Chapter 61: Managements of Patients with Dermatologic Problems - Nurselytic

Questions 39

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Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)

Chapter 61 : Managements of Patients with Dermatologic Problems Questions

Question 1 of 5

An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this residents plan of care?

Correct Answer: C

Rationale: Using tepid water for baths reduces pruritus in older adults with dry skin. Emollients help, antibiotics are unnecessary without infection, and acetaminophen does not address itching.

Question 2 of 5

A patient has a diagnosis of seborrhea and has been referred to the dermatology clinic, where the nurse contributes to care. When planning this patients care, the nurse should include which of the following nursing diagnoses?

Correct Answer: C

Rationale: Seborrhea's visible oily skin can lead to disturbed body image. It does not cause fluid volume deficits, thermoregulation issues, or tissue perfusion problems.

Question 3 of 5

A nurse is working with a family whose 5 year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this familys care?

Correct Answer: C

Rationale: Impetigo is linked to poor hygiene, so teaching hygiene practices is key. It is contagious, corticosteroids are ineffective, and bursting vesicles is harmful.

Question 4 of 5

A nurse practitioner is seeing a 16-year-old male patient who has come to the dermatology clinic for treatment of acne. The nurse practitioner would know that the treatment may consist of which of the following medications?

Correct Answer: B

Rationale: Benzamycin gel, combining benzoyl peroxide and erythromycin, is a common topical treatment for acne. Acyclovir treats herpes zoster, diphenhydramine addresses pruritus, and triamcinolone is used for psoriasis.

Question 5 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.

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