Question 1

The implementation that would make a patient with atopic dermatitis more comfortable is to:

Accepted Answer

Loose clothing and a cool atmosphere allow the skin to stay cool and reduce sweating.Alcohol is drying to the skin.

Question 2

An appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image,related to skin lesions" would be:

Accepted Answer

To touch,interact,and care attentively for a disfigured patient communicates acceptance.

Question 3

The nurse organizes the nursing care plan on the nursing diagnosis of "Acute pain,related to postherpetic neuralgia." The least appropriate implementation would be to:

Accepted Answer

Ambulation certainly is not helpful for the pain.Very little helps the neuralgic pain except direct implementation.

Question 4

The daughter of an older adult patient who has just returned from surgery is distressed about her father's pale,cold hands and feet.The nurse covers the patient with an extra blanket and responds:

Accepted Answer

The 10% of the blood network that is in the skin can be reduced by constriction and shunted to the vital orgAnswer.

Question 5

Information essential for the nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane)for acne is:

Accepted Answer

Accutane can cause severe fetal deformities.

Question 6

Displaying her hands,a patient asks,"Do you think my liver is OK? Look at all these liver spots!" The most appropriate response would be:

Accepted Answer

Lentigines on sun-exposed areas are called liver spots because of their color; they have nothing to do with the liver or any disease process.They are normal changes of aging.

Question 7

A patient with severe psoriasis who is to be treated with the systemic drug,methotrexate sodium,anxiously asks,"Is this cancer drug safe? Are there some side effects I need to know about?" The nurse's best response would be:

Accepted Answer

Methotrexate is an immunosuppressive drug used to treat psoriasis that is nonresponsive to other protocols.Periodic blood tests are performed to assess for leukopenia.The other options either don't Answerwer the patient's question or offer erroneous information.

Question 8

When an 80-year-old patient comes to the emergency department with extreme pain and itching in the hip and leg and has herpetic vesicular lesions on the left hip,the nurse inquires about the exposure to:

Accepted Answer

Chickenpox is a virus that lies latent in the neural sheath and can be activated as shingles in older adults.

Question 9

An excited mother of a teenage boy with severe acne furiously reports to the nurse,"I've told him a thousand times he should bathe more often! I've kept after him about all that junk food he eats.I jump on him when I see him squeezing his zits.I tried to get him to scrub his face three times a day!" The complaint the nurse recognizes as a true statement about the cause of acne is:

Accepted Answer

Squeezing the lesions may cause them to spread and push the infection deeper into the follicles.Poor personal hygiene,eating junk food,and the need for facial scrubs are myths.

Question 10

The physician asks the nurse to take a smear from herpetic lesions in an older patient's hip to diagnose the disorder.The nurse recognizes that the probable test that will be performed is a:

Accepted Answer

The Tzanck test rapidly confirms the specific virus.The results are available sooner than they would be from a culture.

Question 11

In taking the functional assessment of a patient with a skin disorder,the nurse will inquire about:

Accepted Answer

The functional assessment is a search for clues in the occupation and lifestyle of the patient.The other options all reference medical history and system review.

Question 12

A confused patient who has been restrained because of combativeness and hyperactivity might,because of the restraints,display:

Accepted Answer

Purpura are purple bruises that resolve very slowly and are usually the result of minor trauma.

Question 13

The implementation that the nurse may perform for a patient with pruritus without a physician's order is to:

Accepted Answer

Application of a lotion or lubricant to unbroken skin may be done without an order.

Question 14

When assessing the capillary refill,the nurse may document as normal a refill time of __________ seconds.

Accepted Answer

Capillary refill is a method of quick assessment of perfusion to the extremities.A normal capillary refill time is 3 to 5 seconds or less.

Question 15

A nurse screening patients that the plastic surgeon is considering for phototherapy would exclude a:

Accepted Answer

Persons with lupus erythematosus should avoid exposure to UV light.

Question 16

The sign or symptom that suggests that a patient with impaired skin integrity is developing a systemic infection is a:

Accepted Answer

A rise in temperature is a systemic response.Normal blood pressure,warmth,swelling,and itching are not evidence of a systemic skin infection.

Question 17

A family member of an older patient with severe dermatitis says,"I was always so careful to bathe him every day.I guess I just wasn't careful enough." The nurse's best response would be:

Accepted Answer

Dermatitis is not a condition of poor hygiene.Implying that the family member is responsible for the condition is belittling and not therapeutic.

Question 18

The nurse instructs a patient with vitiligo who is receiving phototherapy to:

Accepted Answer

Eight hours before and after each treatment the patient should wear protective clothing,sunglasses,and sunscreen to decrease added ultraviolet (UV)exposure from other sources.

Question 19

When caring for an obese patient who has been bedridden for a long time and who has a nursing diagnosis of "Risk for infection,related to obesity," the nurse should assess for the moist red lesions of Candida albicans,especially on the:

Accepted Answer

C.albicAnswer appears most often in skin folds.

Question 20

A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2)expresses relief that she is cured.The nurse should include in her teaching that:

Accepted Answer

The virus goes dormant but can recur.Herpes is always present.

Quiz 50: Skin Disorders