Exam 54: Nursing Care of Patients With Skin Disorders

The nurse is cleansing a patient's infected pressure ulcer.What type of equipment should the nurse use?

The nurse notes that a patient has a honey-colored crust over a thin-walled vesicle.For which infectious skin disorder should the nurse plan care?

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

The nurse is assisting a patient with psoriasis apply coal tar to the skin.What action should the nurse anticipate providing after the tar is applied to the patient?

The nurse is caring for a patient with impetigo contagiosa.For which complication should the nurse monitor when caring for this patient?

The nurse is caring for a patient with lesions on the skin.Which assessment finding should cause the nurse to suspect scabies?

A patient is prescribed vitamin A acid (Retin-A)as treatment of acne vulgaris.What should the nurse instruct the patient about the purpose of this medication? (Select all that apply.)

A patient with a wound is prescribed wet-to-dry dressings.What should the nurse do prior to performing a dressing change for this patient?

The nurse is caring for a patient who has a stage 4 pressure ulcer that is 2 cm in diameter and 2 cm deep.Bone is visible in the wound.Which patient assessment finding should be communicated to the registered nurse (RN)immediately?

A patient with a carbuncle is prescribed oral antibiotics,daily dressing changes with topical antibiotic ointment,and acetaminophen with codeine for pain.Which patient statement indicates that further teaching about the care of this skin condition is necessary?

The nurse is care for a patient with shingles.Which statement should the nurse include in patient teaching?

The nurse is teaching a patient skin care to prevent cancer.Which time of day should the patient instruct to avoid the sun?

The nurse is assessing a patient with pemphigus.What skin manifestations should the nurse expect to observe?

A patient's pressure ulcer is 3 cm in diameter and 1 cm deep and has tunneling on the left side.The ulcer holds 17 mL of normal saline and has no visible fascia or bone in the ulcer.What pressure ulcer stage should the nurse document?

The nurse is planning care for a patient with dermatitis.What interventions should be included in this patient's plan of care? (Select all that apply.)

A patient has a pressure ulcer that has purulent drainage,areas if black material,foul smelling,and painful.What should the nurse do first for healing to occur?

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

A patient admitted to the hospital from a nursing home has a stage 3 pressure ulcer.What is the best way for the nurse to initially document the appearance of the wound?

The nurses are reviewing actions to reduce the incidence of infectious skin disorders in patients admitted to the care area.What action should the nurses identify as being the most important to prevent infectious skin disorders?

The nurse is preparing a patient with a history of psoriasis for ultraviolet light therapy with psoralen (PUVA).What is important for the nurse to teach the patient prior to initiating therapy?