The nurse is discussing a skin disorder of the non-bullous form which is the most common skin condition in children. Which skin disorder is the
... [Show More] nurse discussing?
A. Candidiasis
B. Cellulitis
C. Folliculitis
D. Impetigo
D. Impetigo
Which form of bacteria should the nurse know produces an enzyme that causes inflammation to spread quickly through the skin?
A. Staphylococcus
B. Pseudomonas
C. Escherichia coli
D. Streptococcus
D. Streptococcus
note: cellulitis is caused by this bacteria along with staphylococcus
The nurse assesses a client with psoriasis lesions on the anterior and posterior of both lower extremities. Which factor should the nurse recall is responsible for the growth of these lesions? (Select all that apply.)
A. Hyperproliferation of keratinocytes
B. Inflammation
C. Decrease in epidermal cell turnover
D. Occlusion of hair follicles
E. Exposure to ultraviolet light
A. Hyperproliferation of keratinocytes
B. Inflammation
C. Decrease in epidermal cell turnover
The nurse teaches a client about reducing the inflammation of psoriasis. Which factor should the nurse encourage the client to avoid?
A. Exercise
B. Cold weather
C. Sunlight
D. Stress
D. Stress
The nurse assesses a client with melanoma in the dermatology clinic. Which clinical manifestation should the nurse expect? (Select all that apply.)
A. Ulceration and bleeding
B. An unusually shaped mole
C. Black, red, white, or brown pigmentation
D. Itching at the site
E. Smooth, skin-colored nodule
A. Ulceration and bleeding
B. An unusually shaped mole
C. Black, red, white, or brown pigmentation
An adult client reports a skin lesion on the lower back that bleeds easily, ranges in color from black to red, and is tender to touch. Which type of lesion should the nurse suspect this client is experiencing?
A. Squamous cell carcinoma
B. Benign skin tumor
C. Malignant melanoma
D. Basal cell carcinoma
C. Malignant melanoma
The nurse assessing a client's skin observes circular plaques with silvery scales. Which skin disorder should the nurse suspect in this client?
A. Herpes simplex
B. Herpes zoster
C. Psoriasis
D. Melanoma
C. Psoriasis
The nurse is caring for a client with newly diagnosed psoriasis. The nurse should expect to prepare the client for which collaborative intervention?
A. Surgical biopsy
B. Cryotherapy
C. Phototherapy
D. Antibiotic therapy
C. Phototherapy (treat psoriasis with ultraviolet light)
Which is an example of a chemical burn?
A. Blistering in the sun
B. Being splashed with battery acid
C. Spilling hot grease on skin
D. Being struck by lightning
B. Being splashed with battery acid
The nurse notes the rule of nines was used to assess a client. For which type of traumatic injury should the nurse plan care for this client?
A. Blunt
B. Electrical
C. Thermal
D. Penetrating
C. Thermal
The nurse is the first to arrive to the scene of a client who has sustained a high-voltage electrical injury as a result of downed power lines. Which should be considered first when preparing to assist the client?
A. Degree of injury
B. Safety and possible active electrical current
C. Level of consciousness
D. Availability of bystanders to assist in rescue efforts
B. Safety and possible active electrical current
A client accidentally dropped a pot of boiling water on the legs and has large blisters, pale, moist skin, and decreased sensation on the front areas of the thighs and legs. What classification of burn should the nurse document?
A. Superficial partial-thickness
B. Superficial
C. Full-thickness
D. Deep partial-thickness
D. Deep partial-thickness
The nurse is caring for a client with a chemical burn. Which question should the nurse ask to support treatment of the burn?
A. "Do you have medical insurance?"
B. "Have you ever had a chemical burn in the past?"
C. "Can someone obtain the material safety data sheet for us?"
D. "What medications do you take?"
C. "Can someone obtain the material safety data sheet for us?"
The nurse is teaching the employees of a company about the prevention of chemical burns. Which information should the nurse include?
A. Use chemicals in well-ventilated spaces.
B. Use protective equipment if you can provide your own.
C. Ban all chemical use throughout the campus.
D. Mix chemicals to make them less caustic.
A. Use chemicals in well-ventilated spaces.
The nurse is teaching safety in the home for parents with young children. Which aspect of the toddler age should the nurse emphasize that places them at risk for electrical injury?
A. Inability to talk in sentences
B. Placing objects in the mouth
C. Trying new foods
D. Potty training
B. Placing objects in the mouth
Which should the nurse consider for a client experiencing status epilepticus? (Select all that apply.)
A. This is recurrent seizure activity over a period of 30 minutes.
B. The seizures are unlikely to cease without intervention.
C. The client is at risk for hyperglycemia.
D. The client is at risk for hypothermia.
E. This is a seizure that continues for longer than 5 minutes.
A. This is recurrent seizure activity over a period of 30 minutes.
B. The seizures are unlikely to cease without intervention.
E. This is a seizure that continues for longer than 5 minutes.
A client is experiencing symptoms of a seizure disorder. Which client statement should cause the nurse to ask about a history of tonic-clonic seizures?
A. "I'm awake during my seizures and feel muscle contractions in my face."
B. "I get this weird feeling before I have my seizure."
C. "I have difficulty staying awake for a couple hours after my seizures."
D. "The seizures happen without any warning."
D. "The seizures happen without any warning."
Which client is at the greatest risk for multiple sclerosis (MS)? (Select all that apply.)
A. 14-year-old client who recently moved from a geographic location with high rates of MS
B. 65-year-old client with progressive muscle weakness
C. 34-year-old man living in an area with a high incidence of MS
D. 38-year-old client of European decent
E. 29-year-old woman with an identical twin diagnosed with MS
C. 34-year-old man living in an area with a high incidence of MS
D. 38-year-old client of European decent
E. 29-year-old woman with an identical twin diagnosed with MS
The nurse is completing the health history with the mother of a 6-month-old infant, who is experiencing intractable seizures. Which health history finding should the nurse identify as associated with epilepsy in infants?
A. The infant is small for their gestational age
B. The infant was recently immunized
C. The infant experienced jaundice at birth that resolved after 24 hours
D. The infant is only fed formula
A. The infant is small for their ge [Show Less]