Question 1

The mother of a young child calls the clinic and tells the nurse that she has just discovered head lice in her daughter's hair.What is the best instruction by the nurse?

Accepted Answer

The best instruction by the nurse would be to advise the mother to purchase an over-the-counter lice medication and follow the package directions exactly. This is because over-the-counter lice treatments are effective in eliminating lice, and there is no need for a clinic evaluation unless the initial treatment is unsuccessful or if the child has an allergic reaction to the medication. Taking the child to a beautician is not recommended as they are not trained to handle lice treatments. Furthermore, it is important to follow the instructions for the medication carefully as failure to do so may result in treatment failure.

Question 2

A teenager is taking isotretinoin (Accutane)for treatment of severe acne.The nurse has completed medication education with her mother,and evaluates additional learning is required when the mother makes which statement?

Accepted Answer

This statement suggests that the mother believes the medication will improve her daughter's self-esteem, which is not an appropriate expectation for the medication. The medication education provided should have focused on the potential side effects and the importance of adherence to contraception to prevent fetal exposure. The other statements demonstrate appropriate understanding of the medication education provided.

Question 3

The nurse's neighbor has a severe sunburn and cannot sleep.What is the best advice by the nurse?

Accepted Answer

D

Question 4

The client is recovering from a severe sunburn.What will the best teaching by the nurse include?

Accepted Answer

The best teaching for a client recovering from a severe sunburn is to apply a sunscreen when going out into the sun. Sunscreen with SPF 30 or above should be applied at least 15-30 minutes before exposure to the sun and reapplied every 2 hours or after sweating and swimming. This will help prevent further damage to the skin and reduce the risk of skin cancer.

Question 5

The physician orders lindane (Kwell)for nursing home clients who have contracted head lice.The nurse will contact the physician when one of the clients has which medical diagnosis?

Accepted Answer

Lindane is a medication that can cause seizures as a rare but serious adverse effect. Therefore, it is important to inform the physician if a client has a history of seizures or epilepsy before administering this medication. The other medical diagnoses mentioned are not directly related to the use of lindane for treating head lice.

Question 6

Dermatitis is characterized by

Accepted Answer

Dermatitis is a skin condition characterized by inflammation and irritation, which commonly results in itching or pruritus. The other options listed (flaky silver scales, swelling of nasal tissues, and small papules) are characteristic of specific types of dermatitis, such as psoriasis, allergic contact dermatitis, and atopic dermatitis, respectively.

Question 7

The primary function of the epidermis is to

Accepted Answer

The primary function of the epidermis, the outermost layer of the skin, is to form a protective barrier to foreign matter, such as bacteria and viruses, and to prevent moisture loss from the body. It also contains melanocytes that produce melanin, which gives color to the skin and helps protect it from the harmful effects of the sun's UV rays. The epidermis does not provide a foundation for hair growth, insulate the body, or provide a source of energy.

Question 8

The nurse will know that a client with head lice understands principles of scabicides when she can discuss

Accepted Answer

Proper application with gloves is the most appropriate answer as scabicides are topical medicines that are used to treat infestations of lice and scabies. They should be applied carefully and evenly to the affected areas and it is important to wear gloves during the application process to prevent the absorption of the product into the body. The other options are not relevant to the treatment of head lice.

Question 9

The client has scabies.The nurse has taught the client about safety in using topical scabicide medications,and evaluates that teaching has been effective when the client makes which statement?

Accepted Answer

Applying scabicide medication on the face can lead to irritation and harm to the eyes, nose, and mouth. Therefore, the statement "I must avoid putting this lotion on my face" indicates the client understands the safety precautions while using topical scabicide medications. Choices A and B are not related to medication safety, and choice C is not necessary as consent is typically obtained before treatment.

Question 10

A client calls the clinic and asks the nurse how to treat a skin injury.What s should the nurse ask prior to formulating a response? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The nurse should ask about the depth, size, location, and cause of the injury to properly formulate a response on how to treat it. Asking about the time frame (D) may also be relevant in certain cases, but it is not as important as the other factors.

Question 11

A client has psoriasis.Prior to beginning education,the nurse assesses the client.Which statement indicates the client has a correct knowledge base about his illness?

Accepted Answer

Option B indicates that the client understands that treatment can help alleviate his discomfort. Options A, C, and D demonstrate misinformation about the condition and its treatment.

Question 12

The nursing instructor teaches the student nurses about the structure and function of the skin.What will the best teaching plan of the instructor include? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nursing instructor teaches the student nurses...

Question 13

The client calls the clinic and is frantic that her two children have been sent home from school with head lice.She has treated their scalps,but does not know what else to do.What will be the best teaching by the nurse?

Accepted Answer

Washing bed linens and clothing that have come into contact with the children is an important step in preventing the spread and re-infestation of head lice. It is also recommended to vacuum furniture, car seats, and carpets to remove any remaining lice or eggs. Continuing to apply medication to the scalp as directed is important, but it should be combined with environmental cleaning measures. Not letting the children return to school until it is fumigated is not necessary and can cause unnecessary disruption to their education. Isolating the affected children from other family members for three days is also not necessary, as head lice do not spread through casual contact or airborne transmission.

Question 14

The mother of a client with head lice has completed the applications of topical medication.What is the best instruction by the nurse at this time?

Accepted Answer

Removing all nits from the hair shaft with a nit comb or fine-tooth comb is important in preventing re-infection and decreasing the spread of lice to others. This step ensures that all live lice and nits are removed from the hair. Keeping the child's hair short does not prevent re-infection and checking the heads of the child's friends is not the responsibility of the mother.

Question 15

The client asks the nurse how skin cells are replaced.What is the best response by the nurse?

Accepted Answer

The answer of The client asks the nurse how skin...

Question 16

The client receives topical glucocorticoids for the treatment of dermatitis.The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Choice C correctly states that the use of a topical lotion for dermatitis is safer and more effective than taking a pill. Choice A is incorrect because topical glucocorticoids are the preferred treatment for dermatitis and pills are not as effective. Choice B is incorrect because if the medication does not help, there are other treatment options available. Choice D is incorrect because topical glucocorticoids do not lead to drug dependence when used long-term.

Question 17

A client's medical record reveals presence of an erythematous urticaric rash with pruritus.What assessment findings would the nurse expect? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The rash is described as erythematous (red), urticaric (raised, bumpy texture), and pruritic (itchy).

Question 18

The client receives a topical medication for treatment of an acne-like skin disorder.The nurse completes medication education and evaluates learning has occurred when the client makes which statements? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The client understands the importance of contacting the doctor if symptoms change (B) and applying the medication only to the affected area (C).

Question 19

Skin cells in the epidermis are replaced and supplied by the

Accepted Answer

Skin cells in the epidermis are replaced by the stratum basale through a process called mitosis. The stratum basale is the deepest layer of the epidermis and contains actively dividing stem cells that produce new skin cells.

Question 20

A client has been prescribed permethrin (Nix)for the treatment of body mites.What medication information should the nurse provide? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of A client has been prescribed permethrin (Nix)for...

Quiz 48: Drugs for Skin Disorders