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 receives treatment for a dermatophyte infection of the toenail. How would the nurse document this condition in the chart?
Correct Answer: C
Rationale: Onychomycosis is a dermatophyte infection of the fingernails or the toenails. Pediculosis is an infestation of lice. Tinea pedis is athlete's foot. Onychocryptosis is a medical term for an ingrown toenail.
Question 2 of 5
A client has been diagnosed with melanoma. What treatment option can the nurse expect will be used?
Correct Answer: B
Rationale: The treatment of a melanoma involves radical excision of the tumor and adjacent tissues, followed by chemotherapy. Laser surgery and cryosurgery are not used in the treatment of melanoma. Radiation is used in some types of cancer.
Question 3 of 5
A client asks the nurse what psoriasis is. What is the best answer?
Correct Answer: B
Rationale: Psoriasis is characterized by patches of erythema covered with silvery scales, usually on the extensor surfaces of the elbows, knees, trunk, and scalp. It is a chronic non-infectious inflammatory disease. Psoriasis has no cure. The onset is in young- and middle-adulthood.
Question 4 of 5
A client recently received lip and tongue piercings and subsequently developed a superinfection of candidiasis from the antibacterial mouthwash. What would the nurse recommend for this client?
Correct Answer: A
Rationale: The client can substitute an antifungal mouthwash or salt water if a superinfection of candidiasis develops from the antibacterial mouthwash. A soft-bristled toothbrush should be used to avoid additional oral injury, but it is not the recommended solution for this problem. After eating, the client should rinse the mouth for 30 to 60 seconds with an antifungal mouthwash or salt water. Moving the jewelry at the piercing area back and forth during washing helps clean the pierced tract but does not solve the problem.
Question 5 of 5
The nurse is assessing a client with onychocryptosis. Which of the following is evident if the tissue is infected?
Correct Answer: D
Rationale: Purulent leakage and an odor are evident if the tissue is infected. A client with onychocryptosis feels a local pressure from the abnormal nail growth, but this is not a sign of the tissue being infected. Redness, swelling, and pain occur where the nail pierces the adjacent tissue.