Online Nursing Practice Test about Skin (Integumentary Diseases 6-10)

6. The client arrives at the emergency room and has experienced frostbite to the right hand. Which of the following would the nurse note on assessment of the client's hand?

a) a pink, edematous hand
b) a fiery red skin with edema in the nail beds
c) black fingertips surrounded by an erythematous rash
d) a white color to the skin, which is insensitive to touch

7. The nurse prepares to treat a client with frostbite of the toes. Which of the following does the nurse anticipate to be prescribed for this condition?

a) rapid and continuous rewarming of the toes after flushing returns
b) rapid and continuous rewarming of the toes in cold water for 45 minutes
c) rapid and continuous rewarming of the toes in hot water for 15 to 20 minutes
d) rapid and continuous rewarming of the toes in a warm water bath until flushing of the skin occurs



8. The nurse is reviewing the health care record of the clients scheduled to be seen at the health care clinic. The nurse determines that which of the following individuals is at the greatest risk for development of an integumentary disorder?

a) an adolescent
b) an older female
c) a physical education teacher
d) an outdoor construction worker

9. The nurse is reviewing the discharge instructions for the client who had a skin biopsy. Which statement by the client indicates a need for further instruction?

a) I will use the antibiotic ointment as prescribed
b) I will return in 7 days to have the sutures removed
c) I will call the physician if I see any drainage from the wound
d) I will remove the dressing as soon as I get home and wash it with water

10. Isotretinoin (Accutane) is prescribed for a client with sever cystic acne. The nurse provides instructions to the client regarding administration of the medication. Which of the following if stated by the client indicates a need for further teaching regarding this medication?

a) I need to continue to take my vitamin A supplements
b) The medication may cause dryness and burning in my eyes
c) I need to use emollients and lip balms for my dry skin and lips
d) I will need to return for a blood test to check my triglyceride level



ANSWERS AND RATIONALE

6) D

- Assessment findings in frostbite include a white or blue color; the skin will be hard, cold, and insensitive to touch. As thawing occurs, flushing of the skin, the development of blisters or blebs, or tissue edema appears. Options A, B, and C are incorrect.

7) D

- Acute frostbite is treated ideally with rapid and continuous rewarming of the tissue in a warm water bath for 15 to 20 minutes or until flushing of the skin occurs. Slow thawing or interrupted periods of warmth are avoided, because this can contribute to increased cellular damage. Cold or hot water is not used. Thawing can cause considerable pain, and the nurse administers analgesics as prescribed.

8) D

- Prolonged exposure to the sun, unusual cold, or other conditions can damage the skin. The outdoor construction worker would fit into a high-risk category for the development of an integumentary disorder. An adolescent may be prone to the development of acne, but this does not occur in all adolescents. Immobility and lack of nutrition would increase the older person’s risk but the older client is not at as high a risk as the outdoor construction worker. The physical education teacher is at low or no risk of developing an integumentary problem.

9) D

- Following a skin biopsy, the nurse instructs the client to keep the dressing dry and in place for a minimum of 8 hours. After the dressing is removed, the site is cleaned once daily with tap water or saline to remove any dry blood or crusts. The physician may prescribe an antibiotic ointment to minimize local bacterial colonization. The nurse instructs the client to report any redness or excessive drainage at the site. Sutures usually are removed 7 to 10 days after biopsy.

10) A

- In severe cystic acne, isotretinoin (Accutane) is used to inhibit inflammation. Adverse effects include elevated triglyceride levels, skin dryness, eye discomfort such as dryness and burning, and cheilitis (lip inflammation). Close medical follow-up is required, and dry skin and cheilitis can be decreased by the use of emollients and lip balms. Vitamin A supplements are stopped during this treatment.


Related Topics:

• Online Nursing Practice Test about Skin Disorder (11-15)

Or go back to Online Nursing Practice Test about Skin Disorder (1-5)

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