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 skin cancer will soon be removed by excision. Which of the following actions should the nurse perform?
Correct Answer: B
Rationale: The nurse's role includes teaching self-care after skin cancer excision. Assessing malignancy risk is the physician's role, blistering diseases are unrelated, and radiotherapy is not typically used.
Question 2 of 5
A patient has just undergone surgery for malignant melanoma. Which of the following nursing actions should be prioritized?
Correct Answer: D
Rationale: Analgesic administration is critical post-melanoma excision to manage pain from wide excision. Bed rest and modified diets are unnecessary, and distraction is secondary to analgesia.
Question 3 of 5
A patient has recently been diagnosed with advanced malignant melanoma and is scheduled for a wide excision of the tumor on her chest. In writing the plan of care for this patient, what major nursing diagnosis should the nurse include?
Correct Answer: A
Rationale: Advanced melanoma suggests a lack of early detection, indicating deficient knowledge about melanoma signs. Excision does not cause chronic pain, and depression or anxiety may not be primary concerns.
Question 4 of 5
A nurse educator is teaching a group of medical nurses about Kaposis sarcoma. What would the educator identify as characteristics of endemic Kaposis sarcoma? Select all that apply.
Correct Answer: A,B,E
Rationale: Endemic Kaposis sarcoma is prevalent in eastern Africa, affects men more, and can progress to lymphadenopathic forms. It can affect children and may infiltrate.
Question 5 of 5
A 35-year-old kidney transplant patient comes to the clinic exhibiting new skin lesions. The diagnosis is Kaposis sarcoma. The nurse caring for this patient recognizes that this is what type of Kaposis sarcoma?
Correct Answer: C
Rationale: Immunosuppression-related Kaposis sarcoma occurs in transplant recipients due to immunosuppressive therapy. Classic KS affects older Mediterranean or Jewish men, endemic KS is African, and AIDS-related KS occurs in HIV patients.