A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?

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Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions

Question 1 of 5

A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?

Correct Answer: B

Rationale: Because fluorouracil is teratogenic, it is essential that the patient use a reliable method of birth control. The other information is also important for the nurse to obtain, but lack of reliable birth control has the most potential for serious adverse medication effects.

Question 2 of 5

The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?

Correct Answer: A

Rationale: Infection is the priority due to the extensive loss of skin barrier, increasing susceptibility to pathogens in severe burns.

Question 3 of 5

Which client is at the greatest risk for the development of skin cancer?

Correct Answer: D

Rationale: Fair complexion and inability to tan increase UV damage risk, the primary factor in skin cancer.

Question 4 of 5

The client is complaining of burning, lancinating, stabbing pain that radiates around the left rib cage area. The nurse cannot find any type of skin abnormality. Which action should the nurse implement?

Correct Answer: D

Rationale: The pain description suggests herpes zoster (shingles), linked to prior chickenpox, warranting this question first.

Question 5 of 5

The elderly client diagnosed with poison ivy is prescribed a solumedrol (a steroid) dose pack. Which intervention should the nurse teach the client?

Correct Answer: B

Rationale: Adherence to the prescribed steroid taper is crucial for efficacy and to avoid adrenal suppression.

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