ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 65 : Caring for Clients With Skin, Hair, and Nail Disorders Questions
Question 1 of 5
A client enters the walk-in clinic stating that there is an itchy, red, warm, raised rash on the left forearm. The nurse documents when the rash developed and what the client was doing when it appeared. Allergic dermatitis is diagnosed. Which instruction is most important to prevent further problems?
Correct Answer: C
Rationale: It is important to instruct on the use of topical ointment, if prescribed, and to keep the area clean and dry. It is also important to advise against scratching the rash. By scratching the itchy rash, the client can open the skin and develop an infection. Staphylococcus aureus is the most common skin infection.
To prevent further problems, the client must avoid further exposure to the allergen.
Question 2 of 5
The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
Correct Answer: A
Rationale: The nurse is correct to identify the earliest symptom of rosacea as being a flushed appearance across the nose, forehead, cheeks, and chin. Other symptoms include a sunburn appearance to the skin, solid papules or pustules, large facial pores, and an orange peel texture to the skin. Large facial pores and orange peel skin texture are found in the later stages as the disease progresses.
Question 3 of 5
The nurse is assessing a client experiencing an exacerbation of plaque psoriasis. The nurse assesses the area and documents a proliferation of which cell type?
Correct Answer: B
Rationale: The nurse is correct to document that the proliferation of skin cells occurs in the first layer of skin cells, the epidermis. In the epidermal layer, there is rapid turnover of the cells. The dermis is under the epidermis. Endothelial is the layer on the inside such as the interior of the blood vessel. Epithelial are on the outside or coating of walls.
Question 4 of 5
The nurse is working with community groups. At what location would the nurse anticipate a possible scabies outbreak?
Correct Answer: C
Rationale: The nurse is correct to anticipate a potential scabies outbreak in a college dormitory. Outbreaks are common where large groups of people are confined or housed. Spread of scabies is from skin-to-skin contact. Although there are groups of people at the shopping mall, swimming pool, and gymnasium, typically, there is no personal contact.
Question 5 of 5
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
Correct Answer: D
Rationale: The nurse is correct to instruct the client to use hot water throughout the wash cycle. Using hot water kills scabies and infectious agents on the laundry. If using the correct wash settings, the client does not need to use commercial-grade laundry detergent; the clothing does not need pretreated nor washed through two cycles.