Med Surg - ed 9 - Chapter 24: Nursing Management: Integumentary Problems

med-surg-ed-9-chapter-24-nursing-management-integumentary-problems

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Question 1 of 1

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Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?

Select the correct answer(s).

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Explanation

The risk for skin damage from the sun is highest with exposure between 10 AM and 2 PM. No sunscreen is completely water resistant. Sunscreens classified as water resistant sunscreens still need to be reapplied after swimming. Sunscreen with an SPF of at l

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Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?

Select the correct answer(s).

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Explanation

The patient should stay out of the sun. If that is not possible, teach them to wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.

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A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?

Select the correct answer(s).

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Explanation

BCC is frequently associated with sun exposure and preventive measures should be taken for future sun exposure. BCC spreads locally, and does not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local (

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A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?

Select the correct answer(s).

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Explanation

Because the appearance of the lesion suggests actinic keratosis or possible squamous cell carcinoma (SCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC) corticosteroids, topical antibiotics, and Retin-A would not be used f

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A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?

Select the correct answer(s).

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Explanation

Because the only risk factor that the patient can change is the use of a tanning booth, the nurse should focus teaching about melanoma prevention on this factor. The other factors also will contribute to increased risk for melanoma.

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A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?

Select the correct answer(s).

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Explanation

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The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

Select the correct answer(s).

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Explanation

The treatment for impetigo includes softening of the crusts with warm saline soaks and then soap-and-water removal. Alcohol-based cleansers and use of petroleum jelly are not recommended for impetigo. Antibiotic ointments, such as mupirocin (Bactroban), m

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The nurse notes the presence of white lesions that resemble milk curds in the back of a patient’s throat. Which question by the nurse is appropriate at this time?

Select the correct answer(s).

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Explanation

The appearance of the lesions is consistent with an oral candidiasis (thrush) infection, which can occur in patients who are taking medications such as immunosuppressants or antibiotics. Candidiasis is not associated with poor oral hygiene or lower respir

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A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?

Select the correct answer(s).

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Explanation

Pediculosis is characterized by wheal-like lesions with parasites that attach eggs to the base of the hair shaft. The other descriptions are more characteristic of other types of skin disorders.

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The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient’s instructions?

Select the correct answer(s).

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Explanation

Topical 5-FU causes an initial reaction of erythema, itching, and erosion that lasts 4 weeks after application of the medication is stopped. The medication is topical, so there are no systemic effects such as increased infection risk, anorexia, or nausea.

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A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?

Select the correct answer(s).

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Explanation

Thinning of the skin indicates that atrophy, a possible adverse effect of topical corticosteroids, is occurring. The health care provider should be notified so that the medication can be changed or tapered. Alopecia, red-brown discoloration, and dryness/s

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A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?

Select the correct answer(s).

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Explanation

The eyes should be shielded from UV light (UVL) during and after PUVA therapy to prevent the development of cataracts. The patient should be taught about the effects of UVL on unaffected skin, but lead-lined drapes, use of antiseptic soap, and petroleum j

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A patient with an enlarging, irregular mole that is 7 mm in diameter is scheduled for outpatient treatment. The nurse should plan to prepare the patient for which procedure?

Select the correct answer(s).

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Explanation

The description of the mole is consistent with malignancy, so excision and biopsy are indicated. Curettage and cryosurgery are not used if malignancy is suspected. A punch biopsy would not be done for a lesion greater than 5 mm in diameter.

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Which information will the nurse include when teaching an older patient about skin care?

Select the correct answer(s).

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Explanation

Warm water and moisturizing soap will avoid overdrying the skin. Because older patients have dryer skin, daily bathing and shampooing are not necessary and may dry the skin unnecessarily. Antibacterial soaps are not necessary. Lotions should be applied wh

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What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?

Select the correct answer(s).

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Explanation

Careful hand washing and the safe disposal of soiled dressings are the best means of preventing the spread of skin problems. Sterile glove and sterile saline use during wound care will not necessarily prevent spread of infection. Applying antibiotic ointm

Med Surg - ed 9 - Chapter 24: Nursing Management: Integumentary Problems

Question 1 of 1

Time Left

Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?

Select the correct answer(s).

(0/0)

Explanation

Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?

Select the correct answer(s).

(0/0)

Explanation

A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?

Select the correct answer(s).

(0/0)

Explanation

A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?

Select the correct answer(s).

(0/0)

Explanation

A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?

Select the correct answer(s).

(0/0)

Explanation

A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?

Select the correct answer(s).

(0/0)

Explanation

The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

Select the correct answer(s).

(0/0)

Explanation

The nurse notes the presence of white lesions that resemble milk curds in the back of a patient’s throat. Which question by the nurse is appropriate at this time?

Select the correct answer(s).

(0/0)

Explanation

A teenaged male patient who wrestles in high school is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about the importance of not sharing headgear to prevent the spread of pediculosis?

Select the correct answer(s).

(0/0)

Explanation

The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient’s instructions?

Select the correct answer(s).

(0/0)

Explanation

A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. The nurse should assess for which adverse effect?

Select the correct answer(s).

(0/0)

Explanation

A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?

Select the correct answer(s).

(0/0)

Explanation

A patient with an enlarging, irregular mole that is 7 mm in diameter is scheduled for outpatient treatment. The nurse should plan to prepare the patient for which procedure?

Select the correct answer(s).

(0/0)

Explanation

Which information will the nurse include when teaching an older patient about skin care?

Select the correct answer(s).

(0/0)

Explanation

What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?

Select the correct answer(s).

(0/0)

Explanation

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