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 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 2 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.
Question 3 of 5
The nurse is preparing to care for a client's new tattoo. Which action would the nurse take first?
Correct Answer: B
Rationale: As with any wound care, the nurse performs hand hygiene prior to donning gloves. The nurse is then ready to care for the newly tattooed skin. Antibiotic ointment is applied each day for 5 days. A sterile dressing is used to cover the tattoo for the first 12 hours. Sunscreen is good protection for the tattoo but not as part of a new tattoo treatment regimen.
Question 4 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 5 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.