ATI LPN
Foundations and Adult Health Nursing Test Bank
Chapter 43 : Care of the Patient with an Integumentary Disorder Cooper: Foundations and Adult Health Nursing, 9th Edition Questions
Question 1 of 5
The most deadly skin cancer is
Correct Answer: melanoma
Rationale: Malignant melanoma is a cancerous neoplasm that invades the epidermis, dermis, and sometimes the subcutaneous tissue.
Question 2 of 5
The three major glands of the skin are sudoriferous, ceruminous, and
Correct Answer: sebaceous
Rationale: Sudoriferous glands-sweat glands open into pores on the skin surface and excrete sweat. Ceruminous glands-secrete a waxlike substance called cerumen and are located in the external ear canal. Sebaceous glands-secrete their substance, sebum (an oily secretion), through the hair follicles distributed on the body.
Question 3 of 5
The nurse assisting with data collection of a burned patient upon arrival in the emergency room observes that the entire right arm (anterior and posterior), right anterior leg, chest, and abdomen are covered with reddened skin and blisters. Using the Rule of Nines, the nurse estimates the percentage of burn to be %.
Correct Answer: 36
Rationale: Anterior and posterior are 9%, anterior leg = 9%, chest = 9%, abdomen = 9%.
Total 36%.
Question 4 of 5
Which action will the nurse take when administering a therapeutic bath to a patient who has severe pruritus from contact dermatitis?
Correct Answer: A
Rationale: Pruritus is responsible for most of the discomfort. Wet dressings and using Burow's solution help promote the healing process. Rubbing the skin would increase pruritis. Give daily baths with an application to cleanse the skin. A cool environment with increased humidity decreases the pruritus.
Question 5 of 5
A resident of an assisted living center reports having sharp pain on one side of the body, with patches of 'blisters'. The nurse notices vesicles on one side of the thorax, which follow a peripheral nerve pathway. Suspecting herpes zoster, the nurse immediately contacts the health care provider. Which is the reason for the prompt notification?
Correct Answer: A
Rationale: Early recognition of herpes zoster (shingles) will allow administration of antiviral agents, prevention of secondary infections and pain relief. Acyclovir, when given within 72 hours of the onset of symptoms, reduces pain and the duration of the outbreak. Herpes zoster is not transmitted sexually. Oral lesions are associated with Herpes simplex 1. Varicella vaccine will not be effective against this current outbreak.