ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 26 Questions
Question 1 of 5
To decrease the risk for sun damage to the skin, which information should the nurse include when teaching patients?
Correct Answer: C
Rationale: The risk for skin damage from the sun is highest with exposure between 10:00 and 15:00 during regular time and 11:00-16:00 during daylight savings time. The term waterproof is misleading; no sunscreen is completely waterproof. Sunscreen with an SPF of at least 15 is recommended for people at normal risk for skin cancer. Although gradually increasing sun exposure may decrease the risk for burning, the risk for skin cancer is not decreased.
Question 2 of 5
The nurse is caring for a patient with a urinary tract infection and has been prescribed cipprofloxacin. Which of the following information should the nurse include when teaching this patient?
Correct Answer: A
Rationale: The patient should wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.
Question 3 of 5
The nurse is caring for a patient who has basal cell carcinoma (BCC) of the face. Which of the following information should the nurse include when teaching this patient?
Correct Answer: D
Rationale: BCC is frequently associated with sun exposure. BCC spread locally, but do not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local chemotherapy may be used to treat BCC.
Question 4 of 5
The nurse is caring for a patient in the dermatology clinic who has a small, slow-growing papule with ulceration and a depression in the centre of the lesion on the right cheek. Which of the following nursing interventions will the nurse anticipate performing for this patient?
Correct Answer: A
Rationale: Because the appearance of the lesion is consistent with a possible basal cell carcinoma (BC
C), the appropriate treatment would be excision and biopsy. Over-the-counter (OT
C) corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion unless the biopsy indicated that the lesion was nonmalignant.
Question 5 of 5
After the nurse determines that a patient has the following risk factors for melanoma, which risk factor should be the focus of patient teaching related to prevention?
Correct Answer: D
Rationale: Since the only risk factor that the patient can change is the use of a tanning booth, the nurse should focus teaching about melanoma prevention on this factor. The other factors also will contribute to increased risk.