Exam 23: Integumentary Problems

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An older adult patient with a squamous cell carcinoma (SCC)on the lower arm has a Mohs procedure in the dermatology clinic. Which nursing action will be included in the postoperative plan of care?

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D

The nurse assesses a patient who has just arrived in the postanesthesia recovery area (PACU)after a blepharoplasty. Which assessment data should be reported to the surgeon immediately?

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D

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?

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A

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

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A nurse is teaching a patient with contact dermatitis of the arms and legs about ways to decrease pruritus. Which information should the nurse include in the teaching plan ?

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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?

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The nurse instructs a patient about application of corticosteroid cream to an area of contact dermatitis on the right leg. Which patient action indicates that further teaching is needed?

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When assessing a new patient at the outpatient clinic,the nurse notes dry,scaly skin; thin hair; and thick,brittle nails. What is the nurse's most important action?

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There is one opening in the schedule at the dermatology clinic,and four patients are seeking appointments today. Which patient will the nurse schedule for the available opening?

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The nurse working in the dermatology clinic assesses a young adult female patient who has. severe cystic acne. Which assessment finding is of concern related to the patient's prescribed isotretinoin ?

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A teenaged male patient who is on a wrestling team 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?

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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?

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A patient who has severe refractory psoriasis on the face,neck,and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?

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

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The nurse is caring for a patient diagnosed with furunculosis. Which nursing action could the nurse delegate to unlicensed assistive personnel (UAP)?

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

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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?

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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?

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The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?

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

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