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
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.
Question 2 of 5
A client has just been diagnosed with rosacea. The nurse knows that initial treatment of rosacea includes what?
Correct Answer: B
Rationale: Physicians treat rosacea initially with oral antibiotics, such as minocycline (Minocin). Corticosteroids are used in some skin disorders for their anti-inflammatory effect. Antifungals are used for the treatment of fungal infections. Retinoids are used in the treatment of acne.
Question 3 of 5
The nurse has assessed a client's superficial fungal infection that began in the skin between the toes and has spread to the soles of the feet. How would the nurse document this finding?
Correct Answer: C
Rationale: Tinea pedis is an infection that begins in the skin between the toes and spreads to the soles of the feet. Tinea corporis is a skin infection of the body. Tinea capitis invades the hair shaft below the scalp. Tinea cruris is a skin infection of the groin.
Question 4 of 5
The nurse is caring for a client in need of a blood transfusion. The client's family member wants to be considered to donate blood. The nurse notes that the family member has several tattoos and asks the family member when and where the last tattoo was obtained. If the family member obtained the last tattoo on February 14, 2021, in a state that does not regulate tattoo facilities, after which date would the family member be eligible to donate blood?
Correct Answer: B
Rationale: The American Red Cross (2021) rejects potential blood donors who have received a tattoo within 3 months if the tattoo was applied in a state that does not regulate tattoo facilities.
Therefore, the earliest that the client's family member would be able to give blood is May 14, 2021. Two weeks, 1 month, and 2 months are insufficient amounts of time to wait after receiving a tattoo in a state that does not regulate tattoo facilities.
Question 5 of 5
The nurse is caring for a client with a new tattoo. Which nursing diagnosis is of highest priority?
Correct Answer: B
Rationale: The trauma created by a tattoo is similar to a minor burn, thus, skin integrity, pain, and tissue perfusion are not the highest priority. Infection risk is the highest priority due to the injection of ink in the dermis. The priority of care is preventing infection.