Exam 54: Nursing Care of Patients With Skin Disorders

The nurse is participating in planning care for a patient with pemphigus.What nursing diagnosis should the nurse recommend be used to guide this patient's care?

The nurse is assisting with a community education program on prevention of skin cancer.Which factors should the nurse teach patients that may contribute to the development of skin malignancies? (Select all that apply.)

The home care nurse is teaching a family how to describe a pressure ulcer to HCPs using colors.What color should the nurse use to describe a pressure ulcer with eschar?

The nurse is planning care for a patient with a malignant skin lesion.Which type of malignant skin lesion should the nurse realize has the poorest prognosis?

A patient is diagnosed with a benign skin lesion caused by a virus.For which skin condition should the nurse plan care for this patient?

The nurse is caring for an immobile patient who is 5 feet,11 inches tall and weighs 140 pounds.In planning care for the patient,what should the nurse understand is the patient's risk level for developing a pressure ulcer?

While caring for a patient with a pressure ulcer the home care nurse teaches the family how to describe the wound to health care providers (HCPs)using colors.What color should the nurse instruct that describes an infected wound?

The nurse is caring for an immobile patient being treated for diabetes mellitus and a urinary tract infection.What should be included in a plan of care to prevent pressure ulcers in this patient? (Select all that apply.)

The nurse is providing care to a patient who has herpes zoster.What nursing diagnosis should the nurse identify as a priority for this patient?

The nurse is planning care for an older patient to prevent skin breakdown.Which actions should be included in this patient's plan of care? (Select all that apply.)