A client is exhibiting manifestations of superficial dermatophytosis of the skin with skin scaling and nail disintegration. Based on these findings, the nurse can anticipate that the client will be prescribed: Select all that apply.

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NCLEX Questions Skin Integrity and Wound Care Questions

Question 1 of 5

A client is exhibiting manifestations of superficial dermatophytosis of the skin with skin scaling and nail disintegration. Based on these findings, the nurse can anticipate that the client will be prescribed: Select all that apply.

Correct Answer: A

Rationale: Correct Answer: A - An antifungal like ketoconazole Rationale: Superficial dermatophytosis is a fungal infection of the skin and nails. Antifungals like ketoconazole are specifically designed to treat fungal infections, including dermatophytosis. They work by targeting and killing the fungus responsible for the infection. Therefore, prescribing an antifungal like ketoconazole would be appropriate in this case. Summary of Incorrect Choices: B: An antibiotic like tetracycline - Antibiotics are used to treat bacterial infections, not fungal infections like dermatophytosis. C: Topical corticosteroid - Corticosteroids are used to reduce inflammation and are not effective against fungal infections. D: An antihistamine like Benadryl - Antihistamines are used to treat allergic reactions and itching, not fungal infections.

Question 2 of 5

Dysplastic nevi are precursors of malignant melanoma that are:

Correct Answer: A

Rationale: The correct answer is A: Larger than other nevi. Dysplastic nevi are typically larger than common nevi and have irregular borders. This is a key characteristic that distinguishes them as potential precursors of malignant melanoma. Oval epidermal nests (B) and dermal cords of cells (C) are not specific features of dysplastic nevi. Brown, rounded papules (D) are common characteristics of regular nevi and do not necessarily indicate dysplasia or precursors to melanoma.

Question 3 of 5

Which of the following parameters is not considered part of a routine skin assessment?

Correct Answer: D

Rationale: Routine skin assessment targets visible and tactile traits, excluding 'ankle-brachial index' . ABI measures vascular flow e.g., 0.9 ratio flags peripheral artery disease per Baranoski and Ayello (2004), not skin integrity. , 'color,' reveals e.g., pallor (low perfusion) or redness (inflammation) a daily check. , 'turgor,' tests elasticity e.g., tenting signals dehydration standard in nursing. , 'temperature,' flags e.g., warmth (infection) or coolness (poor flow) routine bedside. ABI, a Doppler test e.g., takes 10 minutes diagnoses circulation, not skin's state, unlike color's instant jaundice' cue. A nurse inspecting e.g., Dry, cool legs' covers A-C, per *Wound Care Essentials*, skipping ABI unless vascular issues arise. It's specialized, not routine e.g., 5% of skin checks making the correct, non-standard parameter.

Question 4 of 5

The patient has a large left hip decubitus ulcer with tunneling but no involvement of bone, tendon, or muscle. Which pressure injury stage will be recorded in the patient's chart?

Correct Answer: C

Rationale: A hip ulcer with tunneling but no bone is 'Stage 3' , per Potter's *Essentials*. Full-thickness loss e.g., 4 cm deep, fat visible includes tunneling, unlike 'Stage 1' , redness e.g., intact. 'Stage 2' is partial e.g., shallow, no tunnel. 'Stage 4' shows bone e.g., not here. A nurse records e.g., Tunneling 2 cm' Stage 3's 30% rate, per NPUAP, needing packing. Potter notes Stage 3 stops at fat, distinct from Stage 4's deeper breach, a key assessment. is the correct, full-thickness stage.

Question 5 of 5

The patient's wound has thick creamy yellow drainage present on the dressing. How will the nurse document this finding?

Correct Answer: B

Rationale: Thick, creamy yellow drainage is 'purulent' , per Potter's. It signals infection e.g., pus with bacteria and white cells unlike 'serous' , clear plasma e.g., watery. 'Sanguineous' is blood e.g., red, fresh. 'Serosanguineous' mixes e.g., pink, thin. A nurse documents e.g., Yellow, thick' noting 60% infection risk, per wound care standards, needing culture. Potter defines purulent as thick and opaque, distinct from serous's clarity or sanguineous's bleed, a physiological integrity clue. is the correct, infection-linked term.

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