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Worksheets41 Qs Integumentary Disorder Quiz From Adult Health
Total questions: 41
Worksheet time: 21mins
A patient has generalized macular-papular skin eruptions and complains of severe pruritus from contact dermatitis. When the nurse administers his therapeutic bath, it is important to remember that
using Burow’s solution helps promote healing.
rubbing the skin briskly decreases pruritus.
allowing 20 to 60 minutes to complete the bath will prevent pruritus.
sterilizing all equipment used will prevent pruritus.
A patient, age 63, has cancer of the left breast. After a modified radical mastectomy, she has been receiving chemotherapy. Her grandson, who visited a few days ago, now has varicella (chickenpox). The nurse should observe her carefully for signs of
herpes zoster.
herpes simplex type I.
herpes simplex type II.
impetigo.
A patient has herpes zoster (shingles). A local antiviral agent, which is useful in delaying the progression of herpetic diseases, was prescribed. This medication is
lorazepam (Ativan).
hydroxyzine (Atarax).
acyclovir (Zovirax).
hydrocortisone (Solu-Cortef).
A child has been sent home from school with pruritus and honey-colored crusts on his lower lip and chin. A probable diagnosis would be
chickenpox.
impetigo.
shingles.
herpes simplex type I.
A patient has an erythematous patch of vesicles on her scalp, and she complains of pain and pruritus. A diagnosis of tinea capitis is made. The causative organism is
bacterium.
virus.
worm.
fungus.
A patient, age 46, reports to his physician’s office with urticaria and papules on his hands and arms. He says, 'It itches so badly.' In assessing the patient, the nurse should gather data regarding recent
travel to foreign countries.
upper respiratory tract infection.
changes in medication.
contact with people who have an infectious disease.
A patient has been receiving penicillin, acetaminophen with codeine, and hydrochlorothiazide for 4 days. He now has a urinary tract infection. A sulfonamide has been prescribed to be taken three times per day. Several hours after the second dose, he complains of pruritus. The nurse observes a generalized erythema and rash. The most appropriate nursing intervention would be to hold
all medications, and notify the physician of the signs and symptoms.
the penicillin.
the acetaminophen with codeine.
the sulfonamide.
A patient has acne vulgaris. When the nurse explains this condition, it is most important to
stress the importance of strict hygiene.
discuss the connection of diet and stress.
explore how this condition is affecting his self-image and lifestyle.
describe in detail the proper use of prescribed medication.
A 30-year-old African American had surgery 6 months ago. Her incisional site is now raised, indurated, and shiny. This tissue growth is most likely a(n)
angioma.
keloid.
melanoma.
nevus.
A patient, age 37, sustained partial- and full-thickness burns to 26% of her body surface area. The greatest fluid loss resulting from her burns will usually occur
within 12 hours after burn trauma.
24 to 36 hours after burn trauma.
24 to 48 hours after burn trauma.
48 to 72 hours after burn trauma.
Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from
infection.
dysrhythmias with cardiac arrest.
hypovolemic shock and renal failure.
adrenal failure.
A patient, age 26, is admitted to the burn unit with partial- and full-thickness burns to 20% of his body surface area as well as smoke-inhalation injury. Carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide
binds with hemoglobin in place of oxygen.
interferes with oxygen intake.
is a respiratory depressant.
is a toxic agent.
A nurse arrives at an accident scene where the victim has just received an electrical burn. The nurse’s primary concern is
the extent and depth of the burn.
the sites of entry and exit.
the likelihood of cardiac arrest.
control of bleeding.
A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is
shock.
respiratory arrest.
hemorrhage.
infection.
A duodenal ulcer may occur 8 to 14 days after severe burns. Usually, the first symptom is bright red emesis. Which condition matches this description?
Curling’s ulcer
Paralytic ileus
Hypoglycemia
ICU psychosis syndrome
A nurse is providing the open method of treatment for a patient who is 52 years old with burns to her lower extremities. It would be important for the nurse to
change the dressing using good medical asepsis.
provide an analgesic immediately after the dressing change.
perform circulation checks every 2 to 4 hours.
keep the room temperature at 85° F (24.4° C) to prevent chilling.
The nurse has initiated measures to promote suppuration of a carbuncle. Which assessment would indicate that these measures have been successful?
The area is erythematous and scaly.
The area has begun to drain exudate.
The area is not erythematous or edematous.
The area has stopped draining exudate.
A patient, age 20, is admitted with severe eczema. In planning the care for her, the nurse should plan to
keep the skin well hydrated.
change the dressings every day.
keep the skin clean and dry.
administer antibiotics for the infection.
The nurse is caring for a 26-year-old patient who was burned 72 hours ago. He has partial-thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. The nurse should
slow the IV solution and monitor for burn shock.
monitor for signs of infection.
assess for signs of fluid overload.
raise the foot of the bed and apply blankets.
A patient, age 29, is diagnosed with genital herpes. She is receiving acyclovir (Zovirax). Which would indicate a therapeutic response?
Decrease in pruritus
Decrease in pain
Increase in WBC count
Increase in activity tolerance
A female patient is seen by the school nurse because of flat lesions that are clear in the center with erythematous borders. In assessing a patient for tinea corporis, the nurse would check
soles of the feet.
back of the scalp.
groin area.
anterior abdomen.
A patient has been walking in the woods. He complains of severe pruritus. The nurse notes an erythematous area on his lower legs. The first nursing intervention for dermatitis venenata would be to
administer Benadryl, 50 mg IM.
wash area with copious amounts of water.
apply cool compresses continuously.
expose area to heat and air.
The nurse debriding a wound explains the purpose of debridement is to:
increase the effectiveness of the skin graft.
prevent infection and promote healing.
promote suppuration of the wound.
promote movement in the affected area.
A patient has been admitted to the hospital with burns to his upper chest. The nurse notes singed nasal hairs. It would be important for the nurse to assess this patient frequently for
decreased activity.
bradycardia.
respiratory complications.
hypertension.
Which may indicate a malignant melanoma in a nevus on a patient’s arm?
Even coloring of the mole
Decrease in size of the mole
Irregular border of the mole
Symmetry of the mole
A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse uses what knowledge of skin assessment?
It is not possible to assess color changes in patients with dark skin.
Cyanosis in patients with dark skin can be seen only in the sclera.
Cyanosis can be seen in the lips and mucous membranes of patients with dark skin.
Cyanosis will blanch out with direct pressure to the soles of the feet in dark-skinned patients.
A patient developed a severe contact dermatitis of her hands, arms, and lower legs after spending an afternoon picking strawberries. She states that the itching is severe and she cannot keep from scratching. Which instruction by the nurse will be most helpful in managing the pruritus?
Use cool, wet dressings and baths to promote vasoconstriction.
Trim the fingernails short to prevent skin damage from scratching.
Expose the areas to the sun to promote drying and healing of the lesions.
Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.
A patient is a 32-year-old woman whose mother recently died from malignant melanoma. She asks the nurse about what she can do to prevent the development of malignant melanoma in herself and her children. The best response by the nurse includes which information regarding risk factors for melanoma?
Avoid exposure to the sun and use protective measures when exposure occurs.
Have all nevi removed.
Watch for changes in moles, especially on the back.
There is nothing that prevents malignant melanoma, but it is curable if detected early.
In addition to medication management of systemic lupus erythematosus, which supportive therapy would help control the disease?
Balanced diet and balance between rest and activity
Increase in activity to promote mobility
Exposure to the sun to increase vitamin D absorption
Increased sodium consumption
Cellulitis is a potentially serious infection. In adults Staphylococcus aureus can cause which complications?
Sepsis and meningitis
Appendicitis and vasculitis
Tinea pedis and tinea corporis
Urticaria and psoriasis
Nursing interventions for treatment of herpes virus infections are:
Keep the lesions moist to prevent pain.
Apply cold, moist compresses to lesions.
Focus on treating symptoms and preventing spread of virus.
Cleanse lesions with alcohol.
Parasitic skin diseases are identified as pediculosis or scabies. The difference between pediculosis and scabies is
pediculosis only occurs in poor living conditions.
scabies only occurs when there is poor hygiene.
scabies is caused by mites that burrow into the skin.
lice is caused by mites that attach themselves to bare areas of the skin.
Melanocytes give rise to the pigment melanin which is responsible for skin color. The melanocytes can be found in
Dermis
Superficial fascia
Epidermis
Loose connective tissue
The three major glands of the skin are __________, ___________, and __________.
Sudoriferous (sweat), Ceruminous, and Sebaceous (oil).
Sebaceous (oil), Sudoriferous (sweat), Ceruminous.
Sudoriferous (sweat), Sebaceous (oil), and Ceruminous
Sebaceous (oil), Ceruminous, and Sudoriferous (sweat).
The most deadly skin cancer is ________________.
Basal cell carcinoma
Squamous cell carcinoma
Melanoma
Merkel cell carcinoma
What is the correct steps in order for the medical treatment during the emergent phase of burn management from the list below.
A. Transport victim to hospital.
B. Cover victim with clean cloth or sheet.
C. Stop, drop, and roll.
D. Remove all now-adherent clothing and jewelry.
E. Provide an open airway.
F. Control any bleeding.
A, B, F, D, C, E
C, E, F, D, B, A
A, B, C, D, E, F
F, E, D, C, B, A
Major functions of the skin include: (Select all that apply.)
A. excretion of wastes.
B. protection.
C. vitamin D synthesis.
D. temperature regulation.
E. prevention of dehydration.
A, B, C, D, E
A, C, D, E
B, C, D, E
A, B, D, E
During primary survey assessment of a burn patient, the nurse checks for early signs of carbon monoxide poisoning, which include:
A. Dizziness n B.) Urticaria
Vomiting
headache
vertigo
unsteady gait
A common diagnostic criterion for identifying systemic lupus erythematosus (SLE) is: (Select all that apply.)
butterfly rash over nose and cheeks
photosensitivity.
C) severe abdominal pain. or D) skin ulcers.
polyarthralgias and polyarthritis.
immobility.
Nursing interventions and patient teaching for the treatment of head lice and scabies include: (Select all that apply.)
clothing, linens, and bath articles thoroughly cleaned in hot water.
stress nature and transmission of the disease.
special carbohydrate diet to promote healing.
complete isolation from the public.
What is the right pathophysiological stages of burns with the greatest concern.
A. Freedom from wound infection
B. Hypovolemia
C. Circulatory overload
Stage 1 A. Freedom from wound infection
Stage 2. B. Hypovolemia
Stage 3 C. Circulatory overload
A, B, C
Stage 1 C. Circulatory overload
Stage 2. A. Freedom from wound infection
Stage 3 B. Hypovolemia
C, A, B
Stage 1 B. Hypovolemia
Stage 2 C. Circulatory overload
Stage 3. A. Freedom from wound infection
B, C, A
Stage 1 B. Hypovolemia
Stage 2. A. Freedom from wound infection
Stage 3 C. Circulatory overload
B, A, C
