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 whose chemical injury has necessitated a skin graft to his left hand. The nurse enters the room and observes that the patient is performing active range of motion (ROM) exercises with the affected hand. How should the nurse best respond?
Correct Answer: D
Rationale: Immobilization of the graft site is critical to promote healing and prevent damage. Active or passive ROM exercises can disrupt the graft, and perfusion is not enhanced by early movement.
Question 2 of 5
A school nurse has sent home four children who show evidence of pediculosis capitis. What is an important instruction the nurse should include in the note being sent home to parents?
Correct Answer: B
Rationale: Manual removal of nits is often necessary after medicated shampoo for pediculosis capitis. The condition is not self-limiting, requires prompt treatment, and is not caused by poor hygiene.
Question 3 of 5
A patient has just been diagnosed with psoriasis and frequently has lesions around his right eye. What should the nurse teach the patient about topical corticosteroid use on these lesions?
Correct Answer: A
Rationale: Repeated use of topical corticosteroids near the eyes can lead to cataract development. Weeping and glaucoma are not typical risks, and corticosteroids are not contraindicated for periorbital psoriasis.
Question 4 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 5 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.