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 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 2 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.
Question 3 of 5
The school nurse is instructing a parent in the care and elimination of lice from their child's hair. The parent brings all of the products for care in a bag. Which contents are not appropriate for use?
Correct Answer: A
Rationale: The nurse is correct to instruct the parent to avoid shampoo and conditioner because this coats the hair and protects the nits. Nix and a fine-toothed comb are recommended. New hair clips may be used once the infestation is gone.
Question 4 of 5
The school nurse is instructing a group of high school students on the considerations with tattooing and body piercing. Which instruction(s) would be included in the discussion? Select all that apply.
Correct Answer: A,C,E
Rationale: Tattoo ink is approved by the Federal Food, Drug, and Cosmetic Act; however, none are approved for injection into the skin. Some, but not all, tattoo artists are members of the Alliance for Professional Tattooists. Infection is a concern with both tattoos and piercings. Tattoo ink is injected into the dermal layer of the skin. Hepatitis B and C can be transmitted as a blood-borne infectious disease.
Question 5 of 5
The nurse is caring for a client with herpes zoster. What symptom(s) can the nurse anticipate? Select all that apply.
Correct Answer: B,D,E
Rationale: The nurse is correct to identify the symptoms of herpes zoster as pain and itchiness that occur unilaterally along a dermatome. The rash appears as vesicles that rupture and then form a crust. The symptoms can last for weeks or months.