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 patient comes to the clinic complaining of a red rash of small, fluid-filled blisters and is suspected of having herpes zoster. What presentation is most consistent with herpes zoster?
Correct Answer: D
Rationale: Herpes zoster presents as grouped vesicles along a dermatome due to dorsal root ganglia inflammation. Lip vesicles suggest herpes simplex type 1, genital vesicles suggest type 2, and rough protrusions indicate warts.
Question 2 of 5
A patient with a chronic diabetic wound is being discharged after receiving a skin graft to aid wound healing. What direction should the nurse include in home care instructions?
Correct Answer: B
Rationale: Protecting the graft from sunlight and temperature extremes prevents thermal injury and promotes healing. Massage and antibiotics are not standard, and avoiding all moisture for 12 weeks is impractical.
Question 3 of 5
A patient presents at the free clinic with a black, wart-like lesion on his face, stating, Ive done some research, and Im pretty sure I have malignant melanoma. Subsequent diagnostic testing results in a diagnosis of seborrheic keratosis. The nurse should recognize what significance of this diagnosis?
Correct Answer: A
Rationale: Seborrheic keratosis is benign and requires no treatment unless cosmetically bothersome. It is not malignant, so chemotherapy or excision is unnecessary, and observation is not required.
Question 4 of 5
A nurse is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment?
Correct Answer: C
Rationale: Psoriasis can lead to psoriatic arthritis in up to 30% of cases, necessitating joint assessment for pain and reduced mobility. It does not affect GI, cardiac, or neurologic function.
Question 5 of 5
A patient is admitted to the intensive care unit with what is thought to be toxic epidermal necrolysis (TEN). When assessing the health history of the patient, the nurse would be alert to what precipitating factor?
Correct Answer: C
Rationale: TEN is commonly triggered by medications, such as antibiotics or antiseizure drugs. UV exposure, hygiene, and varicella are not typical causes.