Exam 50: Skin Disorders

The daughter of an older adult patient who has just returned from surgery is distressed about her father's pale,cold hands and feet.The nurse covers the patient with an extra blanket and responds:

An appropriate implementation for a patient with severe psoriasis who has a nursing diagnosis of "Disturbed body image,related to skin lesions" would be:

The 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.Using the rule of nines,the nurse would document that the burn size as:

The nurse organizes the nursing care plan on the nursing diagnosis of "Acute pain,related to postherpetic neuralgia." The least appropriate implementation would be to:

In a burn patient with eschar formation around an entire arm,the nurse will include frequent assessment of:

The nurse explains that the major characteristic that differentiates cutaneous T-cell lymphoma from squamous cell and basal cell carcinomas is that cutaneous T-cell lymphoma:

When 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,the nurse inquires about the exposure to:

The nurse instructs a patient with vitiligo who is receiving phototherapy to:

In performing a physical assessment on an 80-year-old man,the nurse anticipates that the age-related skin changes will be:

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

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

The implementation that the nurse may perform for a patient with pruritus without a physician's order is to:

Displaying her hands,a patient asks,"Do you think my liver is OK? Look at all these liver spots!" The most appropriate response would be:

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!" The complaint the nurse recognizes as a true statement about the cause of acne is:

The sign or symptom that suggests that a patient with impaired skin integrity is developing a systemic infection is a:

The implementation that would make a patient with atopic dermatitis more comfortable is to:

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?" The nurse's best response would be:

The assessment by the emergency department nurse most indicative that a burn patient might be at risk for respiratory impairment is:

The nurse is alert for the expected fluid shift in the patient who was burned 24 hours earlier.(Place the events in the appropriate sequence.) A) Fluid volume deficit occurs. B) Blood is shunted from the kidneys to compensate for a loss of fluid volume. C) Urine output decreases. D) Generalized edema occurs. E) Hypoproteinemia causes fluid to move from the bloodstream to extracellular space

During the first 24 hours after the burn,fluid replacement is the treatment priority.The assessment that would alert the nurse that the fluid protocol is ineffective is: