Exam 54: Nursing Care of Patients With Skin Disorders

A patient comes into the HCP's office and reports a rash. The nurse notices a red rash on the patient's chest, back, arms, and legs. The patient describes an intense itching. Which question does the nurse ask to determine the type of dermatitis displayed by the patient?

The nurse is providing care for a patient with an open pressure injury on the right hip. The bed of the wound is covered with thick, black eschar and the tissue around the wound is red and warm to the touch. Which action does the nurse take in anticipation of the type of debridement used for this pressure injury?

A patient is diagnosed with dermatomycosis. Which statement by the patient gives the nurse an idea of where the infection was acquired?

The nurse works in a clinic that specializes in the care of patients diagnosed with psoriasis. Which patient does the nurse identify as being the greatest challenge for management of the disease?

The nurse is preparing to begin a position in an extended-care facility. The RN shares that the administration is interested in research that guides the skin care of the residents. Which information does the nurse discover about best practices?

The nurse is providing care for a patient with limited mobility. The nurse notes that the head of the patient's bed is frequently at 45 degrees of elevation and the patient is slouched in the bed. Which area of the patient needs to be inspected carefully?

The nurse is assisting with preparation for cryosurgery for a patient diagnosed with a lentigo maligna melanoma lesion on the forehead. Which information will the nurse provide regarding the events related to this surgery?

The nurse is completing the Braden scale to predict risk for pressure ulcer development with a patient on bedrest. Which findings does the nurse score as increasing this patient's risk? (Select all that apply.)

A patient is admitted with a recent surgical wound that is infected and exhibits an open suture line. The HCP prescribes negative pressure wound therapy (NPWT). Which step in setting up the treatment does the nurse anticipate?

The community nurse is working with a family who has had multiple infestations of pediculosis capitis over a period of several months. Which comment by the parent indicates that nursing information is now likely to be effective?

The nurse is assisting at a community health fair by performing skin checks. Which characteristic is unexpected by the nurse when screening participants who are dark skinned?

The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?

The nurse is participating in a unit program aimed at preventing pressure injuries to residents in a long-term care facility. Which intervention does the nurse anticipate will be least effective?

A patient in the emergency department has bright red edematous plaques along an uneven line that runs from under the right arm toward the chest. The patient states that the breakout was sudden and is very painful. Which information does the nurse need to obtain first?

The nurse is providing care for a patient who has a stage 4 pressure injury that is 2 cm in diameter and 2 cm deep. Bone is visible in the wound. Which patient assessment finding does the nurse communicate to the registered nurse (RN) immediately?

The nurse at an HCP's office is interviewing a patient presenting with a skin infection. Which question by nurse will provide the least important information?

The nurse is monitoring a patient's stage 3 pressure injury for healing during treatment. Which finding indicates the nursing interventions have been effective?

The nurse is providing care for a patient with an open pressure injury, which exhibits the manifestations of an infection. The HCP prescribes wound cleansing with normal saline at a pressure of 4 to 15 pounds per square inch. Which method of cleansing does the nurse use?

A patient with an infected skin lesion is prescribed oral antibiotics, daily dressing changes with topical antibiotic ointment, and acetaminophen with codeine for pain. Which patient statement indicates to the nurse additional teaching is necessary?

The nurse is providing care for a patient who is immobile and being treated for diabetes mellitus and a urinary tract infection. Which intervention is included in a plan of care to prevent pressure injuries in this patient? (Select all that apply.)