Question 1

Which statement by the parent of a child with impetigo indicates to the nurse that more teaching is needed?&#10;A) &#34;Antibiotics may be used to treat severe impetigo.&#34;&#10;B) &#34;Everyone in the family needs to use good hand hygiene.&#34;&#10;C) &#34;Tight dressings are best to help heal the blisters.&#34;&#10;D) &#34;Towels and washcloths should not be shared.&#34;

Accepted Answer

Tight dressings are not recommended for impetigo as they can irritate the skin and worsen the condition. Loose dressings or leaving the area open to air is usually advised.

Question 2

Which findings is the nurse most likely to observe in the patient with cellulitis?&#10;A) Red pimples, fluid-filled blisters, oozing rash with yellow crusts&#10;B) Small papules and pustules with red base and a single hair follicle through center&#10;C) A firm, extremely tender swollen mass with purulent drainage&#10;D) Red, hot, painful swollen area

Accepted Answer

Cellulitis is characterized by a red, hot, painful, and swollen area on the skin due to bacterial infection, typically involving the deeper layers of the skin and subcutaneous tissues.

Question 3

The nurse notes that a patient has a white coating on the tongue and that the patient reports a sore throat. Which question would be most appropriate for the nurse to ask?&#10;A) &#34;Have you been taking antibiotics?&#34;&#10;B) &#34;How is your nutrition?&#34;&#10;C) &#34;Do you have anemia?&#34;&#10;D) &#34;Have you recently had a tick bite?&#34;

Accepted Answer

A white coating on the tongue and a sore throat can be indicative of oral thrush, which is often associated with recent antibiotic use. Antibiotics can disrupt the normal balance of microorganisms in the body, leading to an overgrowth of yeast.

Question 4

The nurse notes a child scratching the scalp and observes dry, brittle hair and bald patches. The nurse tells the parent that the child has:&#10;A) tinea capitis.&#10;B) tinea pedis.&#10;C) tinea corporus.&#10;D) tinea cruris.

Accepted Answer

Tinea capitis is a fungal infection of the scalp, characterized by itching, dry and brittle hair, and bald patches, which matches the symptoms described.

Question 5

Which condition is a priority for the nurse planning care for a patient with exfoliative dermatitis?&#10;A) Fluid volume deficit&#10;B) Self-image issues&#10;C) Comfort&#10;D) Altered nutrition

Accepted Answer

Fluid volume deficit is a priority for the nurse planning care for a patient with exfoliative dermatitis because the skin is the body's largest organ and it helps to regulate fluid balance. When the skin is damaged, it can lead to fluid loss and dehydration.

Question 6

Which of the following should the nurse include in the teaching plan for a patient with lichen planus?&#10;A) Identify and avoid triggers for this condition.&#10;B) All patients with lichen planus have hepatitis C.&#10;C) With treatment, lichen planus can be cured.&#10;D) Ultraviolet light worsens the symptoms.

Accepted Answer

Lichen planus can be triggered by certain factors, so identifying and avoiding these triggers can help manage the condition.

Question 7

When assessing a patient with Stevens-Johnson syndrome, the nurse would expect to observe:&#10;A) less than 10% of the body surface is affected.&#10;B) 10-30% of the body surface is affected.&#10;C) 30-50 % of the body surface is affected.&#10;D) greater than 50% of the body surface is affected.

Accepted Answer

Stevens-Johnson syndrome typically affects less than 10% of the body surface area.

Question 8

When assessing a patient with toxic epidermal necrolysis, the nurse would expect to observe:&#10;A) less than 5% of the body surface is affected.&#10;B) 5-10% of the body surface is affected.&#10;C) 10-20% of the body surface is affected.&#10;D) greater than 30% of the body surface is affected.

Accepted Answer

Toxic epidermal necrolysis (TEN) is characterized by widespread skin detachment affecting more than 30% of the body surface area.

Question 9

When taking a history from a patient with toxic epidermal necrolysis, the nurse would expect to find that the patient was taking which medications?&#10;A) Bronchodilators, antihypertensives&#10;B) Antibiotics, anticonvulsants&#10;C) Opioids, diuretics&#10;D) Antiarrhythmics, statins

Accepted Answer

Toxic epidermal necrolysis is often associated with adverse reactions to certain medications, particularly antibiotics and anticonvulsants.

Question 10

When planning care for the patient with toxic epidermal necrolysis, the nurse gives priority to:&#10;A) maintaining musculoskeletal function.&#10;B) supporting urinary and bowel function.&#10;C) managing nutrition.&#10;D) discontinuing the offending drug.

Accepted Answer

Discontinuing the offending drug is crucial in managing toxic epidermal necrolysis to prevent further progression of the condition.

Question 11

Which statement by a parent of a child with an allergy to bee stings indicates that more teaching is needed?&#10;A) &#34;My child should carry an autoinjector with epinephrine in case of a bee sting.&#34;&#10;B) &#34;If we do not have access to an epinephrine autoinjector, I will take my child to the emergency department.&#34;&#10;C) &#34;If my child is stung by a bee, it will probably not be necessary to use the epinephrine autoinjector.&#34;&#10;D) &#34;Adrenalin is the drug of choice for severe symptoms of a bee sting.&#34;

Accepted Answer

The answer of Which statement by a parent of a...

Question 12

The nurse is assessing a child brought to the urgent care clinic by her mother who removed a tick from the child's back and is concerned about Lyme disease. If the child has Lyme disease, which manifestations is the nurse most likely to observe?

A) Swelling, redness, itching
B) A red bump with a red bull's-eye rash
C) Red dots on the ankles and wrists
D) A rash with itching that is more intense at night

Accepted Answer

The answer of The nurse is assessing a child brought...

Question 13

Which statement by the parent of a middle-school student indicates to the school nurse that more teaching on tick prevention is needed?&#10;A) &#34;I should spray my child with an insect repellant containing at least 10-20% DEET.&#34;&#10;B) &#34;I should check my child's skin for ticks when he comes in from playing outdoors.&#34;&#10;C) &#34;I don't need to check his hair because ticks do not like hair.&#34;&#10;D) &#34;I should dress my child in long sleeves and long pants.&#34;

Accepted Answer

The answer of Which statement by the parent of a...

Question 14

Which instruction about the use of a pediculicide should the nurse give to the parent of a child with head lice?&#10;A) Do not use shampoo after treatment.&#10;B) Wash the hair normally the day after treatment.&#10;C) Retreat the hair two weeks after the first treatment.&#10;D) If the lice are not dead 12 hours after treatment, retreat the hair.

Accepted Answer

The answer of Which instruction about the use of a...

Question 15

Which statement by the parent of two children with head lice indicates an understanding of the nurses' instructions to rid the home of lice?&#10;A) &#34;I will put the stuffed animals in a sealed plastic bag for 1 week.&#34;&#10;B) &#34;Combs and brushes will be rid of lice after soaking in alcohol.&#34;&#10;C) &#34;If I find lice in the eyelashes I will use a pediculicide on them.&#34;&#10;D) &#34;I will wash the bed sheets in hot water and dry on a hot cycle for at least 20 minutes.&#34;

Accepted Answer

The answer of Which statement by the parent of two...

Question 16

Which statement by a patient with acne vulgaris indicates to the nurse that more teaching is needed about retinoid therapy?&#10;A) &#34;I should limit my time in the sun when taking a retinoid drug.&#34;&#10;B) &#34;Sunlight can help my acne, as long as I am not taking a retinoid drug.&#34;&#10;C) &#34;I need to use sunscreen while I am taking a retinoid drug.&#34;&#10;D) &#34;Being in the sun enhances the retinoid drug effects.&#34;

Accepted Answer

The answer of Which statement by a patient with acne...

Question 17

How should the nurse respond when the patient with rosacea asks why his physician referred him to an ophthalmologist?&#10;A) &#34;The eye doctor can help you with your dry eyes and irritation.&#34;&#10;B) &#34;This condition can affect your eyesight.&#34;&#10;C) &#34;Cataracts are common with rosacea.&#34;&#10;D) &#34;Rosacea increases the risk of blindness.&#34;

Accepted Answer

The answer of How should the nurse respond when the...

Question 18

Which statement by a patient with brittle nails indicates that more teaching is needed?&#10;A) &#34;I need to avoid nail polish remover with acetone.&#34;&#10;B) &#34;Washing dishes without gloves will help moisturize my hands.&#34;&#10;C) &#34;Taking biotin will help strengthen my nails.&#34;&#10;D) &#34;Clear nail polish with protein can strengthen my nails.&#34;

Accepted Answer

The answer of Which statement by a patient with brittle...

Question 19

Which statement made by a patient with a fungal nail infection does the nurse need to correct?&#10;A) &#34;Fungal nail infections are easily cured with an antifungal cream used daily for two weeks.&#34;&#10;B) &#34;Fungal infections often reappear after treatment.&#34;&#10;C) &#34;Fungal nail infections can take up to a year to be cured.&#34;&#10;D) &#34;Fungal nail infections may need both oral antifungal and topical antifungal agents.&#34;

Accepted Answer

The answer of Which statement made by a patient with...

Question 20

The nurse is teaching a patient newly diagnosed with diabetes about self-care. Which statement by the patient should the nurse clarify?&#10;A) &#34;I should seek regular care for my nails.&#34;&#10;B) &#34;I should see a podiatrist if I have a toe injury that doesn't heal.&#34;&#10;C) &#34;I need to check my feet and nails every week.&#34;&#10;D) &#34;I should not walk barefoot.&#34;

Accepted Answer

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

Deck 40: Acute Skin Disorders