Deck 24: Tissue Integrity

Question 1

A nurse is conducting community education classes on skin cancer.One participant says to the nurse: "I read that most melanomas occur on the face and arms in fair-skinned women.Is this true?" The nurse's most helpful response would be which of the following?

A) "That is not correct. Melanoma is more commonly found on the torso or the lower legs of women."
B) "That is correct, because the face and arms are exposed more often to the sun."
C) "That is not correct. Melanoma occurs on the top of the head in men but is rare in women."
D) "That is incorrect. Melanoma is most commonly seen in dark-skinned individuals."

Answer 1

"That is not correct. Melanoma is more commonly found on the torso or the lower legs of women."

Question 2

To help decrease the threat of a melanoma in a blonde-haired,fair-skinned patient at risk,the nurse would advise the patient to do which of the following?

A) Apply sunscreen 1 hour prior to exposure.
B) Drink plenty of water to prevent hot skin.
C) Use vitamins to help prevent sunburn by replacing lost nutrients.
D) Apply sunscreen 30 minutes prior to exposure.

Answer 2

Apply sunscreen 30 minutes prior to exposure.

Question 3

A patient asks the nurse what the purpose of the Wood's light is.Which response by the nurse is accurate?

A) "We will put an anesthetic on your skin to prevent pain."
B) "The lamp can help detect skin cancers."
C) "Some patients feel a pressure-like sensation."
D) "It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."

Answer 3

"It is used to identify the presence of infectious organisms and proteins associated with specific skin conditions."

Question 4

A older patient has developed age spots and is concerned about skin cancer.How would the nurse instruct the patient to check himself or herself?

A) "Limit the time you spend in the sun."
B) "Monitor for signs of infection."
C) "Monitor spots for color change."
D) "Use skin creams to prevent drying."

Question 5

A nurse is educating a 21-year-old lifeguard about the risk of skin cancer and the need to wear sunscreen.Which statement by the patient indicates that they need further teaching?

A) "I wear a hat and sit under the umbrella when not in the water."
B) "I don't bother with sunscreen on overcast days."
C) "I use a sunscreen with the highest SPF number."
D) "I wear a UV shirt and limit exposure to the sun by covering up."

Question 6

The nurse is instructing the nursing assistant to prevent pressure ulcers in a frail older patient; the nursing assistant understands the instruction when she agrees to

A) bathe and dry the skin vigorously to stimulate circulation.
B) keep the head of the bed elevated 30 degrees.
C) limit intake of fluid and offer frequent snacks.
D) turn the patient at least every 2 hours.

Question 7

A patient in the outpatient setting was diagnosed with atopic dermatitis.What interventions will the plan of care focus primarily on?

A) Decreasing pain
B) Decreasing pruritus
C) Preventing infection
D) Promoting drying of lesions

Question 8

A patient was given a patch test to determine what allergen was responsible for their atopic dermatitis.The provider prescribes a steroid cream.What important instructions should the nurse give to the patient?

A) Apply the cream generously to affected areas.
B) Apply a thin coat to affected areas.
C) Apply a thin coat to affected areas; avoid the face and groin.
D) Apply an antihistamine along with applying a thin coat of steroid to affected areas.

Question 9

A patient has cellulitis on the right forearm.The nurse would anticipate orders to administer medications to eradicate

A) Candida albicans.
B) group A beta-hemolytic streptococci.
C) Staphylococcus aureus.
D) Streptococcus pyogenes.

Question 10

A patient is to receive phototherapy for the treatment of psoriasis.What is the nursing priority for this patient?

A) Obtaining a complete blood count (CBC)
B) Protection from excessive heat
C) Protection from excessive UV exposure
D) Instructing the patient to take their multivitamin prior to treatment