Management Of Clients With Integumentary Disorders

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Question 1
Free
Multiple Choice

The physician ordered colloidal oatmeal baths followed by application of an occlusive ointment for a client with pruritus. The nurse's teaching plan would include explaining the need to

Choose correct answer/s
A

apply the ointment to damp skin.

B

bathe several times a day.

C

soak for at least 30 minutes.

D

use hot water in the bath.

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Question 2
Free
Multiple Choice

Before initiation of photochemotherapy (PUVA), the nurse instructs a client suspected of having lupus erythematosus about the diagnostic study that will be performed first, which is a(n)

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A

antinuclear antibody test.

B

chest x-ray study.

C

complete blood cell count.

D

platelet count.

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Question 3
Free
Multiple Choice

A client asks about the nature of the underlying problem in skin that leads to the development of atopic dermatitis. The nurse's response would include that the problem is caused by

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A

a decrease in natural oils.

B

decreased resistance to skin infections.

C

decreased water content.

D

increased sensitivity to histamines.

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Question 4
Free
Multiple Choice

Nursing care for a client with atopic dermatitis would focus primarily on

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A

decreasing pain.

B

decreasing pruritus.

C

preventing infection.

D

promoting drying of lesions.

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Question 5
Free
Multiple Choice

When providing topical treatment of lesions for a client with intertrigo, the nurse would avoid the use of

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A

Burrow's solution.

B

cornstarch.

C

talc-containing powder.

D

topical steroids.

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Question 6
Multiple Choice

The statement by a client with psoriasis vulgaris that would indicate to the nurse the need for further teaching regarding the client's illness is

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A
"I could develop arthritis because of this disease."
B
"I will always have psoriasis."
C
"Psoriasis is caused by an infection."
D
"Stress can cause psoriasis to worsen."
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Question 7
Multiple Choice

Methotrexate is prescribed for a female client with psoriasis. When teaching the client about this medication, the nurse would explain that the client should avoid

Choose correct answer/s
A
aged cheese.
B
alcohol.
C
birth control pills.
D
milk products.
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Question 8
Multiple Choice

To help decrease the threat of a melanoma in a client at risk, the nurse would suggest that the client's diet should include

Choose correct answer/s
A
fish oil capsules.
B
lemon grass tea.
C
oatmeal.
D
red meat.
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Question 9
Multiple Choice

In teaching a client about sun protection, the nurse would make an accurate suggestion with the statement

Choose correct answer/s
A
"Sitting in the shade will protect you from sun exposure."
B
"Use sunscreen, even on overcast days."
C
"Use a sunscreen with the lowest SPF number."
D
"Wear light-colored, loosely woven clothes."
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Question 10
Multiple Choice

The client is to apply topical 5-fluorouracil to a lesion diagnosed as actinic keratosis. The nurse would explain that the client should expect the skin to develop

Choose correct answer/s
A
desquamation.
B
dryness.
C
erosion and necrosis.
D
itching.
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Question 11
Multiple Choice

A nurse would instruct a client who experienced widespread first-degree sunburn to

Choose correct answer/s
A
apply a water-based emollient after bathing.
B
avoid the use of aspirin or ibuprofen.
C
soak in cold baths for 20 minutes at a time.
D
use over-the-counter local anesthetics.
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Question 12
Multiple Choice

A client had a nodule removed from his face that was diagnosed as basal cell carcinoma. In teaching this client, the nurse should include information on the need for future

Choose correct answer/s
A
chemotherapy.
B
frequent examinations.
C
further assessment.
D
radiation therapy.
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Question 13
Multiple Choice

A client is to have a basal cell carcinoma removed with Mohs' surgery. During preoperative teaching, it would be important for the nurse to explain that

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A
liquid nitrogen will be applied to the lesion.
B
no dressing will be necessary.
C
scarring is rare.
D
the procedure may be long.
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Question 14
Multiple Choice

In the care of a client diagnosed with cutaneous T-cell lymphoma, the nurse's priority focus would be

Choose correct answer/s
A
control of pruritus.
B
pain management.
C
prevention of metastasis.
D
removal of the tumors.
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Question 15
Multiple Choice

A client has severe cellulitis on the arm. The nurse would anticipate orders to administer medications to eradicate

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A
Candida albicans.
B
group A beta-hemolytic streptococci.
C
Staphylococcus aureus.
D
Streptococcus pyogenes.
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Question 16
Multiple Choice

A nurse is conducting community education classes on skin cancer. One participant says to the nurse: "I have read there are now vaccines to protect you from getting a melanoma." The nurse's most helpful response would be

Choose correct answer/s
A
"No, there is no vaccination for melanoma."
B
"The vaccines were so ineffective they were withdrawn."
C
"Vaccines are being developed against melanoma."
D
"Yes the vaccine is available, but it is very expensive."
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Question 17
Multiple Choice

When caring for a client after rhytidectomy, the nurse notes that the left side of the client's face is drooping. The nurse would

Choose correct answer/s
A
apply cold compresses.
B
call the surgeon immediately.
C
perform a neurosensory assessment.
D
raise the head of the bed.
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Question 18
Multiple Choice

Discharge teaching for a client following rhytidectomy would include the instruction to

Choose correct answer/s
A
sleep in the prone position only.
B
practice coughing and deep breathing.
C
maintain a liquid diet for 1 week.
D
exercise the facial muscles daily.
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Question 19
Multiple Choice

Before a client has blepharoplasty, the nurse would assess the client for

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A
ability to close eyes completely.
B
extraocular movement in each eye.
C
facial symmetry and muscle strength.
D
near and distant vision in each eye.
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Question 20
Multiple Choice

After blepharoplasty the client complains of itching of the eyes. The nurse would

Choose correct answer/s
A
administer prescribed analgesia.
B
apply cold wet dressings.
C
irrigate the eyes with normal saline.
D
notify the physician immediately.
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