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 been diagnosed with psoriasis. The nurse is creating an education plan for the patient. What information should be included in this plan?
Correct Answer: A
Rationale: Nonprescription medications may exacerbate psoriasis, so caution is needed. Psoriasis is not contagious, frequent washing can worsen scaling, and overuse of corticosteroids may cause skin atrophy.
Question 2 of 5
A nurse is planning the care of a patient with herpes zoster. What medication, if administered within the first 24 hours of the initial eruption, can arrest herpes zoster?
Correct Answer: D
Rationale: Acyclovir, an antiviral, can halt herpes zoster progression if given within 24 hours of eruption. Prednisone, azathioprine, and triamcinolone are not used for herpes zoster treatment.
Question 3 of 5
A patient with squamous cell carcinoma has been scheduled for treatment of this malignancy. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention?
Correct Answer: C
Rationale: Surgical excision is the primary treatment for squamous cell carcinoma to remove the tumor entirely. Radiation is used for non-surgical candidates, chemotherapy is less common, and biopsy is diagnostic, not therapeutic.
Question 4 of 5
When writing a plan of care for a patient with psoriasis, the nurse would know that an appropriate nursing diagnosis for this patient would be what?
Correct Answer: A
Rationale: Psoriasis causes scaly lesions, leading to impaired skin integrity. It does not typically affect the oral cavity, cause epidermal shedding, or increase melanoma risk.
Question 5 of 5
A patient who has sustained third-degree facial burns and a facial fracture is undergoing reconstructive surgery and implantation of a prosthesis. The nurse has identified a nursing diagnosis of Disturbed Body Image Related to Disfigurement. What would be an appropriate nursing intervention related to this diagnosis?
Correct Answer: D
Rationale: Teaching prosthesis care fosters independence and addresses body image concerns by empowering the patient. Speech therapy, diet changes, and analgesics do not directly address disturbed body image.