Exam 53: Integumentary System Function, Assessment, and Therapeutic Measures

The nurse is providing care for a patient with a large skin abrasion to the outer thigh. The HCP has ordered a daily dressing change without disturbance of the healing crusts that have formed in the area. Which dressing material will the nurse select?

The nurse is assisting with a patient who has a suspected diagnosis of tinea capitis (ringworm). For which diagnostic test does the nurse prepare the patient?

The nurse is preparing to assist the HCP in obtaining a full-thickness skin biopsy. Which information from the nurse is most appropriate?

The nurse is assisting with the presentation about skin for a group of senior citizens in a community center. Which normal changes associated with aging does the nurse include? (Select all that apply.)

The nurse is assisting in the care of a patient with second-degree burns to the arm. The blisters are not intact. The HCP prescribes an antibiotic ointment to be applied to the open areas twice daily. Which method will the nurse use for applying the prescribed medication?

The nurse works in an office with a dermatologist. When preparing to assist with a patch test for a client with suspected allergic contact dermatitis, which nursing action is unnecessary?

The nurse is preparing to reexamine the skin of a patient who has a history of malignant skin growths. Which preparation by the nurse is incorrect?

The nurse is providing care for a patient diagnosed with a fungal infection in the skinfolds beneath the breasts. The HCP has prescribed the application of an antifungal powder to the affected areas. For which reason does the nurse contact the RN for validation of the prescribed treatment?

A patient has an open skin lesion and the HCP wants the area covered with a dressing after application of an antibiotic ointment. The patient asks the nurse the purpose of covering the area. Which reason does the nurse provide?

The nurse is assisting in the care of a patient presenting with painful psoriatic lesions. The HCP is preparing for intralesional therapy using a sterile suspension of corticosteroid. Which side effect does the nurse recognize as a possibility with this therapy?

The nurse is assisting with a skin examination for a patient. The patient asks, "I love the sun, why is everyone so concerned about sun exposure?" Which answer by the nurse is best?

A patient with widely distributed chronic eczema is prescribed to receive medicated tar baths. Which important detail does the nurse acknowledge during this procedure?

The nurse is collecting data on an older adult patient with a generalized rash. The patient reports severe itching and the nurse notes open lesions from scratching. Which additional finding causes the nurse the least concern?

The nurse in a health care provider's (HCP's) office is reassessing a patient's skin and making a comparison with the information from the patient's last visit. For which reason does the nurse focus on any changes noted in the patient's skin?

The nurse is applying wet dressings as ordered to a patient who has a crusted skin lesion. Which assessment finding causes the nurse the most concern?

A patient is admitted for treatment for a severe ulcerated pressure injury exhibiting signs of infection. The HCP prescribes open wet dressings to be applied every 6 hours for a period of 30 minutes. For which part of the prescription does the nurse consult with the registered nurse (RN)?

The nurse is caring for a patient in a wound clinic who is treated with plastic wrap dressings. Which findings indicate complications related to prolonged application of the dressings? (Select all that apply.)

While changing the dressing on a burned arm, the patient informs the nurse of feeling cold and having extreme pain. However, the patient asks the nurse to not apply so much pressure when wrapping gauze around the limb. Which conclusion does the nurse draw from the patient's statements?

A patient presents with skin lesions that appear reddened, with seeping areas partially crusted over. The HCP orders a viral culture to be performed. Which action by the nurse is inappropriate when collecting the culture specimen?

The nurse works in an extended-care facility and is assisting in the development of a policy and procedure addressing foot care of the residents. Which intervention does the nurse identify as needing to be reconsidered in regard to routine foot care?