Deck 45: Dermatological Dysfunction: Nursing Management

Question 1

A client is diagnosed with genital herpes simplex virus. The nurse know that symptoms of the primary infection occur:

A) 1 to 4 days after exposure.
B) 3 to 7 days after exposure.
C) 5 to 9 days after exposure.
D) 7 to 11 days after exposure.

Answer 1

3 to 7 days after exposure.

Question 2

A client is diagnosed with cellulitis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)

A)Heat
B)Redness
C)Swelling
D)Pain
E)Glossy, stretched skin appearance
F)Thirst

Answer 2

Heat
Redness
Swelling
Pain
Glossy, stretched skin appearance

Question 3

A client is diagnosed with a viral skin infection. The nurse realizes that which of the following medications may be prescribed for this client? (Select all that apply.)

A)Nystatin (Mycostatin)
B)Docosanol (Abreva)
C)Boric acid
D)Penciclovir (Denavir)
E)Hydrogen peroxide
F)Acyclovir (Zovirax)

Answer 3

Docosanol (Abreva)
Penciclovir (Denavir)
Acyclovir (Zovirax)

Question 4

The nurse is assessing a client's skin for signs of normal aging. Which of the following are skin changes seen with aging? (Select all that apply.)

A)Lentigo
B)Loss of subcutaneous tissue
C)Telangiectasias
D)Thickened, wrinkled, yellowish skin
E)Thin, fragile, and inelastic skin
F)Seborrheic keratosis

Question 5

A client is diagnosed with tinea versicolor. Which of the following should the nurse instruct this client regarding the care for this skin condition?

A) Do nothing since there is no treatment.
B) Utilize shampoo with selenium.
C) Utilize an oral antifungal preparation as prescribed.
D) Apply warm compresses to the affected areas.

Question 6

A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as being:

A) Tinea capitis.
B) Tinea corporis.
C) Tinea cruris.
D) Tinea pedis.

Question 7

A client is demonstrating patches of thick, red skin with silvery scales on the elbows and knees. The nurse suspects that this client is experiencing:

A) Psoriasis.
B) Rosacea.
C) Scabies.
D) Stasis dermatitis.

Question 8

A school-age child is experiencing pruritic vesicles around the mouth. The lesions have a honey-colored crust. The nurse realizes that the child is most likely experiencing:

A) Candidiasis.
B) Herpes simplex.
C) Impetigo.
D) Tinea corporis.

Question 9

A client is complaining of pain and drainage coming from an area on his back. The nurse assesses the area and finds a large erythematous, swollen mass with multiple areas of purulent drainage. The nurse suspects the client has a(n):

A) Abscess.
B) Carbuncle.
C) Furuncle.
D) Papule.

Question 10

A client is diagnosed with rosacea. Which of the following should the nurse instruct the client regarding this condition? (Select all that apply.)

A)Avoid sunlight.
B)Avoid alcohol.
C)Avoid spicy food.
D)Wash the face five times a day.
E)Wash the face with a clean washcloth.
F)Apply medication to affected areas immediately after washing the face.

Question 11

A client has what appears to be a bacterial infection or warts on her fingertips. This can be a sign of:

A) Herpes gladiatorum.
B) Herpes simplex.
C) Herpes zoster.
D) Herpetic whitlow.

Question 12

A client is diagnosed with severe nodulocystic acne. The nurse should instruct the client on which of the following types of treatments? (Select all that apply.)

A)Oral antibiotics
B)Benzoyl peroxide
C)Sulfur
D)Intralesional injections
E)Soap and water
F)Topical therapy

Question 13

Which of the following should the nurse instruct a client who is prescribed a topical medication for a skin condition?

A)Apply directly to broken or irritated skin.
B)Apply before bathing.
C)Apply after bathing.
D)Cover the area with an occlusive dressing.

Question 14

A client is being treated for lice. Which of the following medications would the nurse expect to see prescribed for this client?

A) Acyclovir
B) Diphenhydramine
C) Mupirocin
D) Permethrin

Question 15

A middle-aged construction worker has a raised lesion with a pearly border on his arm that bleeds easily. The nurse realizes that this client most likely is experiencing a(n):

A) Actinic keratosis.
B) Basal cell carcinoma.
C) Malignant melanoma.
D) Melanoma in situ.

Question 16

A client is diagnosed with a dermatologic condition causing pruritis and inflammation. Which of the following should the nurse instruct this client?

A)Use regular perfumed lotion to moisturize the skin.
B)Use scented soap to bathe the skin daily.
C)Apply skin oil daily.
D)Apply a body moisturizer to the skin within 3 to 5 minutes after bathing.

Question 17

A client's wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called:

A) Autolytic debridement.
B) Enzymatic debridement.
C) Mechanical debridement.
D) Sharp debridement.

Question 18

A client periodically experiences pseudofolliculitis barbae. Which of the following should the nurse instruct this client?

A) Avoid close shaving.
B) Avoid washing the hair prior to shaving.
C) Apply a topical antibiotic.
D) Contact the physician since the client needs a prescription for an oral antibiotic.