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 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 2 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 3 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.
Question 4 of 5
The nurse is instructing the client on the correct toenail trimming technique when having onychocryptosis. Which instruction made by the nurse is best?
Correct Answer: D
Rationale: The nurse is correct to instruct the client that proper nail trimming for a client with onychocryptosis is to use a nail clipper and allow the ends of the nail to be longer than the end of the toes. The ends of the nails should not be rounded off. The other options are not best for the ingrown toenail condition.
Question 5 of 5
The nurse is caring for a client with a suspicious lesion on the client's head. The lesion is sore and resembles basal cell carcinoma. Which client finding is a risk factor for developing skin cancer?
Correct Answer: B
Rationale: The nurse is correct to identify that the client with androgenetic alopecia or male pattern baldness is at risk for skin cancer. Due to the skin being exposed to the ultraviolet radiation of the sun, the client is at risk for malignant skin changes. Smoking cigarettes is a risk factor for many other types of cancer. Wearing hats and having acne is not a risk factor for skin cancer.