Deck 41: Chronic Skin Disorders

Question 1

The nurse is teaching a client with herpes simplex virus type 2 (HSV-2) about reducing transmission of the virus to others. Which patient statement indicates understanding of the teaching?

A) "A mouth rash occurs between 2 and 20 days after first virus contact."
B) "Viral shedding only occurs with open lesions."
C) "HSV-2 can be spread through oral contact."
D) "The incubation period for HSV-2 is 2 weeks."

Answer 1

"HSV-2 can be spread through oral contact."

Question 2

A pregnant woman with a primary genital infection HSV-2 is seen at the health clinic for prenatal care at 12 weeks. What is the best response by the nurse when the client begins crying and asks how her baby will be affected?

A) "HSV-2 can severely affect your baby. Let's talk about it."
B) "Why did you get pregnant while you had an active infection?"
C) "I'll come back when you are done crying and we can discuss this."
D) "I am sure things will be fine."

Answer 2

"HSV-2 can severely affect your baby. Let's talk about it."

Question 3

Which information should the nurse include when providing education to a client undergoing antigen testing for herpes simplex?

A) False positives may occur.
B) False negatives may occur.
C) The test is very sensitive and specific.
D) Results take several days.

Answer 3

False positives may occur.

Question 4

The nurse is teaching the parents of a 1-month-old infant who has contracted varicella-zoster virus (VZV). What information should the nurse include?

A) The child will be at increased risk of contracting herpes zoster after age 60.
B) The child will be at increased risk of contracting herpes zoster in adolescence.
C) The child is at increased risk of another outbreak of VZV.
D) The child will be immune to contracting herpes zoster.

Question 5

In the prodromal phase of herpes zoster, the client is most likely to report:

A) pain on one side of the body.
B) a rash at varying stages of eruption.
C) a rash on both sides of the body.
D) inflamed eyes.

Question 6

A client with a flare-up of atopic dermatitis is exhibiting xerosis. Which action by the nurse will be most helpful?

A) Place the client in a hot bath.
B) Apply moisturizer liberally.
C) Wrap affected areas in dry dressings.
D) Use a warm-mist humidifier.

Question 7

When taking the health history of a young client with newly diagnosed guttate psoriasis, the nurse would expect to find:

A) a history of life-threatening complications.
B) recent trauma.
C) the abrupt removal of corticosteroid medication.
D) a recent beta-hemolytic streptococcal upper respiratory infection.

Question 8

A client with plaque psoriasis reports pinpoint bleeding if he lifts his scales. The nurse explains that this is called:

A) Koebner phenomenon.
B) Auspitz sign.
C) café au lait spots.
D) lichenification.

Question 9

Which statement by a client with psoriasis indicates that more teaching is needed about flare-up prevention?

A) "Stress reduction will help reduce flare-ups."
B) "Trauma to my skin can cause my psoriasis to worsen."
C) "NSAIDs are preferred for aches and pains."
D) "I should stay out of the sun."

Question 10

A client with psoriasis is receiving a vitamin D analog. Which instruction should the nurse give the client?

A) "The drug can be can be taken long term to maintain remission."
B) "The drug will be tapered after symptoms subside."
C) "The drug should not be taken during pregnancy."
D) "The drug may cause burning and itching."

Question 11

The nurse is planning care for a client with hidradenitis suppurativa (HS). What is a reasonable long-term goal for this client?

A) Complete remission by age 40
B) An increase in the length of remissions throughout life
C) Remissions will begin in adolescence
D) Corticosteroids will induce remission

Question 12

A community health nurse is performing skin examinations at a public health fair. Which of the following people are most likely to have polymorphous light eruptions (PMLEs)?

A) A man taking tetracycline
B) A man with systemic lupus erythematosus
C) A woman with chemical exposure
D) A woman from a cold climate

Question 13

When assessing the skin of a client for squamous cell carcinoma (SCC), the nurse would observe for:

A) a lesion with a telangiectasis.
B) a nonhealing sore that bleeds easily.
C) a blue, brown, or black lesion.
D) a mole with an irregular border.

Question 14

The nurse is caring for a client following surgical removal of a malignant melanoma. The client was found to have a mutation of the BRAF oncogene. What is the best response by the nurse when the client's sister asks if she is at increased risk for this form of melanoma?

A) "This mutation often runs in families, so you are at increased risk."
B) "Mutation of the BRAF oncogene isn't inherited, so this form of melanoma doesn't increase your risk."
C) "Your brother's melanoma was caused by excessive sun exposure, so you aren't at increased risk."
D) "Your fair skin, light hair, and freckles place you at high risk for melanoma."

Question 15

When preparing a plan of care for a client with vitiligo, the nurse should give priority to which problem?

A) Risk of infection
B) Impaired wound healing
C) Chronic pain
D) Low self-esteem

Question 16

When assessing the client with multiple café au lait macules (CALMs), the nurse should also be alert for:

A) neurofibromas.
B) patches of unpigmented skin.
C) alopecia.
D) psoriasis.

Question 17

What response should the nurse give to a woman who gave birth three months ago and is concerned about excessive hair loss?

A) "This is normal following childbirth and may last up to a year."
B) "This is of concern, and you should follow up with your physician."
C) "This hair loss is permanent."
D) "This may be the sign of a serious disease."

Question 18

Which client statement indicates understanding of the nurse's teaching about taking finasteride for male-pattern baldness?

A) "I should rub the ointment on my head where I want the hair to grow."
B) "I should start to notice hair growth in about 6 to 8 weeks."
C) "I will report serious adverse effects to the doctor immediately."
D) "My hair regrowth will be permanent."

Question 19

What is the best response for the nurse to make when a client with alopecia areata asks if the hair loss is permanent?

A) "The longer the hair loss persists, the more likely it will be permanent."
B) "Yes, the hair loss is permanent."
C) "The older you are at the onset of the disorder, the more likely the hair loss will be permanent."
D) "Widespread hair loss typically grows back."

Question 20

What finding would the nurse expect when assessing the client with basal cell carcinoma (BCC)?

A) Previous ultraviolet light exposure
B) Dark pigmented skin
C) Female gender
D) Family history of BCC