The nurse is using the antimicrobial binding dressing Actisorb Silver 222 for a stage 3 pressure ulcer on the left hip area. Which intervention should the nurse implement?

Correct Answer: B

Rationale: The correct answer is B: Avoid cutting the dressing when applying it to the wound. Actisorb Silver 222 dressing should not be cut as it may disrupt its antimicrobial properties, affecting its effectiveness in managing the wound. Cutting the dressing could also lead to uneven coverage of the wound, potentially causing complications. Performing sterile dressing changes twice a day (choice A) may not be necessary unless specified by the healthcare provider. Premedicating the client with a narcotic analgesic (choice C) is not directly related to the dressing application and should be determined based on the client's pain level. Using tape to hold the secondary dressing in place (choice D) is not recommended as it may cause skin irritation or damage.

Correct Answer: C

Rationale: The correct answer is C because seborrhoeic keratosis often appears greasy due to the overproduction of sebum. This is a characteristic feature of this benign skin lesion. Choice A is incorrect as seborrhoeic keratosis typically occurs in older individuals, not teenagers. Choice B is incorrect as seborrhoeic keratosis is usually raised and has a waxy, stuck-on appearance, rather than flat. Choice D is incorrect as seborrhoeic keratosis is not a squamous cell papilloma, but rather a benign growth of keratinocytes.

Correct Answer: B

Rationale: The correct answer is B because there are indeed three types of neurofibromatosis: NF1, NF2, and schwannomatosis. NF1 and schwannomatosis have autosomal dominant inheritance, while NF2 has autosomal dominant inheritance with variable penetrance. Choice A is incorrect because types of neurofibromatosis do not have autosomal recessive inheritance. Choice C is incorrect because von Recklinghausen's disease is synonymous with neurofibromatosis type 1, not type 2. Choice D is incorrect because cutaneous lesions in neurofibromatosis are typically not painful.

Correct Answer: A

Rationale: Dermatoscopy refers to the examination of skin lesions using a dermatoscope, a tool that magnifies and illuminates the skin. This technique helps in analyzing the structures and patterns within the skin to aid in diagnosing various skin conditions. Choice A is correct because it accurately describes the process of dermatoscopy. Choice B is incorrect as it involves both examination and biopsy, not just examination. Choice C is incorrect as dermatoscopy does not involve removal of skin lesions. Choice D is incorrect as debridement refers to the removal of dead or damaged tissue, not the examination of skin lesions.

Correct Answer: D

Rationale: The correct answer is D, to collect the sputum specimen before the first dose of antibiotics. This is because antibiotics can alter the composition of sputum, affecting test results. By collecting the specimen before antibiotic administration, the nurse ensures the sample is not contaminated. Choice A is incorrect as antibiotics can affect sputum composition. Choice B is incorrect as waiting 30 minutes after antibiotic administration still allows time for the drug to affect the sputum. Choice C is incorrect as administering antibiotics during sputum collection can contaminate the sample.