lOMoARcPSD|3013804
Chapter 23 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 23: Concepts of Care for Patients With Skin Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse teaches a client who has pruritus. Which statement by the client shows a need
to review the information?
a.
“I will shower daily using a super-fatted soap.”
b.
“I can try taking a bath with colloidal oatmeal.”
c.
“I will pat my skin dry instead of rubbing it with a towel.”
d.
“I will be careful to keep my nails filed smoothly.”
ANS: D
The client with pruritus should shower only every other day, although super-fatted soap is an
appropriate choice. Colloidal oatmeal baths are very soothing. Patting the skin dry avoids
trauma and injury. Keeping nails filed smoothly also prevents injury.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Skin disorders, Health teaching
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
2. A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for
pressure injury development?
a.
A 44 year old prescribed IV antibiotics for pneumonia
b.
A 26 year old who is bedridden with a fractured leg
c.
A 65 year old with hemiparesis and incontinence
G R A DE SL A B . C O M
d.
A 78 year old requiring ass is ta nc e to a m b u la te w ith a walker
ANS: C
Risk factors for development of a pressure injury include lack of mobility, exposure of skin to
excessive moisture (e.g., urinary or fecal incontinence), malnourishment, and aging skin. The
client with hemiparesis and incontinence has two risk factors. The client with pneumonia has
no identified risk factors. The other two are at lower risk if they are not very mobile, but
having two risk factors is a higher risk.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Pressure injuries, Risk factors
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. A nurse is caring for a client with an electrical burn. The client has entrance wounds on
the hands and exit wounds on the feet. What information is most important to include
when planning care?
a.
The client may have memory and cognitive issues postburn.
b.
Everything between the entry and exit wounds can be damaged.
c.
The respiratory system requires close monitoring for signs of swelling.
d.
Electrical burns increase the risk of developing future cancers.
ANS: B
Chapter 23 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 23: Concepts of Care for Patients With Skin Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse teaches a client who has pruritus. Which statement by the client shows a need
to review the information?
a.
“I will shower daily using a super-fatted soap.”
b.
“I can try taking a bath with colloidal oatmeal.”
c.
“I will pat my skin dry instead of rubbing it with a towel.”
d.
“I will be careful to keep my nails filed smoothly.”
ANS: D
The client with pruritus should shower only every other day, although super-fatted soap is an
appropriate choice. Colloidal oatmeal baths are very soothing. Patting the skin dry avoids
trauma and injury. Keeping nails filed smoothly also prevents injury.
DIF: Analyzing TOP: Integrated Process: Teaching/Learning
KEY: Skin disorders, Health teaching
MSC: Client Needs Category: Physiological Integrity: Basic Care and Comfort
2. A nurse assesses clients on a medical-surgical unit. Which client is at greatest risk for
pressure injury development?
a.
A 44 year old prescribed IV antibiotics for pneumonia
b.
A 26 year old who is bedridden with a fractured leg
c.
A 65 year old with hemiparesis and incontinence
G R A DE SL A B . C O M
d.
A 78 year old requiring ass is ta nc e to a m b u la te w ith a walker
ANS: C
Risk factors for development of a pressure injury include lack of mobility, exposure of skin to
excessive moisture (e.g., urinary or fecal incontinence), malnourishment, and aging skin. The
client with hemiparesis and incontinence has two risk factors. The client with pneumonia has
no identified risk factors. The other two are at lower risk if they are not very mobile, but
having two risk factors is a higher risk.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Pressure injuries, Risk factors
MSC: Client Needs Category: Physiological Integrity: Reduction of Risk Potential
3. A nurse is caring for a client with an electrical burn. The client has entrance wounds on
the hands and exit wounds on the feet. What information is most important to include
when planning care?
a.
The client may have memory and cognitive issues postburn.
b.
Everything between the entry and exit wounds can be damaged.
c.
The respiratory system requires close monitoring for signs of swelling.
d.
Electrical burns increase the risk of developing future cancers.
ANS: B
