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
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 2 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.
Question 3 of 5
While performing an initial assessment of a patient admitted with appendicitis, the nurse observes an elevated blue-black lesion on the patients ear. The nurse knows that this lesion is consistent with what type of skin cancer?
Correct Answer: D
Rationale: Malignant melanoma often appears as a blue-black lesion with irregular colors and borders. Basal cell carcinoma is waxy with pearly borders, squamous cell carcinoma is scaly and may bleed, and dermatofibroma is a benign, firm nodule.
Question 4 of 5
A nurse is providing care for a patient who has developed Kaposis sarcoma secondary to HIV infection. The nurse should be aware that this form of malignancy originates in what part of the body?
Correct Answer: D
Rationale: Kaposis sarcoma originates in endothelial cells lining small blood vessels, not in connective tissue, smooth muscle, or neural tissue.
Question 5 of 5
A patient requires a full-thickness graft to cover a chronic wound. How is the donor site selected?
Correct Answer: C
Rationale: Donor site selection for full-thickness grafts prioritizes matching the color and texture of the surgical site to minimize scarring and ensure aesthetic compatibility.