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 providing instruction to a client newly diagnosed with herpes zoster. Which two medications does the nurse anticipate to reduce pain and severity of disease symptoms?
Correct Answer: A
Rationale: The nurse is correct to instruct the client that medications prescribed to care for an outbreak of shingles include acyclovir (most frequently prescribed medication for shingles) and prednisone, a corticosteroid. Oral acyclovir, when taken within 48 hours of the appearance of symptoms, reduces the severity and prevents the development of additional lesions. Also, a brief course of corticosteroids reduces pain. Additional treatments include antipruritic and analgesic medications but are not as important as the acyclovir.
Question 2 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 3 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 4 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 5 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.