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 four clients in the skin clinic for skin cancer. Which client is of highest risk for skin cancer?
Correct Answer: D
Rationale: The nurse is correct to identify that clients with scar tissue are prone to malignant changes of the skin. Fair-skinned clients or those with decreased melanin are at a higher risk for skin cancer. A client with psoriasis is not at an increased risk for skin cancer.
Question 2 of 5
The nurse is caring for a female with progressive hair loss. When instructing the client on typical considerations to promote hair growth, which would be restricted in the client's care?
Correct Answer: C
Rationale: The nurse is correct to instruct on the restriction of finasteride (Propecia) for women due to the androgenic inhibitor property. The use of a hair conditioner and wide-toothed comb is encouraged to not break or damage the hair. Attaching a hair extension is common to provide more hair on the head.
Question 3 of 5
The nurse is caring for a client with possible lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff?
Correct Answer: C
Rationale: The nurse is correct to use the difference of the nits being securely attached to the hair shaft as a guide to confirmation of lice infestation. Dandruff is fine, white particles of dead, dry scalp cells that can be easily picked from the hair.
Question 4 of 5
The school nurse is teaching parents about head lice. What statement regarding the transmission of lice would the nurse identify as a myth?
Correct Answer: B
Rationale: The nurse is correct to identify that lice cannot jump from one individual to another. Direct contact is needed for transmission. The other options are factual statements.
Question 5 of 5
The nurse is working at a podiatrist's office. Which assessment finding is characteristic to the acquisition of onychomycosis in women?
Correct Answer: C
Rationale: The nurse is correct to instruct the client that onychomycosis is frequently found in the fingernails of women wearing artificial nails. Unsanitary cleansing of nail-application utensils between customers in salons seems to be the mode of transmission. Clipping nails too closely can cause discomfort. Soaking hands in detergent and filing nails even with the fingers do not cause onychomycosis.