After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses the client's understanding. Which statement indicates the client has a good understanding of this condition?

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Integumentary System Test Questions Questions

Question 1 of 5

After teaching a client who expressed concern about a rash located beneath her breast, a nurse assesses the client's understanding. Which statement indicates the client has a good understanding of this condition?

Correct Answer: C

Rationale: Rashes limited to skinfold areas (e.g., on the axillae, beneath the breasts, in the groin) may reflect problems related to excessive moisture. The client needs to keep the area dry; one option is to use powder. Good hygiene is important, but the rash does not need an antibacterial soap. Fluid overload and breast cancer are not related to rashes in skinfolds.

Question 2 of 5

The nurse teaches burn prevention to a community group. Which statement by a member of the group should cause the nurse the greatest concern?

Correct Answer: C

Rationale: Smoking in bed poses a high risk for fire, causing the greatest concern.

Question 3 of 5

A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which nonpharmacologic comfort measure should the nurse implement?

Correct Answer: A

Rationale: Music therapy is a nonpharmacologic measure to reduce anxiety and pain.

Question 4 of 5

A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?

Correct Answer: A

Rationale: Because the appearance of the lesion suggests actinic keratosis or possible squamous cell carcinoma (SCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC) corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion.

Question 5 of 5

What is the most effective way for a nurse to help a patient with contact dermatitis decrease pruritus?

Correct Answer: A

Rationale: Cool or tepid baths, cool dressings, and OTC antihistamines all help reduce pruritus and scratching. Adding oil to bath water is not recommended because of the increased risk for falls. The patient should use the towel to pat (not rub) the skin dry. While corticosteroids may be used, cool cloths are a non-pharmacologic, effective first-line option.

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