Deck 42: Care of Patents with Integumentary Disorders and Burns

Question 1

Acceptable urine output for an adult is at least how many milliliters per hour?

A) 10 mL
B) 20 mL
C) 30 mL
D) 40 mL

Answer 1

30 mL

Question 2

The nurse is educating a patient with psoriasis.Which information is most important for the nurse to include in the teaching plan?

A) Liberally apply a lubricating cream three times daily.
B) Use a humidifier at night.
C) Use an alcohol-based cleanser in the morning.
D) Take hot baths to reduce skin discomfort.

Answer 2

Use a humidifier at night.

Question 3

The nurse is bathing a patient with poison ivy.Which action is most appropriate?

A) Bathe the patient with warm water.
B) Maintain a room temperature of 78° to 80° F to prevent chills.
C) Cover vesicles with gauze dressings.
D) Pat skin dry.

Answer 3

Pat skin dry.

Question 4

What is the primary purpose of a whirlpool bath given to the patient with a stage III pressure ulcer?

A) To prevent infection
B) To stimulate granulation tissue growth
C) To improve circulation in surrounding skin
D) To provide moisture to the ulcer

Question 5

For which patient would the nurse question an order for isotretinoin (Accutane)?

A) A 20-year-old epileptic man with nodular acne and epilepsy
B) A 22-year-old pregnant woman with severe acne
C) A 46-year-old woman on oral contraceptive pills with cystic acne
D) A 50-year-old hypertensive man with cystic acne

Question 6

An 84-year-old patient has had a low-grade fever for 2 days.This morning,the patient complains of burning,tingling hip pain that shoots down the leg.The nurse observes a small group of vesicles on the leg.These findings are consistent with which disorder?

A) Herpes simplex
B) Herpes zoster
C) Syphilis lesions
D) Furuncles

Question 7

A patient with psoriasis is placed on PUVA therapy.What factors compose this therapy?

A) Radiation and corticosteroids
B) X-rays and methotrexate
C) Artificial ultraviolet (UV) rays and a coal tar product
D) Laser treatment and antimetabolites

Question 8

A 75-year-old patient questions the nurse about vaccination to prevent shingles.Which response is most appropriate?

A) "The incidence of shingles in people your age is not overly common, so vaccination is unnecessary."
B) "The vaccination has not yet been approved for use in the older adults."
C) "Because of the incidence of shingles in your age group, you should consider taking the vaccination."
D) "The vaccination is expensive but will provide lifelong immunity."

Question 9

The nurse is advising a 20-year-old college sophomore with acne vulgaris.Which information is most important for the nurse to include in the teaching plan?

A) Avoid all chocolate.
B) Wash your face gently with mild soap.
C) Scrub your face with a soft brush.
D) Gently express clogged sebum from your pores.

Question 10

The home health nurse is educating the family of a child with head lice.Which instructions are most important for the nurse to include?

A) Lice cannot be transmitted to pets.
B) Insects must be moving across the scalp to confirm diagnosis of head lice.
C) Wash and dry all linens on the hottest setting.
D) Apply a dime-sized amount of alcohol-based lotion to hair.

Question 11

While bathing a patient,the nurse discovers a grayish black,nodular growth that resembles a blackberry in the middle of the patient's back.What action should the nurse take?

A) Report the findings to the patient's health care provider.
B) Teach the patient how to assess for changes in the growth.
C) Document the finding of an actinic keratosis on the back.
D) Inform the patient that he has a growth that is a melanoma.

Question 12

In caring for a stage IV pressure ulcer,the nurse assesses creamy yellow drainage with a necrotic odor.Which type of bacteria most likely causes this exudate?

A) Proteus
B) Bacteroides
C) Staphylococcus
D) Pseudomonas

Question 13

The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases.Which information should the nurse include in the teaching plan?

A) Drink 4 ounces of wine daily to promote vasodilation.
B) Wash your face at least three times daily.
C) Avoid direct sunlight.
D) Apply tea bags to the affected areas.

Question 14

The patient with shingles has been on an antiviral medication since the vesicles appeared.The goal of early treatment is to prevent which complication?

A) Postherpetic pain
B) Outbreak of additional vesicles
C) Lesions of the eye
D) Transmission to health care workers

Question 15

The nurse is caring for a patient diagnosed with shingles who complains of constant pain along the sciatic nerve.What intervention best helps to provide pain relief?

A) Distract the patient with conversation.
B) Massage the area of pain.
C) Move the affected leg through range-of-motion (ROM).
D) Change the patient's position frequently.

Question 16

The nurse is caring for a patient with a stage III pressure ulcer that is not healing.Which statement accurately describes the goal of electrical stimulation of the pressure ulcer?

A) To sterilize the wound
B) To increase blood vessel growth
C) To cause the ulcer to close by scabbing
D) To coagulate the drainage

Question 17

The nurse is providing fluid resuscitation for a burn victim according to the Parkland formula.The nurse determines that the patient requires 8000 mL in a 24-hour time period.The burn occurred at noon,and the present time is 1400.How many milliliters of fluid should infuse by 2000?

A) 2000 mL
B) 3000 mL
C) 4000 mL
D) 7000 mL

Question 18

While bathing a patient,the nurse assesses a red,unblanchable area on the coccyx.Which type of dressing should the nurse apply?

A) Transparent film
B) Hydrocolloid
C) Fluffy absorbent
D) Wet-to-dry

Question 19

Which symptom is consistent with an inhalation burn?

A) Full-thickness burns to chest
B) Hypotension
C) Agitation
D) Persistent coughing

Question 20

The nurse is caring for a burn patient.Which action best prevents contractures?

A) Assist the patient with ambulation as soon as fluid shifts stabilize.
B) Medicate the patient approximately 30 minutes prior to dressing changes.
C) Ensure adequate hydration.
D) Ensure adequate nutritional intake.

Question 21

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Lesions may become ulcerated

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 22

The nurse is caring for a patient with a stage III pressure ulcer.Which assessment findings are consistent with this stage of ulcer?

A) A crater-like lesion
B) Skin that does not blanch with fingertip pressure
C) Presence of mottled skin
D) Excoriation around the lesion

Question 23

Using the Parkland formula,the fluid needed for a person weighing 140 pounds with a 25% burn would be _____ mL.

Question 24

The nurse describes common complications that burn patients may experience.Match the burn complication with the description that best fits it.

Increased viscosity of blood slowing blood flow to small vessels

A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism

Question 25

The nurse describes common complications that burn patients may experience.Match the burn complication with the description that best fits it.

Potassium released from damaged cells

A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism

Question 26

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Appearance of vesicular lesions following inflammatory response

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 27

Which interventions are appropriate for a burn patient newly admitted to the emergency department?

A) Cover burns with sterile saline-saturated towels.
B) Carefully remove clothing adhered to burned areas.
C) Carefully avoid disturbing blisters.
D) Remove jewelry from injured limbs.
E) Determine the causative agent of the burn.

Question 28

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Mast cell-stimulated release of histamine

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 29

The nurse describes common complications that burn patients may experience.Match the burn complication with the description that best fits it.

Inflammatory response causing fluid shift

A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism

Question 30

The nurse describes common complications that burn patients may experience.Match the burn complication with the description that best fits it.

Loss of fluid from vascular space

A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism

Question 31

The home health nurse gives instructions to a patient in avoiding recurrence of athlete's foot.Which information should the nurse include?

A) Wear clean cotton socks.
B) Wear shoes that allow ventilation.
C) Use only clean towels.
D) Wash and dry feet daily.
E) Apply antibacterial medication to feet.

Question 32

The mother of a 4-year-old child reports concerns about how to completely rid her home of lice.Which response indicates that the mother needs further instruction?

A) "I should wash all bedding in hot water."
B) "I should re-treat my child's hair 1 week after the first application."
C) "I should discard my child's stuffed animals."
D) "My children should not share hats or hairbrushes."

Question 33

An adult male patient enters the emergency department with full- and partial-thickness burns on the entire right leg,front of the right arm,and one half of the front torso.The nurse,using the "rule of nines," assesses the burn as ____%.

Question 34

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Erythema and pruritus with scaling associated with phlebitis

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 35

The nurse describes common complications that burn patients may experience.Match the burn complication with the description that best fits it.

Negative nitrogen balance

A)Edema
B)Hyperkalemia
C)Hypovolemia
D)Tissue hypoxia
E)Hypermetabolism

Question 36

The nurse is educating patients about dietary selections that will promote wound healing.Which menu options should the nurse include?

A) Tofu
B) White bread
C) Lean beef
D) Citrus fruits
E) Leafy green vegetables

Question 37

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Scaly lesions on scalp,ear canals,and eyebrows

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 38

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Cell-mediated immunity resulting in inflammatory response

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 39

The nurse differentiates the various type of dermatitis.Match each option with the characteristics that best describe it.(Options may be used once, more than once, or not at all.)

Rash associated with poison ivy

A)Contact dermatitis
B)Atopic dermatitis
C)Stasis dermatitis
D)Seborrheic dermatitis

Question 40

The nurse describes several types of burn treatment.Match the burn treatment to the statement that best describes it.

Incision into subcutaneous tissue to increase circulation

A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft

Question 41

The nurse describes several types of burn treatment.Match the burn treatment to the statement that best describes it.

Wound covered with ointment,then covered with layers of gauze saturated with topical medication

A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft

Question 42

The nurse describes several types of burn treatment.Match the burn treatment to the statement that best describes it.

Biologic dressing obtained from a pig

A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft

Question 43

The nurse describes several types of burn treatment.Match the burn treatment to the statement that best describes it.

Wound covered with ointment,and additional environmental warmth provided

A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft

Question 44

The nurse describes several types of burn treatment.Match the burn treatment to the statement that best describes it.

Biologic dressing obtained from a cadaver

A)Open technique
B)Closed technique
C)Escharotomy
D)Allograft
E)Xenograft