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 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 2 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 3 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.
Question 4 of 5
The pediatric nurse is instructing a young athlete and parent regarding tinea pedis. Which nursing advice best decreases frequent attacks?
Correct Answer: D
Rationale: The nurse is correct to instruct the client to rotate the use of different shoes allowing the shoes time to evaporate shoe moisture from use. The fungus particularly grows in dark, warm, moist areas. Eliminating the factors decreases the risk of further outbreaks. The other options are not necessary.
Question 5 of 5
The nurse is caring for an older adult client who has developed chapped and itchy skin. Which nursing intervention included in this client's plan of care should the nurse alter?
Correct Answer: C
Rationale: When the client develops dry and itchy skin, the nurse should alter the client's plan of care with respect to bathing. Hot water will dry the skin further. Due to a decrease in epidermal replacement rates, excessive drying of an older person's skin can lead to pruritus, dryness, and infection. Lanolin ointment is good to apply to dry skin because it helps moisturize so this should be kept in the plan. The nurse would not alter the plan of using a gait belt for ambulation or using a foam pad on the wheelchair.