Question 1

The nurse has provided education for a client prescribed topical scabicide. Which statement made by the client indicates an understanding of the teaching?

Accepted Answer

The client's statement indicates an understanding of the teaching because it demonstrates that the client knows to monitor the area for any changes, which is an important part of the follow-up care for scabies treatment.

Question 2

Which information should the nurse provide for a client prescribed permethrin (Nix) for the treatment of body mites? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Permethrin can cause sensations like stinging or tingling when applied, and it's contraindicated for individuals with chrysanthemum sensitivity due to potential allergic reactions.

Question 3

Which response should the nurse provide the client that asks how skin cells are replaced?

Accepted Answer

The epidermis is the outermost layer of the skin and is responsible for producing new skin cells.

Question 4

Clients who have contracted head lice in the nursing home are prescribed lindane (Kwell). Which medical diagnosis should the nurse be concerned about when administering lindane?

Accepted Answer

The nurse should be concerned about administering lindane to clients with a history of seizures. Lindane has been associated with the development of seizures, especially in clients with a history of seizure disorders or those using medications that lower the seizure threshold. It is important for the nurse to assess the client's seizure history before administering lindane to prevent adverse reactions.

Question 5

A client asks why they cannot take a glucocorticoid pill for their dermatitis instead of using a lotion. Which information should the nurse discuss with the client?

Accepted Answer

Topical glucocorticoids are most effective for controlling inflammation, which is the primary symptom of dermatitis. Oral glucocorticoids can have significant systemic adverse effects and are typically reserved for more severe cases of dermatitis that cannot be controlled with topical therapy. Topical therapy is also preferred because it delivers the medication directly to the affected area, thus limiting systemic exposure and potential adverse effects. While topical glucocorticoids can be very effective in controlling symptoms, they typically do not cure dermatitis and must be used as directed by the healthcare provider.

Question 6

Which treatment should the nurse anticipate for a client with tinea capitis?

Accepted Answer

The answer of Which treatment should the nurse anticipate for...

Question 7

Which should the nurse include in the client education about the structure and function of the skin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

- The outermost layer of the epidermis, known as the stratum corneum, indeed serves as a major waterproof barrier, protecting the body from environmental factors.- The amount of subcutaneous tissue, which lies beneath the dermis, indeed varies among individuals and is influenced by factors such as nutritional status and heredity.- The deepest layer of the epidermis, the stratum basale, is responsible for producing new cells through the process of mitosis, which then move up through the layers of the epidermis to replace older cells.

Question 8

Which assessment finding should the nurse anticipate for a client diagnosed with rosacea?

Accepted Answer

Small papules are an early sign of rosacea.

Question 9

The nurse reviewing the records of a client notes a prescription for tretinoin (Avita). Which question should the nurse include in the assessment?

Accepted Answer

Tretinoin is commonly used to treat acne, so the nurse should ask about its effectiveness in clearing up the client's acne.

Question 10

Which information should the nurse include in the education for a client with psoriasis vulgaris?

Accepted Answer

Psoriasis vulgaris is a chronic condition that requires long-term treatment to manage symptoms and prevent flare-ups. Options A, B, and D are all incorrect as psoriasis is not caused by a streptococcal infection, only some people with psoriasis will also have psoriatic arthritis (not 20%), and psoriasis can occur at any age.

Question 11

Which is a characteristic of dermatitis?

Accepted Answer

Pruritus, or itching, is a common characteristic of dermatitis, which is an inflammation of the skin. Flaky, silver scales (A) are a characteristic of psoriasis, not dermatitis. Swelling of nasal tissues (B) is a symptom of allergic rhinitis, not dermatitis. Small papules (C) can be a characteristic of many skin conditions, including dermatitis, but it is not a specific characteristic.

Question 12

Which area of the structure of the skin is responsible for the sensation of itching?

Accepted Answer

The dermis contains nerve endings and receptors responsible for sensations such as itching.

Question 13

Which information should the nurse include in the teaching for the parent of a child with head lice?

Accepted Answer

Removing all nits from the hair shaft with a nit comb or fine-tooth comb is important in treating head lice. Cutting the child's hair is not necessary for treatment. Watching for reinfection is not sufficient, as proper treatment is necessary. Disposing of all bedding is not necessary, but it should be washed in hot water and dried on high heat.

Question 14

Which supplies and replaces skin cells in the epidermis?

Accepted Answer

The stratum basale, also known as the basal cell layer, is the deepest layer of the epidermis and is responsible for replacing and regenerating new skin cells. The other choices (A, B, and C) do not directly supply or replace skin cells in the same way as the stratum basale.

Question 15

The nurse is discussing the adverse effects of Phototherapy with ultraviolet-A (PUVA) therapy with a client experiencing psoriasis. Which symptoms should the nurse include in the discussion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Phototherapy with ultraviolet-A (PUVA) therapy can cause nausea due to the psoralen taken orally before the treatment. Headaches can also occur as a side effect of the therapy. Skin sensitivity, particularly to sunlight, is a common and expected side effect because the treatment makes the skin more susceptible to UV damage. Depression and weight loss are not commonly associated side effects of PUVA therapy for psoriasis.

Question 16

Which level of potency does the topical corticosteroid dexamethasone have?

Accepted Answer

Dexamethasone, when used as a topical corticosteroid, is considered to have low potency.

Question 17

Which classification of prescription should the nurse evaluate the client for who is experiencing psoriasis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which classification of prescription should the nurse...

Question 18

A client being treated for acne asks the nurse why they are prescribed doxycycline. Which response should the nurse provide?

Accepted Answer

The answer of A client being treated for acne asks...

Question 19

Which describes the primary function of the dermis?

Accepted Answer

The dermis provides the foundation for hair follicles and nail growth. It is not primarily responsible for insulation, energy provision, or forming a protective barrier.

Question 20

Which interventions for the treatment of a client with a severe sunburn should the nurse anticipate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which interventions for the treatment of a...

Quiz 49: Drugs for Skin Disorders