoma lesion on her arm. The best response by the nurse would bewhich of the following?

Accepted Answer

Surgical removal is the preferred method of treatment for malignant melanoma. Anti-cancer creams may be used for superficial lesions, but they are not effective for treating deeper lesions. Radiation therapy may be used as an additional treatment after surgery, but it is not typically used as a first method. Intravenous chemotherapy may be used for advanced cases, but again it is not typically used as a first method.

Question 3

The patient with herpes zoster has pruritus and reports difficulty resting at night. Which of the following interventions will best aid the patient?

Accepted Answer

Encouraging the patient to take prescribed antipruritic agents approximately one hour before bedtime would help to relieve the pruritus and allow the patient to rest more comfortably at night. Massaging the irritated skin areas, applying powder, or using heavy bed linens would not effectively address the pruritus and may even exacerbate the symptoms.

Question 4

The nurse is planning care for a patient who is at risk for pressure ulcer development over high-risk body areas. Which of the following nursing interventions should be included in this patient's plan of care?  Select all that apply.

Accepted Answer

To prevent pressure ulcer development, the nurse should use pillows to offload pressure over high-risk body areas, turn the patient at least every two hours, and use a mild cleansing agent on the skin to prevent skin breakdown. Keeping the patient on bed rest and pulling them up in bed every two hours or less can actually contribute to pressure ulcer development rather than preventing it.

Question 5

Which of the following factors is included when assessing a patient for the risk of pressure ulcer development?  Select all that apply.

Accepted Answer

The risk factors for pressure ulcer development include sensory perception and activity level, moisture, mobility, and nutrition. Social interaction level is not a factor in assessing the risk of pressure ulcer development.

Question 6

An African American patient has reoccurring folliculitis on the face. The nurse should instruct the patient to do which of the following?

Accepted Answer

Using an electric razor can help prevent further irritation and damage to the skin, which can exacerbate folliculitis. Shaving daily, shaving very closely or shaving in the opposite direction of hair growth can all increase the risk of irritation and damage to the hair follicles.

Question 7

A patient at risk for the development of skin cancer is discussing sun exposure prevention with the nurse. What information should be included in the discussion? Select all that apply.  Select all that apply.

Accepted Answer

The answer of A patient at risk for the development...

Question 8

A patient with a history of tinea pedis reports concerns about developing the disorder again. Which of the following interventions suggested by the nurse will reduce the likelihood of a reoccurrence?

Accepted Answer

Wearing sandals or other open-toed footwear allows for better ventilation, which can help prevent the warm, moist environment that encourages fungal growth.

Question 9

The mother of a teenaged female experiencing a severe case of acne voices concern about her daughter's hygiene habits. Which of the following responses by the nurse is best?

Accepted Answer

This response directly addresses the concern about hygiene and gives the mother guidance on how to help reduce the severity of the acne outbreaks. It also avoids making assumptions or judgments about the mother's motives or feelings.

Question 10

A patient with a basal skin cancer on his cheek is coming into the dermatologist's office for Mohs surgery. He asks how long the procedure will take. The best response by the nurse would include which of the following?  Select all that apply.

Accepted Answer

The procedure occurs in steps and time needed depends on the lesion, the time depends on how deep the lesion is, and it is difficult to predict how long the procedure will take.

Question 11

When planning care for the patient newly diagnosed with herpes zoster, which of the following nursing diagnoses has the highest priority?

Accepted Answer

Acute pain is the highest priority as it can interfere with the patient's ability to function and contribute to anxiety and sleep disturbances. Ineffective Health Maintenance, Anxiety, and Deficient Knowledge can also be addressed but are not as urgent as managing the patient's pain.

Question 12

A patient has a small, red, scaling lesion that is sitting on an elevated base on the forehead. The patient states that lesion began several weeks before and will not heal. The nurse recognized this lesion is possibly which of the following?

Accepted Answer

A small, red, scaling lesion that does not heal is a classic presentation of a squamous cell carcinoma, which is a type of skin cancer. Melanoma typically presents as a dark, irregularly shaped mole or lesion. Psoriasis and seborrheic keratosis do not typically present as non-healing lesions.

Question 13

A patient is experiencing a lesion in the left axilla that is deep, painful, and contains pus. The lesion is three centimeters in diameter and is walled-off. After the assessment, the nurse determines the lesion is which of the following?

Accepted Answer

A furuncle, also known as a boil, is a deep, painful, pus-filled lesion that is walled-off and typically larger than folliculitis. It often occurs in areas like the axilla.

Question 14

A patient with a basal cell carcinoma of the nose will be having the lesion removed by curettage and electrodesiccation. The nurse knows that the lesion must meet what criteria for this type of procedure?  Select all that apply.

Accepted Answer

Curettage and electrodesiccation is a procedure typically used for small, superficial basal cell carcinomas that are less than 2 cm in diameter and have not extended into the deeper layers of the skin. Option C is incorrect because a lesion that measures 4 cm or larger would not be appropriate for this procedure. Option D is incorrect because the thickness of the dermis is not a criteria for determining the suitability of the procedure. Option E is incorrect because lesions that have extended into the subcutaneous tissue would require a different type of treatment.

Question 15

Several individuals from a homeless shelter have been diagnosed with pediculosis. The nurse, planning to train staff on the control and prevention of this contagious infection, should include which of the following?  Select all that apply.

Accepted Answer

Pediculosis is commonly spread through contact with personal items such as hats, combs, and blankets. It is more common in individuals who lack proper facilities for bathing and washing clothes. Wearing woolen hats is not a significant risk factor for pediculosis, and it can affect both adults and children. Pediculosis is infestation by lice, not mites.

Question 16

The nurse understands that certain patients are more susceptible to pressure ulcer development. Which of the following patients would be at an increased risk?  Select all that apply.

Accepted Answer

Patients with restricted activity, decreased sensation, very thin body types, and urinary and fecal incontinence are at increased risk for pressure ulcer development. Restricted mobility and decreased sensation can lead to prolonged pressure on skin areas without relief, thin patients have less muscle and fat to distribute pressure away from bony prominences, and incontinence can cause skin moisture that breaks down the skin barrier. Good nutrition, on the other hand, is protective against pressure ulcer development.

Question 17

A patient diagnosed with scabies asks the nurse how he "caught" the disorder. What information should be provided to the patient?

Accepted Answer

Scabies is a condition caused by a tiny mite that burrows into the skin and lays eggs. It is transmitted by direct contact with infected persons or their possessions, such as clothing, bedding, or furniture. It is important to educate patients on how to prevent the spread of the disorder by avoiding close contact with infected individuals and by washing all shared items in hot water and using a vacuum to clean carpets and furniture.

Question 18

A patient has had cryosurgery to treat a skin lesion. What instructions should be given to the patient and family on discharge?  Select all that apply.

Accepted Answer

A) The patient should be informed that the effects of cryosurgery may not be immediately visible and may take up to 24 hours to appear.
B) Topical antibiotic should be applied as ordered to prevent infections.
C) It is important to keep the treated areas clean to prevent further infections.
D) Healing after cryosurgery can take several weeks, and the patient must be counseled on recovery expectations. Therefore, choices A, B, C, and D are the best options. E is not accurate as healing may take longer than a few days.

Question 19

When planning care for a patient at risk for the development of pressure ulcers, which of the following should be included in the care?  Select all that apply.

Accepted Answer

To prevent pressure ulcers, it is important to initiate a frequent toileting schedule and turn the patient every two hours to relieve pressure on bony prominences. Massage with lotion can actually cause more damage to the skin and is not recommended. Inflatable donut rings should not be used as they can restrict blood flow and worsen the development of pressure ulcers. Hot water should also not be used to cleanse the skin as it can further damage already vulnerable skin.

Question 20

The nurse is counseling a patient who has atopic dermatitis (eczema) and has developed a secondary Staphylococcus aureus infection. To prevent this type of infection from reoccurring in the future, the nurse should stress which of the following?

Accepted Answer

The nurse should stress methods to prevent itching, as scratching can lead to further skin breakdown and increase the risk of bacterial infection. Continuous antibiotic treatment is not recommended for prevention, as it can lead to antibiotic resistance. Frequent bathing may help with keeping the skin clean, but it is not the most important factor in preventing recurrent infections. Allergy testing may be appropriate in some cases, but it is not directly related to preventing bacterial infections.

Quiz 16: Nursing Care of Patients with Integumentary Disorders

A patient is recovering from surgery to remove a large skin cancer and has a skin graft in place to cover the wound area. Consider the following menus and select the menu that would be most beneficial for this patient's diet. 11ea992e_0a6a_862c_9f38_4367b91e226f

A patient asks the nurse about possible options regarding treatment for a malignant melanoma lesion on her arm. The best response by the nurse would bewhich of the following?

The patient with herpes zoster has pruritus and reports difficulty resting at night. Which of the following interventions will best aid the patient?

The nurse is planning care for a patient who is at risk for pressure ulcer development over high-risk body areas. Which of the following nursing interventions should be included in this patient's plan of care? Select all that apply.

Which of the following factors is included when assessing a patient for the risk of pressure ulcer development? Select all that apply.

An African American patient has reoccurring folliculitis on the face. The nurse should instruct the patient to do which of the following?

A patient at risk for the development of skin cancer is discussing sun exposure prevention with the nurse. What information should be included in the discussion? Select all that apply. Select all that apply.

A patient with a history of tinea pedis reports concerns about developing the disorder again. Which of the following interventions suggested by the nurse will reduce the likelihood of a reoccurrence?

The mother of a teenaged female experiencing a severe case of acne voices concern about her daughter's hygiene habits. Which of the following responses by the nurse is best?

A patient with a basal skin cancer on his cheek is coming into the dermatologist's office for Mohs surgery. He asks how long the procedure will take. The best response by the nurse would include which of the following? Select all that apply.

When planning care for the patient newly diagnosed with herpes zoster, which of the following nursing diagnoses has the highest priority?

A patient has a small, red, scaling lesion that is sitting on an elevated base on the forehead. The patient states that lesion began several weeks before and will not heal. The nurse recognized this lesion is possibly which of the following?

A patient is experiencing a lesion in the left axilla that is deep, painful, and contains pus. The lesion is three centimeters in diameter and is walled-off. After the assessment, the nurse determines the lesion is which of the following?

A patient with a basal cell carcinoma of the nose will be having the lesion removed by curettage and electrodesiccation. The nurse knows that the lesion must meet what criteria for this type of procedure? Select all that apply.

Several individuals from a homeless shelter have been diagnosed with pediculosis. The nurse, planning to train staff on the control and prevention of this contagious infection, should include which of the following? Select all that apply.

The nurse understands that certain patients are more susceptible to pressure ulcer development. Which of the following patients would be at an increased risk? Select all that apply.

A patient diagnosed with scabies asks the nurse how he "caught" the disorder. What information should be provided to the patient?

A patient has had cryosurgery to treat a skin lesion. What instructions should be given to the patient and family on discharge? Select all that apply.

When planning care for a patient at risk for the development of pressure ulcers, which of the following should be included in the care? Select all that apply.

The nurse is counseling a patient who has atopic dermatitis (eczema) and has developed a secondary Staphylococcus aureus infection. To prevent this type of infection from reoccurring in the future, the nurse should stress which of the following?