Exam 57: Skin Disorders

A nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of both legs.How should the nurse document the burn size using the rule of nines?

How does cutaneous T-cell lymphoma differ from squamous cell and basal cell carcinomas?

During the first 24 hours after a burn, fluid replacement is the treatment priority.Which assessment should alert the nurse that the fluid protocol is ineffective?

Which sign or symptom suggests that a patient with skin breakdown is developing a systemic infection?

A nurse is caring for an obese patient who has been bedridden for a long time and who has a high risk for infection.Where is the best location for the nurse to assess for the moist red lesions of Candida albicans?

A patient with severe psoriasis who is to be treated with the systemic drug methotrexate sodium anxiously asks, "Is this cancer drug safe? Are there some side effects I need to know about?" What is the best response by the nurse?

An 80-year-old patient comes to the emergency department with extreme pain and itching in the hip and leg and has herpetic vesicular lesions on the left hip.What should the nurse inquire about patient exposure to?

An excited mother of a teenage boy with severe acne furiously reports to the nurse, "I've told him a thousand times he should bathe more often! I've kept after him about all that junk food he eats.I jump on him when I see him squeezing his zits.I tried to get him to scrub his face three times a day!" Which statement indicates the most likely cause of the boy's acne?

Which is an appropriate implementation for a patient with severe psoriasis who has an altered self-concept?

What should a nurse be sure to frequently assess when caring for a burn patient with eschar formation around an entire arm?

What information is most essential for a nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane)for acne?

A family member of an older patient with severe dermatitis says, "I was always so careful to bathe him every day.I guess I just wasn't careful enough." What is the best response by the nurse?

A physician asks a nurse to take a smear from herpetic lesions in an older patient's hip to diagnose the disorder.What is the most probable test that will be performed?

A nurse is caring for a patient with pruritus.Which implementation can the nurse perform without a physician's order?

Which action should a nurse implement to make a patient with atopic dermatitis more comfortable?

A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2)expresses relief that she is cured.What should the nurse include in her teaching?

Which assessment by an emergency department nurse most indicates that a burn patient might be at risk for respiratory impairment?