older CH 53
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Questions and Answers

The nurse is assisting with a skin examination for a patient. The patient says, "I 've heard that sun exposure is bad, but I spent most of my young adulthood at the beach. Why is it so concerning?"

  • Sun exposure will cause the kin to age and wrinkle
  • The sun gives off ultraviolet(UV) rays that destroy vitamin D
  • Melanin pigment is a barrier against UV exposure
  • UV rays damage the DNA in cells and can cause skin cancers (correct)
  • The nurse in a health care provider's(HCP's)office is observing a patient's skin and making a comparison with the information from the patient's last visit. What finding is most concerning?

  • Additional wrinkles of the neck
  • A mole that has changed in color (correct)
  • Dryness of the hands and arms with scratch marks
  • A rash under the skinfolds of the abdomen
  • The nurse is observing a student doing an examination of the skin. Which observation requires correction?

  • Allowing the patient to leave on underwear and socks (correct)
  • Planning to use the techniques of inspection and palpation
  • Including the hair, nail, scalp, and mucous membranes
  • Explaining the need for a pen light and magnifying glass
  • The nurse is performing a wet dressing change as ordered on a patient who has a crusted skin lesion. Which finding is most concerning?

    <p>Dry, macerated skin</p> Signup and view all the answers

    The nurse works in an extended-care facility and is assisting in the development of a policy and procedure addressing foot care of the residents. Which intervention does the nurse identify as needing to be reconsidered in regard to routine foot care for all patients?

    <p>Use a pumice stone to remove dry skin from heels or callused areas</p> Signup and view all the answers

    A patient presents with skin lesions that appear reddened and has seeping areas that are partially crusted over. The HCP orders a viral culture to be performed. Which action requires correction as the nurse collects the specimen?

    <p>The collected fluid is evenly distributed over a glass slide</p> Signup and view all the answers

    The nurse is preparing to assist the HCP in obtaining a skin biopsy. Which information from the nurse is most appropriate

    <p>Tell the patient that the most pain will be in numbing the area</p> Signup and view all the answers

    The nurse is assisting with a patient who has a suspected diagnosis of tinea capitis. For which diagnostic test should the nurse prepare the patient?

    <p>Wood's light examination</p> Signup and view all the answers

    While changing the dressing on a burned arm. the patient informs the nurse of feeling cold and having significant pain. The patient asks the nurse to not apply so much pressure when wrapping gauze around the limb. What can the nurse conclude from this information

    <p>Encapsulated nerve ending in the arm are intact</p> Signup and view all the answers

    The nurse works in an office with a dermatologist and is preparing to assist with a scratch test. What action should the nurse take?

    <p>Place resuscitation equipment in the vicinity of the testing</p> Signup and view all the answers

    A patient is admitted for open wet dressing treatment for a severe ulcerated prescription is most concerning and should be reported to the registered nurse(RN) for questioning?

    <p>Treatment is to continue for 7 days</p> Signup and view all the answers

    A patient with widely distributed chronic eczema is prescribed to receive medicated tar baths. What action should the nurse take

    <p>Provide good ventilation to the room</p> Signup and view all the answers

    The nurse is providing care for a patient with a large skin abrasion to the outer thigh. The HCP has ordered a daily dressing change that does not disturb the healing crusts that have formed in the area. Which dressing material should the nurse select?

    <p>A nonadherent dressing for cover and gauze for wrapping</p> Signup and view all the answers

    A patient has an open skin lesion and the HCP prescribes the application of an antibiotic ointment with a dry sterile dressing applied. What is the reason for the dressing?

    <p>To enhance the absorption of the topical medication</p> Signup and view all the answers

    The nurse is assisting in the care of a patient with second-degree burns to the arm. The blisters are not intact. The HCP prescribes an antibiotic ointment to be applied to the open areas twice daily. Which method should the nurse use for applying the prescribed medication/.

    <p>A wooden tongue depressor</p> Signup and view all the answers

    The nurse is providing care for a patient diagnosed with a fungal infection in the skinfolds beneath the breasts. The HCP has prescribed the application of an antifungal powder to the affected areas. Which finding is concerning and requires reporting to the RN?

    <p>The patient has asthma</p> Signup and view all the answers

    The nurse is assisting in the care of a patient presenting with painful psoriatic lesions. The HCP is preparing for intralesional therapy using a sterile suspension of corticosteroid. Which side effect should be considered

    <p>Local atrophy if the injection is in subcutaneous tissue</p> Signup and view all the answers

    The nurse is collecting data on an older adult patient with a generalized rash. The patient reposts severe itching and the nurse notes open lesions from scratching, Which additional finding causes the nurse the least concern?

    <p>The patient is wearing soft-soled slippers</p> Signup and view all the answers

    The nurse is caring for a patient in a wound clinic who is treated with plastic wrap occlusive dressing. Which findings indicate complications related to prolonged application of the dressing? Select all that apply

    <p>Folliculitis</p> Signup and view all the answers

    The nurse is assisting with the presentation about skin for a group of senior citizens in a community center. Which normal changes associated with aging does the nurse include? Select all that apply

    <p>Fibroblasts in dermis die</p> Signup and view all the answers

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