Question 1

Which conditions can be improved with negative pressure therapy? (Select all that apply.)

Accepted Answer

A)  Pressure ulcers 
B)  Skin grafts 
C)  Burns 
D)  Dehisced surgical wounds 
E)  Eczema 
A)  Pressure ulcers 
B)  Skin grafts 
C)  Burns 
D)  Dehisced surgical wounds 
E)  Eczema A, B, D

Question 2

What information should a nurse provide to a patient with vitiligo receiving phototherapy?

Accepted Answer

A)  "Expose yourself to the sun for several hours before treatment to acclimate the skin surface." 
B)  "Wear protective clothing." 
C)  "Wear loose clothing such as sleeveless T-shirts and shorts after the treatment." 
D)  "Leave off sunglasses after treatment so your eyes can more quickly accommodate." 
A)  "Expose yourself to the sun for several hours before treatment to acclimate the skin surface." 
B)  "Wear protective clothing." 
C)  "Wear loose clothing such as sleeveless T-shirts and shorts after the treatment." 
D)  "Leave off sunglasses after treatment so your eyes can more quickly accommodate." B

Question 3

A nurse collecting tissue for a Tzanck test should: _____ (Select the appropriate interventions and place the steps in sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

Accepted Answer

A) Open the lesion with a hypodermic needle. 
B) Place the specimen in a culture tube and take it to the laboratory. 
C) Saturate the sterile swab with exudates. 
D) Wash the lesion. 
E) Place a pressure dressing on the lesion. 
A) Open the lesion with a hypodermic needle. 
B) Place the specimen in a culture tube and take it to the laboratory. 
C) Saturate the sterile swab with exudates. 
D) Wash the lesion. 
E) Place a pressure dressing on the lesion. D,A,C,B

Question 4

When assessing the capillary refill, a nurse should document as normal a refill time of _____ seconds.(Use numeric characters only.)

Accepted Answer

The answer of When assessing the capillary refill, a nurse...

Question 5

A daughter of an older adult patient who has just returned from surgery is distressed about her father's pale, cold hands and feet.What is the best response by the nurse after covering the patient with an extra blanket?

Accepted Answer

A)  "Don't be concerned.It is quite cold in the operating room.Your dad will be warm in a minute." 
B)  "Older patients like your dad get a little shocky during surgery." 
C)  "When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities." 
D)  "We are watching the disturbed circulation in your dad's hands and feet very carefully." 
A)  "Don't be concerned.It is quite cold in the operating room.Your dad will be warm in a minute." 
B)  "Older patients like your dad get a little shocky during surgery." 
C)  "When patients have blood loss during surgery, superficial vessels close off temporarily, resulting in cold extremities." 
D)  "We are watching the disturbed circulation in your dad's hands and feet very carefully."

Question 6

What should a nurse ask about when taking the functional assessment of a patient with a skin disorder?

Accepted Answer

A)  A sore that is slow to heal 
B)  Unusual hair growth 
C)  Previous skin disorders 
D)  Exposure to chemicals or irritants 
A)  A sore that is slow to heal 
B)  Unusual hair growth 
C)  Previous skin disorders 
D)  Exposure to chemicals or irritants

Question 7

A confused patient has been restrained because of combativeness and hyperactivity.What skin assessment may occur as a result of the restraints?

Accepted Answer

A)  Lentigines 
B)  Senile purpura 
C)  Senile angiomas 
D)  Seborrheic keratoses 
A)  Lentigines 
B)  Senile purpura 
C)  Senile angiomas 
D)  Seborrheic keratoses

Question 8

Which age-related skin changes should a nurse anticipate when performing a physical assessment on an 80-year-old man? (Select all that apply.)

Accepted Answer

A)  Increased nasal hair 
B)  Flattened nails 
C)  Small macular lesions at the hairline 
D)  Increased hair on the helix of the ear 
E)  Presence of seborrheic keratosis 
A)  Increased nasal hair 
B)  Flattened nails 
C)  Small macular lesions at the hairline 
D)  Increased hair on the helix of the ear 
E)  Presence of seborrheic keratosis

Question 9

Displaying her hands, a patient asks, "Do you think my liver is OK? Look at all these liver spots!" What is the most appropriate nursing response?

Accepted Answer

A)  "The spots could mean something is wrong; I will make a note of it." 
B)  "The spots are normal aging changes and have nothing to do with your liver." 
C)  "Have you recently been exposed to hepatitis?" 
D)  "Don't worry about them.They will fade during the winter." 
A)  "The spots could mean something is wrong; I will make a note of it." 
B)  "The spots are normal aging changes and have nothing to do with your liver." 
C)  "Have you recently been exposed to hepatitis?" 
D)  "Don't worry about them.They will fade during the winter."

Question 10

A nurse is screening patients that the plastic surgeon is considering for phototherapy.Which patient should the nurse exclude?

Accepted Answer

A)  A 34-year-old woman with lupus erythematosus 
B)  A 5-year-old child with pneumonia 
C)  A 60-year-old man with a pacemaker 
D)  A 23-year-old woman who is 3 months' pregnant 
A)  A 34-year-old woman with lupus erythematosus 
B)  A 5-year-old child with pneumonia 
C)  A 60-year-old man with a pacemaker 
D)  A 23-year-old woman who is 3 months' pregnant

Exam 56: Integumentary System Introduction

Which conditions can be improved with negative pressure therapy? (Select all that apply.)

What information should a nurse provide to a patient with vitiligo receiving phototherapy?

A nurse collecting tissue for a Tzanck test should: _____ (Select the appropriate interventions and place the steps in sequence.Do not separate answers with a space or punctuation.Example: ABCD.)

When assessing the capillary refill, a nurse should document as normal a refill time of _____ seconds.(Use numeric characters only.)

A daughter of an older adult patient who has just returned from surgery is distressed about her father's pale, cold hands and feet.What is the best response by the nurse after covering the patient with an extra blanket?

What should a nurse ask about when taking the functional assessment of a patient with a skin disorder?

A confused patient has been restrained because of combativeness and hyperactivity.What skin assessment may occur as a result of the restraints?

Which age-related skin changes should a nurse anticipate when performing a physical assessment on an 80-year-old man? (Select all that apply.)

Displaying her hands, a patient asks, "Do you think my liver is OK? Look at all these liver spots!" What is the most appropriate nursing response?

A nurse is screening patients that the plastic surgeon is considering for phototherapy.Which patient should the nurse exclude?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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