The nurse is changing a hydrocolloid antimicrobial barrier dressing with silver for a client diagnosed with a stage 4 pressure ulcer. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: The first step is to remove the old dressing and assess the ulcer for healing progress. Rinsing follows, holding the dressing occurs after application, and the procedure uses aseptic (nonsterile) gloves.

Correct Answer: A

Rationale: Bowen's disease presents as a slow-growing red, scaly plaque and represents squamous cell carcinoma in situ.

Correct Answer: B

Rationale: Sebaceous cysts are lined by squamous epithelium.

Correct Answer: C

Rationale: Radiation burns result from sunburn, radiotherapy, and other forms of radiation exposure.

Correct Answer: B

Rationale: Hyperthemia is an expected consequence of the infectious disease process. Fever can produce mild, short-term effects or, when prolonged, can cause life-threatening effects. The nurse should administer antipyretic medications as indicated for elevated temperatures and enforce frequent rest periods because rest increases energy reserve, which is depleted by an increased metabolic, heart, and respiratory rate. Ice packs and tepid baths can be used with caution, but the most effective combined intervention includes antipyretics and rest. Increasing room temperature and restricting fluids are not appropriate.