Deck 50: Coordinating Care for Patients With Skin Disorders

Question 1

The nurse instructs a patient on medications prescribed to treat psoriasis. Which patient statement indicates that additional teaching is required?
1)"This medication will cure the disease."
2)"This medication can stain my skin and clothes."
3)"This medication can cause my skin to get irritated."
4)"The condition can get worse if I stop this medication."

Answer 1

1

Question 2

A patient is experiencing scaly, patchy skin changes on the upper back, chest, and arms. In some areas the skin is either red, dark in color, or lighter in color. The nurse correlates these findings to which type of fungal infection?
1)Intertrigo
2)Tinea corporis
3)Tinea unguium
4)Tinea versicolor

Answer 2

4

Question 3

The nurse correlates which material as being used to treat the patient requiring a secondary closure of a surgical wound?
1)Tape
2)Grafts
3)Staples
4)Sutures

Answer 3

2

Question 4

A patient has a leg wound that has beige exudate and a fishy odor. The nurse correlates this assessment data to which microorganism?
1)Proteus
2)Pseudomonas
3)Streptococcus
4)Staphylococcus

Question 5

The nurse correlates which treatment for the patient diagnosed with a carbuncle?
1)Moist heat
2)Incision and drainage
3)Topical mupirocin ointment
4)Clindamycin and peroxide wash

Question 6

The nurse monitors for which clinical manifestations on the patient's elbows and knees in the patient diagnosed with plaque psoriasis?
1)Red raised areas with inconsistent borders
2)Thick red plaques covered with silvery scales
3)Large reddened areas of weeping and maceration
4)Small raised and reddened areas with fluid-filled pustules

Question 7

The nurse correlates which potential risk factors to the development of several lacerations over the coccyx area?
1)Heat
2)Pressure
3)Shearing
4)Moisture

Question 8

A patient is diagnosed with tinea corporis. The nurse correlates the mechanism of which medication to treat this infection?
1)Topical miconazole
2)Topical terbinafine (Lamisil)
3)Topical butenafine (Lotrimin)
4)Topical selenium sulfide 1% (Selsun Blue)

Question 9

A patient with a pressure injury is prescribed a zinc supplement. What does the nurse explain to the patient about this supplement?
1)It helps strengthen capillaries.
2)It helps with immune function.
3)It is needed for protein synthesis.
4)It aids with red blood cell formation.

Question 10

The nurse notes that a patient's wound is weeping and edematous and correlates these findings to which phase of wound healing?
1)Maturation
2)Hemostasis
3)Proliferative
4)Inflammatory

Question 11

A patient with a sacral stage III pressure injury has an elevated temperature. What diagnostic test is most definitive in determining if the patient is developing osteomyelitis?
1)Computed tomography (CT) scan
2)Bone biopsy
3)Venous Doppler
4)Complete blood count (CBC)

Question 12

When conducting a skin assessment for a patient, which term does the nurse use to document soft, moist, tan- or green-colored devitalized tissue?
1)Slough
2)Eschar
3)Necrotic tissue
4)Macerated tissue

Question 13

Which statement by the patient newly diagnosed with psoriasis indicates the need for further teaching?
1)"I will contact my provider if I develop redness or any skin drainage."
2)"I will be sure to wear long sleeves because my condition is contagious."
3)"I will limit my time outdoors because of my current medication regimen."
4)"I will wash my hands before and after applying the topical medication."

Question 14

A patient is diagnosed with herpes simplex viral encephalitis. Which medication does the nurse prepare to administer to this patient?
1)Gentamycin
2)Famciclovir
3)Valacyclovir
4)Parenteral acyclovir

Question 15

A patient is prescribed phototherapy as treatment for psoriasis. Which patient statement indicates that teaching about this treatment has been effective?
1)"I should expect my skin to feel painful from the treatments."
2)"I should expect my skin to become red from the treatments."
3)"I should not have a treatment if my skin gets red or is blistered."
4)"I should expect occasional blisters and drainage from the treatments."

Question 16

The nurse includes what information about the mechanism of action of salicylic acid prescribed for the patient with psoriasis?
1)Prevents formation of new lesions
2)Decreases scaling and softens plaques
3)Suppresses cell division and decreases inflammation
4)Diminishes proliferation of keratinocytes and decreases inflammation

Question 17

Which statement by the patient diagnosed with herpes simplex virus-2 (HSV-2) indicates the need for further teaching?
1)"I will use warm water soaks to decrease my discomfort."
2)"I will contact my sexual partners to let them know about my diagnosis."
3)"I will take my medication as prescribed so that I don't have another outbreak."
4)"I will use condoms with sexual intercourse to decrease the risk of transmission."

Question 18

The nurse is preparing an educational tool to teach high school students about skin cancer and highlights which finding as the most common precancerous lesion?
1)Basal cell
2)Melanoma
3)Squamous cell
4)Actinic keratoses

Question 19

Which diagnostic test is indicated for the patient demonstrating signs of a herpes simplex virus (HSV) infection?
1)Pap smear
2)Tzanck's smear
3)Sedimentation rate
4)HSV-1 antibody testing

Question 20

The nurse monitors for which assessment data in the patient diagnosed with a Staphylococcus skin infection?
1)Serosanguinous drainage
2)Creamy, yellow pus drainage
3)Greenish-blue drainage with a fruity odor
4)Beige-colored pus drainage with a fishy odor

Question 21

The nurse monitors for which clinical manifestations in the patient diagnosed with basal cell carcinoma?
1)Translucent papule
2)Reddish brown plaque
3)Crusted ulcerated plaque
4)Asymmetrical black lesion

Question 22

In providing care to a patient diagnosed with a squamous cell lesion, the nurse prepares the patient for which treatment?
1)Radiotherapy
2)Mohs' surgery
3)Photodynamic therapy
4)Curettage and electrodessication

Question 23

The nurse is teaching at a community fair about ways to reduce the risk of skin cancer. What should the nurse emphasize in this presentation?
1)Wear clothing with UV protection
2)Use sunscreen with an SPF of at least 15
3)Examine the body every 6 months for lesions
4)Spend time in the sun between the hours of 10:00 a.m. and noon

Question 24

The nurse monitors for which clinical manifestations in the patient developing a complicated soft tissue bacterial infection? Select all that apply.
1)Pain
2)Fever
3)Tachycardia
4)Muscle atrophy
5)Low blood pressure

Question 25

The nurse should question a patient prescription for surgical/sharp debridement in which situations? Select all that apply.
1)The patient with a clean wound.
2)The patient who has an allergy to adhesives.
3)The patient who has an allergy to enzyme preparations.
4)The patient who is diagnosed with a clotting disorder.
5)The patient who is receiving chemotherapy and is neutropenic.

Question 26

A patient's leg wound is not healing as quickly as expected. What does the nurse do to determine the reason for the patient's poor healing? Select all that apply.
1)Obtain a referral for a dietitian.
2)Elevate the extremity on a pillow.
3)Increase the frequency of dressing changes.
4)Encourage fluid intake.
5)Obtain an order for prealbumin and albumin levels.

Question 27

The nurse correlates which physiological responses that occur during the proliferative phase of healing? Select all that apply.
1)Granulation
2)Angiogenesis
3)Bacterial phagocytosis
4)Collagen synthesis
5)Reorganization of collagen

Question 28

The nurse monitors for which clinical manifestations in the patient is experiencing a recurrent herpes simplex virus infection? Select all that apply.
1)Fever
2)Anorexia
3)Areas of redness
4)Tingling sensation
5)Fluid-filled vesicles

Question 29

A patient recovering from reconstructive surgery is experiencing unrelenting postoperative pain. The nurse correlates this finding to which potential complication?
1)Infection
2)Fluid imbalance
3)Electrolyte imbalance
4)Delayed wound healing

Question 30

The nurse correlates the development of community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) infections to which skin conditions? Select all that apply.
1)Abscess
2)Eczema
3)Cellulitis
4)Impetigo
5)Folliculitis

Question 31

The nurse sends 10 samples of body sites to assess an intensive care patient's Candida colonization index. Seven of the samples came back as being positive. What is this patient's colonization index? Record your answer to the nearest tenth decimal point. ______