ATI Basic Med Surg Dermatology
A nurse is assessing a client who has a lesion on his skin. Which of the following
findings is a clinical manifestation of a malignant melanoma?
Rough, dry, scaly lesion
Firm nodule with crust
Pearly papule with ulcerated center
Irregularly shaped lesion with blue tones - Irregularly shaped lesion with blue tones
Malignant melanomas are irregularly shaped and can be blue, red, or white in tone.
They often occur on the client's upper back and lower legs.
A nurse is planning care for a client who has been admitted for treatment of a malignant
melanoma of the upper leg without metastasis. The nurse should plan to prepare the
client for which of the following procedures?
Curettage
External radiation therapy
Regional chemotherapy
Surgical excision - Surgical excision
A nurse is caring for a client who has a lesion on the back of his right hand. The client
asks the nurse which type of skin cancer is the most serious. Which of the following
responses by the nurse is appropriate?
Basal cell carcinomas
Melanomas
Actinic keratoses
Squamous cell carcinomas - Melanomas
A nurse in the emergency department is caring for a client who has a snakebite on her
arm. Which of the following interventions should the nurse implement?
Immobilize the limb at the level of the heart.
Apply a tourniquet to the affected limb.
Use a sterile scapula to incise the wound.
Apply ice to the skin over the snakebite wound. - Immobilize the limb at the level of the
heart
, The emergency management of a client who has a snakebite focuses on limiting the
spread of venom. Any constrictive clothing or jewelry should be removed before
swelling worsens, and the affected limb should be immobilized at the level of the heart.
A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining
what to expect from the prescribed hydrotherapy. Which of the following statements by
the client indicates an understanding of the teaching?
"I will be on a special shower table."
"The water temperature will be very cool to ease my pain."
"The nurse will use a firm-bristled brush to remove loose skin."
"The nurse will use scissors to open small blisters." - "I will be on a special shower
table."
The special shower table facilitates examination and debridement of the wound during
hydrotherapy. An advantage of using the showering technique as opposed to a tub bath
is that the water can be kept at a constant temperature and there is a lower risk of
wound infection.
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that
the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders.
The nurse should document the findings as which of the following skin lesions?
Papules
Macules
Wheals
Vesicles - Papules
A papule is a small, solid, elevated lesion with distinct borders. It is usually smaller than
10 mm in diameter. Papules are common lesions of warts and elevated moles.
A nurse is evaluating the laboratory values of a client who is in the resuscitation phase
following a major burn. Which of the following laboratory findings should the nurse
expect?
Hemoglobin 10 g/dL
Sodium 132 mEq/L
Albumin 3.6 g/dL
Potassium 4.0 mEq/dL - Sodium 132mEq/L
This laboratory finding is below the expected reference range. The nurse should
anticipate a low sodium level because sodium is trapped in interstitial space.
A nurse is assessing a client who has a lesion on his skin. Which of the following
findings is a clinical manifestation of a malignant melanoma?
Rough, dry, scaly lesion
Firm nodule with crust
Pearly papule with ulcerated center
Irregularly shaped lesion with blue tones - Irregularly shaped lesion with blue tones
Malignant melanomas are irregularly shaped and can be blue, red, or white in tone.
They often occur on the client's upper back and lower legs.
A nurse is planning care for a client who has been admitted for treatment of a malignant
melanoma of the upper leg without metastasis. The nurse should plan to prepare the
client for which of the following procedures?
Curettage
External radiation therapy
Regional chemotherapy
Surgical excision - Surgical excision
A nurse is caring for a client who has a lesion on the back of his right hand. The client
asks the nurse which type of skin cancer is the most serious. Which of the following
responses by the nurse is appropriate?
Basal cell carcinomas
Melanomas
Actinic keratoses
Squamous cell carcinomas - Melanomas
A nurse in the emergency department is caring for a client who has a snakebite on her
arm. Which of the following interventions should the nurse implement?
Immobilize the limb at the level of the heart.
Apply a tourniquet to the affected limb.
Use a sterile scapula to incise the wound.
Apply ice to the skin over the snakebite wound. - Immobilize the limb at the level of the
heart
, The emergency management of a client who has a snakebite focuses on limiting the
spread of venom. Any constrictive clothing or jewelry should be removed before
swelling worsens, and the affected limb should be immobilized at the level of the heart.
A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining
what to expect from the prescribed hydrotherapy. Which of the following statements by
the client indicates an understanding of the teaching?
"I will be on a special shower table."
"The water temperature will be very cool to ease my pain."
"The nurse will use a firm-bristled brush to remove loose skin."
"The nurse will use scissors to open small blisters." - "I will be on a special shower
table."
The special shower table facilitates examination and debridement of the wound during
hydrotherapy. An advantage of using the showering technique as opposed to a tub bath
is that the water can be kept at a constant temperature and there is a lower risk of
wound infection.
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that
the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders.
The nurse should document the findings as which of the following skin lesions?
Papules
Macules
Wheals
Vesicles - Papules
A papule is a small, solid, elevated lesion with distinct borders. It is usually smaller than
10 mm in diameter. Papules are common lesions of warts and elevated moles.
A nurse is evaluating the laboratory values of a client who is in the resuscitation phase
following a major burn. Which of the following laboratory findings should the nurse
expect?
Hemoglobin 10 g/dL
Sodium 132 mEq/L
Albumin 3.6 g/dL
Potassium 4.0 mEq/dL - Sodium 132mEq/L
This laboratory finding is below the expected reference range. The nurse should
anticipate a low sodium level because sodium is trapped in interstitial space.
