Exam 24: Nursing Management: Integumentary Problems

A patient who has severe refractory psoriasis on the face, neck, and extremities has quit a job as a bank teller and has withdrawn from all social activities. The patient tells the nurse, "I look like a monster. I can't think of a single reason to keep living." The most appropriate response by the nurse at this time is

A 46-year-old tells the nurse, "I'm thinking about having treatment with botulinum toxin (Botox) to get rid of my wrinkles." The most appropriate initial response by the nurse is

A patient who is planning a vacation to the beach asks the nurse about precautions that should be taken to protect the skin while enjoying the sun and water. The nurse's best response is

A patient with atopic dermatitis has a new prescription for tacrolimus (Protopic). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?

A patient with a large BCC on the face is seen in the dermatology clinic for the excision of the lesion. Which nursing action will be included in the postoperative plan of care?

The health care provider diagnoses impetigo and prescribes penicillin for a patient who has crusty vesicopustular lesions over the lower face and skin creases in the neck. Which information will be included in the teaching plan for this patient?

A patient with an enlarging, irregular mole that is 6 mm in diameter is scheduled for outpatient treatment. The nurse should plan on teaching the patient about

A patient is undergoing psoralen plus UVA light (PUVA) therapy for treatment of psoriasis. To minimize complications from this procedure, the nurse plans to

A topical corticosteroid ointment is prescribed for a home health patient who has atopic dermatitis in the antecubital and popliteal spaces. Which of these data noted by the nurse during a home visit indicates that the medication may need to be discontinued?

A patient who is taking azithromycin (Zithromax) tells the nurse that the information provided by the pharmacy indicates this drug causes photosensitivity. The patient asks what will happen with exposure to sunlight while taking the drug. The best response by the nurse is that

The nurse identifies a nursing diagnosis of risk for infection related to skin lesions and the presence of environmental pathogens for a patient with an allergic dermatitis. The nurse recognizes that the teaching regarding prevention of infection has been effective when the patient states

A patient is admitted to the hospital with a possible head injury following a fall at home. While examining the patient's scalp, the nurse suspects the presence of pediculosis on finding

During application of a wet dressing to the skin of a patient with impetigo, it is most important for the nurse to

A 21-year-old woman with cystic acne who has been taking isotretinoin (Accutane) for 2 weeks has a follow-up appointment at the dermatology clinic. Which information obtained by the nurse is of most concern?

When examining a patient's oral cavity, the nurse notes the presence of white lesions that resemble milk curds. Which question by the nurse is appropriate at this time?

A fair-skinned 32-year-old patient whose mother recently died from malignant melanoma asks the nurse, "What can I do to prevent malignant melanoma from developing?" The best response by the nurse is that

A patient in the dermatology clinic has a small slow-growing papule with ulceration and a depression in the center of the lesion on the right cheek. The nurse will anticipate

The nurse is obtaining an initial assessment and health history for a new patient in the outpatient clinic. The patient has dry, scaly skin, thin hair, and thick, brittle nails. Which action by the nurse is most appropriate at this time?

A patient is diagnosed with squamous cell carcinoma (SCC) of the face. Nursing action that is appropriate is to

The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the nose. Which information will the nurse include in the patient teaching plan?