Deck 50: Coordinating Care for Patients With Skin Disorders

Question 1

A patient with a sacral stage III pressure ulcer has an elevated temperature.What diagnostic test would help determine if this patient is developing osteomyelitis?

A) CT scan
B) Bone biopsy
C) Venous Doppler
D) Serum electrolytes

Answer 1

CT scan

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.Which type of fungal infection is this patient most likely experiencing?

A) Intertrigo
B) Tinea corporis
C) Tinea unguium
D) Tinea versicolor

Answer 2

Tinea versicolor

Question 3

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?

A) Wear clothing with UV protection
B) Use sunscreen with an SPF of at least 15
C) Examine the body every six months for lesions
D) Spend time in the sun between the hours of 1000 and 1600

Answer 3

Wear clothing with UV protection

Question 4

A patient seeks medical care for a carbuncle.What treatment should the nurse expect to be prescribed as a priority for this patient?

A) Moist heat
B) Incision and drainage
C) Topical mupirocin ointment
D) Clindamycin and peroxide wash

Question 5

During an assessment the nurse notes skin changes on the patient's elbows and knees.Which findings support that these changes are plaque psoriasis?

A) Red raised areas with inconsistent borders
B) Thick red plaques covered with silvery scales
C) Large reddened areas of weeping and maceration
D) Small raised and reddened areas with fluid-filled pustules

Question 6

A patient has a blood-filled blister surrounded by tissue that is painful,mushy,and warm to the touch.How should the nurse classify this skin presentation?

A) Stage III ulcer
B) Stage IV ulcer
C) Unstageable
D) Suspected tissue injury

Question 7

A patient is demonstrating signs of a herpes simplex virus infection.Which diagnostic test should be prescribed to confirm this diagnosis?

A) Pap smear
B) Tzanck's smear
C) Sedimentation rate
D) HSV-1 antibody testing

Question 8

A patient has a secondary closure surgical wound.What was most likely used to close this wound?

A) Tape
B) Grafts
C) Staples
D) Sutures

Question 9

A patient is prescribed phototherapy as treatment for psoriasis.Which patient statement indicates that teaching about this treatment has been effective?

A) "I should expect my skin to feel painful from the treatments."
B) "I should expect my skin to become red from the treatments."
C) "I should not have a treatment if my skin gets red or is blistered."
D) "I should expect occasional blisters and drainage from the treatments."

Question 10

The nurse notes that a patient's wound is weeping and edematous.In which phase of healing is this wound?

A) Maturation
B) Hemostasis
C) Proliferative
D) Inflammatory

Question 11

The nurse instructs a patient on medications prescribed to treat psoriasis.Which patient statement indicates that additional teaching is required?

A) "This medication will cure the disease."
B) "This medication can stain my skin and clothes."
C) "This medication can cause my skin to get irritated."
D) "The condition can get worse if I stop this medication."

Question 12

A patient with psoriasis is prescribed salicylic acid.What should the nurse explain to the patient about this treatment?

A) Prevents formation of new lesions
B) Decreases scaling and softens plaques
C) Suppresses cell division and decreases inflammation
D) Diminishes proliferation of keratinocytes and decrease inflammation

Question 13

A patient is diagnosed with tinea corporis.Which medication should the nurse expect to be prescribed to treat this infection?

A) Topical miconazole
B) Topical terbinafine (Lamisil)
C) Topical butenafine (Lotrimin)
D) Topical selenium sulfide 1% (Selsun Blue)

Question 14

The nurse is caring for a patient with a squamous cell lesion.For which treatment should the nurse prepare this patient?

A) Radiotherapy
B) Mohs' surgery
C) Photodynamic therapy
D) Curettage and electrodessication

Question 15

A patient with a pressure ulcer is prescribed a zinc supplement.What should the nurse explain to the patient about this supplement?

A) It helps strengthen capillaries.
B) It helps with immune function.
C) It is needed for protein synthesis.
D) It aids with red blood cell formation.

Question 16

The nurse is preparing an educational tool to teach high school students about skin cancer.What should the nurse highlight as being the most common precancerous lesion?

A) Basal cell
B) Melanoma
C) Squamous cell
D) Actinic keratoses

Question 17

A patient has a leg wound that has beige exudate and a fishy odor.For which microorganism should the nurse plan care for this patient?

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

Question 18

A patient is diagnosed with herpes simplex viral encephalitis.Which medication should the nurse prepare to administer to this patient?

A) Acyclovir
B) Famciclovir
C) Valacyclovir
D) Parenteral acyclovir

Question 19

The nurse notes that a patient has several lacerations over the coccyx area.What finding most likely caused these lesions?

A) Heat
B) Pressure
C) Shearing
D) Moisture

Question 20

A patient is diagnosed with basal cell carcinoma.What should the nurse expect to assess in this patient?

A) Translucent papule
B) Reddish brown plaque
C) Crusted ulcerated plaque
D) Asymmetric black lesion

Question 21

A patient is admitted for reconstructive surgery.For which reason should the nurse consider that this surgery is needed?

A) Cancer
B) Face lift
C) Rhinoplasty
D) Breast augmentation

Question 22

A patient recovering from reconstructive surgery is experiencing unrelenting postoperative pain.What should the nurse consider is occurring with this patient?

A) Infection
B) Fluid imbalance
C) Electrolyte imbalance
D) Attention-seeking behavior