ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 61 : Managements of Patients with Dermatologic Problems Questions
Question 1 of 5
A nurse is caring for a patient who has a diagnosis of bullous pemphigoid and who is being treated on the medical unit. When providing hygiene for this patient, the nurse should perform which of the following actions?
Correct Answer: C
Rationale: Applying cornstarch after bathing reduces friction and enhances mobility in bullous pemphigoid. Wiping lesions or applying antibiotics is inappropriate, and water can be used for hygiene.
Question 2 of 5
A nurse is caring for a patient admitted to the medical unit with a diagnosis of pemphigus vulgaris. When writing the care plan for this patient, what nursing diagnoses should be included? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Pemphigus vulgaris causes blisters, leading to infection risk, impaired skin integrity, pain, and disturbed body image. Hyperthermia is not a concern; hypothermia is more likely.
Question 3 of 5
When caring for a patient with toxic epidermal necrolysis (TEN), the critical care nurse assesses frequently for high fever, tachycardia, and extreme weakness and fatigue. The nurse is aware that these findings are potential indicators of what? Select all that apply.
Correct Answer: B,D,E
Rationale: High fever, tachycardia, and weakness in TEN indicate epidermal necrosis, increased metabolic needs, and possible GI mucosal sloughing. Malignancy and neurologic involvement are not typical complications.
Question 4 of 5
A nurse is assessing a teenage patient with acne vulgaris. The patients mother states, I keep telling him that this is what happens when you eat as much chocolate as he does. What aspect of the pathophysiology of acne should inform the nurses response?
Correct Answer: D
Rationale: Diet, including chocolate, plays a minimal role in acne development. Eliminating chocolate or changing diet does not significantly impact acne symptoms.
Question 5 of 5
A nurse is providing self-care education to a patient who has been receiving treatment for acne vulgaris. What instruction should the nurse provide to the patient?
Correct Answer: A
Rationale: Washing with mild soap and water twice daily removes oils and prevents gland obstruction in acne. Alcohol is too harsh, and manipulating pimples or blackheads worsens symptoms.