Deck 15: Nursing Care of People With Integumentary Disorders

Question 1

A person has a fungal infection caused by Candida albicans. Which medication might have permitted this opportunistic infection?

A)Diuretics.
B)Anticonvulsants.
C)Insulin.
D)Systemic antibiotics.

Answer 1

Systemic antibiotics.

Question 2

A person with a history of pruritus reports an improvement after taking the allergy medication as prescribed. To what should the nurse attribute the improvement of this person's condition?

A) The allergy medicine is causing a placebo effect.
B)The allergies are causing a Distraction from the itching.
C)The medication is reducing histamine release.
D)Another medication is affecting the pruritus.

Answer 2

The medication is reducing histamine release.

Question 3

For which reason would corticosteroid medication be used to treat a skin disorder?

A)Moisturise the skin.
B)Suppress inflammation.
C)Lubricate the skin.
D)Retard water loss.

Answer 3

Suppress inflammation.

Question 4

A person with a history of skin cancer asks what can be done to prevent recurrence of the disease. What should the nurse instruct this person?

A)Sunscreen is not needed during the winter months.
B)Always use a sunscreen of SPF 15 or higher.
C)Avoid the sun at all costs.
D)Sun exposure is best between the hours of 10:00 a.m. and 3:00 p.m.

Question 5

The nurse is preparing teaching about acne for a group of teenagers. What instructions should the nurse include? (Select all that apply.)

A)Squeeze pimples when they occur.
B)Expose the skin to sunlight, but avoid sunburn.
C)Use a cotton ball saturated with alcohol after washing the skin.
D)Wash the hair frequently.

Question 6

A young person asks what can be done to remove acne scars. What should the nurse suggest to this person?

A)Laser treatment.
B)Blepharoplasty.
C)Chemical peeling.
D)Skin graft.

Question 7

A woman is concerned about skin areas that will not tan when exposed to the sun. What health issue should the nurse consider this person is experiencing?

A)Candidiasis.
B)Cellulitis.
C)Tinea versicolour.
D)Tinea cruris.

Question 8

The nurse instructs a person with melanoma to maintain adequate kilojoule and protein intake in the diet. For which nursing diagnosis is this intervention the most appropriate?

A)Fluid Volume Excess.
B)Hopelessness.
C)Impaired Skin Integrity.
D)Anxiety.

Question 9

The nurse notes pimples over the buttocks and chest of a middle-aged person. How should the nurse document this finding?

A)Keratosis.
B)Acne conglobata.
C)Acne rosacea.
D)Contact dermatitis.

Question 10

A middle-aged man of Scottish descent is diagnosed with basal cell cancer on the face and forehead. What should the nurse include when teaching this person about the diagnosis?

A)It is a fast growing form of skin cancer.
B)It is a rare type of skin cancer.
C)This type of skin cancer frequently metastasises.
D)Recurrence is common with this type of skin cancer.

Question 11

A young child frequently scratches the scalp, and the hair is clumped and has a foul odour. What should the nurse suggest to the child's mother?

A)Wash the hair more frequently.
B)Cut the hair short.
C)Have a blood glucose level tested.
D)Check the child for head lice.

Question 12

A middle-aged person with a history of sun exposure has broken blood vessels on the cheeks. How should the nurse document this finding?

A)Psoriasis.
B)Keratosis.
C)Telangiectases.
D)Cherry angiomas.

Question 13

A person is scheduled for an ultraviolet light therapy treatment for psoriasis. What should be included in this person's teaching?

A)The skin will appear reddened in approximately 8 hours after the treatment.
B)This is the treatment of choice for persons with psoriasis on the upper body.
C)The treatment involves gradually decreasing exposure times.
D)There is no anticipated damage to the eyes or immune system.

Question 14

An adult person is diagnosed with advanced malignant melanoma. What should the nurse realise about this diagnosis?

A)The prognosis is uncertain.
B)The prognosis is poor because of the person's age.
C)Chemotherapy and radiation will be prescribed.
D)A complete cure will occur once the primary lesion is excised.

Question 15

A person has a pressure ulcer that involves full-thickness tissue loss with exposed bone, tendon and muscle. What pressure ulcer stage should the nurse document for this person?

A)1)
B)2)
C)3)
D)4)

Question 16

A person confined to bed has slid to the bottom of the bed. What should the nurse do to adjust this person's body position?

A)Slide the person up the bed.
B)Do nothing.
C)Pull the person up the bed.
D)Lift the person up the bed.

Question 17

A person with skin cancer is recovering from a surgical procedure in which thin layers of the tumour were horizontally shaved off. Which type of treatment did this person most likely have?

A)Mohs surgery.
B)Curettage.
C)Electrodesiccation.
D)Total surgical excision of the lesion.

Question 18

An older person is concerned about a painful rash located on the left side of the upper chest. What should the nurse realise this person is experiencing?

A)Shingles.
B)Herpes simplex.
C)Condylomata acuminata.
D)Verruca vulgaris.

Question 19

A person has an itchy reddened area on both hands. Which technique should the nurse use when assessing this person?

A)Ask if soap or detergent has been changed recently.
B)Listen to breath sounds.
C)Check the lower limbs.
D)Assess hand grasp strength.

Question 20

A person in a wheelchair has a history of sacral pressure ulcer formation. Which instruction should be included in the person's teaching?

A)Sit on a donut.
B)Shift the weight every 15 minutes to hourly.
C)Have a family member pull the person up in the wheelchair.
D)Stay in one position as long as possible.