Med Surg - ed 8 - Chapter 25: Care of Patients with Skin Problems

med-surg-ed-8-chapter-25-care-of-patients-with-skin-problems

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Question 1 of 1

Time Left

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A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client’s education?

Select the correct answer(s).

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Explanation

The client should bathe in warm water for at least 20 minutes and then apply lotion immediately because this will keep the moisture in the skin. Just using moisturizer will not be as helpful because the moisturizer is not what rehydrates the skin; it is t

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A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?

Select the correct answer(s).

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Explanation

Being immobile and being incontinent are two significant risk factors for the development of pressure ulcers. The client with pneumonia does not have specific risk factors. The young client who has a fractured leg and the client who needs assistance with

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When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client’s buttocks, heels, and scapulae. Which action should the nurse take next?

Select the correct answer(s).

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Explanation

“Bottoming out,” as evidenced by deep imprints in the mattress overlay, indicates that this device is not appropriate for this client, and a different device or strategy should be implemented to prevent pressure ulcer formation.

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A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client’s plan of care?

Select the correct answer(s).

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Explanation

Wet-to-damp dressings are changed every 4 to 6 hours to provide maximum débridement. The wound should be assessed each time the dressing is changed. Dry gauze dressings should be changed when the outer layer becomes saturated. Synthetic dressings can be l

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A nurse is caring for a client who has a pressure ulcer on the right ankle. Which action should the nurse take first?

Select the correct answer(s).

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Explanation

A client with an ulcer on the foot should be assessed for interruption in arterial flow to the area. This begins with the assessment of pulses and color and temperature of the skin. The nurse can also assess for pulses noninvasively with a Doppler flowmet

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After educating a caregiver of a home care client, a nurse assesses the caregiver’s understanding. Which statement indicates that the caregiver needs additional education?

Select the correct answer(s).

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Explanation

Massage of reddened areas over bony prominences such as the coccyx, or tailbone, is contraindicated because the pressure of the massage can cause damage to the skin and subcutaneous tissue layers. The other statements are appropriate for the care of a cli

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After teaching a client who is at risk for the formation of pressure ulcers, a nurse assesses the client’s understanding. Which dietary choice by the client indicates a good understanding of the teaching?

Select the correct answer(s).

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Explanation

The preferred diet is high in protein to assist in wound healing and prevention of new wounds. Fat is also needed to ensure formation of cell membranes, so any of the options with low fat would not be good choices. A vegetarian diet would not provide fat

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A nurse assesses clients on a medical-surgical unit. Which client should the nurse evaluate for a wound infection?

Select the correct answer(s).

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Explanation

A client with an elevated white blood cell count should be evaluated for sources of infection. Pending cultures, thin drainage, and a decrease in wound size are not indications that the client may have an infection.

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A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus(MRSA)?

Select the correct answer(s).

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Explanation

The client in long-term care and other communal environments is at high risk for MRSA. The presence of furuncles and folliculitis is also an indication that MRSA may be present. A client with an open wound from a motorcycle crash would have the potential

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After teaching a client how to care for a furuncle in the axilla, a nurse assesses the client’s understanding. Which statement indicates the client correctly understands the teaching?

Select the correct answer(s).

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Explanation

Cleansing and topical antibiotics can eliminate the infection. Warm compresses enhance comfort and open the lesion, allowing better penetration of the topical antibiotic. Cortisone cream reduces the inflammatory response but increases the infectious proce

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A nurse assesses an older client who is scratching and rubbing white ridges on the skin between the fingers and on the wrists. Which action should the nurse take?

Select the correct answer(s).

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Explanation

The client’s presentation is most likely to be scabies, a contagious mite infestation. The client needs to be admitted to a single room and treated for the infestation. Secondary interventions may include medication to decrease the itching. This is not an

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A nurse assesses a client who has a chronic wound. The client states, “I do not clean the wound and change the dressing every day because it costs too much for supplies.” How should the nurse respond?

Select the correct answer(s).

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Explanation

For chronic wounds in the home, clean tap water and nonsterile supplies are acceptable and serve as cheaper alternatives to sterile supplies. Of course, if the wound becomes grossly infected, the client may end up in the hospital, but this response does n

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After teaching a client who has psoriasis, a nurse assesses the client’s understanding. Which statement indicates the client needs additional teaching?

Select the correct answer(s).

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Explanation

Psoriasis is not a contagious disorder. The client does not have to worry about spreading the condition to others. It is a condition that has hereditary links, the patches will decrease in size with ultraviolet light exposure, and cortisone ointment shoul

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A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

Select the correct answer(s).

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Explanation

This mole fits two of the criteria for being cancerous or precancerous: variation of color within one lesion, and an indistinct or irregular border. Melanoma is an invasive malignant disease with the potential for a fatal outcome. Freckles are a benign co

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A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?

Select the correct answer(s).

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Explanation

Vancomycin is very irritating to the veins and can easily cause thrombophlebitis. This drug is given over at least 60 minutes; although it can cause histamine release (leading to “red man syndrome”), it is not customary to administer diphenhydramine befor

Med Surg - ed 8 - Chapter 25: Care of Patients with Skin Problems

Question 1 of 1

Time Left

A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client’s education?

Select the correct answer(s).

(0/0)

Explanation

A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for pressure ulcer development?

Select the correct answer(s).

(0/0)

Explanation

When transferring a client into a chair, a nurse notices that the pressure-relieving mattress overlay has deep imprints of the client’s buttocks, heels, and scapulae. Which action should the nurse take next?

Select the correct answer(s).

(0/0)

Explanation

A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client’s plan of care?

Select the correct answer(s).

(0/0)

Explanation

A nurse is caring for a client who has a pressure ulcer on the right ankle. Which action should the nurse take first?

Select the correct answer(s).

(0/0)

Explanation

After educating a caregiver of a home care client, a nurse assesses the caregiver’s understanding. Which statement indicates that the caregiver needs additional education?

Select the correct answer(s).

(0/0)

Explanation

After teaching a client who is at risk for the formation of pressure ulcers, a nurse assesses the client’s understanding. Which dietary choice by the client indicates a good understanding of the teaching?

Select the correct answer(s).

(0/0)

Explanation

A nurse assesses clients on a medical-surgical unit. Which client should the nurse evaluate for a wound infection?

Select the correct answer(s).

(0/0)

Explanation

A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus(MRSA)?

Select the correct answer(s).

(0/0)

Explanation

After teaching a client how to care for a furuncle in the axilla, a nurse assesses the client’s understanding. Which statement indicates the client correctly understands the teaching?

Select the correct answer(s).

(0/0)

Explanation

A nurse assesses an older client who is scratching and rubbing white ridges on the skin between the fingers and on the wrists. Which action should the nurse take?

Select the correct answer(s).

(0/0)

Explanation

A nurse assesses a client who has a chronic wound. The client states, “I do not clean the wound and change the dressing every day because it costs too much for supplies.” How should the nurse respond?

Select the correct answer(s).

(0/0)

Explanation

After teaching a client who has psoriasis, a nurse assesses the client’s understanding. Which statement indicates the client needs additional teaching?

Select the correct answer(s).

(0/0)

Explanation

A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

Select the correct answer(s).

(0/0)

Explanation

A nurse cares for a client who is prescribed vancomycin (Vancocin) 500 mg IV every 6 hours for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which action should the nurse take?

Select the correct answer(s).

(0/0)

Explanation

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