A client is seen in the health care clinic because of complaints of lesions on the elbows and the knees. The lesions are red raised papules, and large plaques covered by silvery scales are also noticed on the elbows and the knees. Psoriasis is diagnosed and the nurse provides information about treatment to the client. The nurse determines that the client needs additional information if the client states that which of the following is a component of the treatment plan?

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Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions

Question 1 of 5

A client is seen in the health care clinic because of complaints of lesions on the elbows and the knees. The lesions are red raised papules, and large plaques covered by silvery scales are also noticed on the elbows and the knees. Psoriasis is diagnosed and the nurse provides information about treatment to the client. The nurse determines that the client needs additional information if the client states that which of the following is a component of the treatment plan?

Correct Answer: D

Rationale: Systemic corticosteroids are generally avoided in psoriasis due to risk of rebound flares; topical treatments and phototherapy are preferred.

Question 2 of 5

When planning the skin care of a patient with decreased mobility, the nurse is aware of the varying thickness of the epidermis. At what location is the epidermal layer thickest?

Correct Answer: C

Rationale: The epidermis is the thickest over the palms of the hands and the soles of the feet.

Question 3 of 5

A patient with an exceptionally low body mass index has been admitted to the emergency department with signs and symptoms of hypothermia. The nurse should know that this patients susceptibility to heat loss is related to atrophy of what skin component?

Correct Answer: D

Rationale: The subcutaneous tissues and the amount of fat deposits are important factors in body temperature regulation.

Question 4 of 5

The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:

Correct Answer: C

Rationale: The autograft is the only permanent method of grafting and it uses the patient's own tissue to cover the burn wound. Autografting is permanent and does not require a second surgery unless the graft fails. A biological or biosynthetic graft or dressing is a temporary wound covering. A xenograft is from an animal, usually pig skin and is a temporary graft.

Question 5 of 5

During report, the nurse is told that a patient 'has moderate jaundice.' Which assessment finding should the nurse expect to see?

Correct Answer: C

Rationale: Jaundice, a yellow-orange discoloration, may occur as a result of liver disease. Cyanosis presents as a gray cast to the skin related to poor oxygenation. Erythema is red or purple gray. Pallor is paleness.

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