Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-69

1. Which safe sun practices would the nurse include in a teaching plan for a patient with photosensitivity? (select all that apply) a. Wear protective clothing. b. Apply sunscreen liberally and often. c. Emphasize the short-term use of a tanning booth. d. Avoid exposure to the sun, especially during midday. e. Wear any sunscreen that is available from the drugstore. Correct Answer a. Wear protective clothing. b. Apply sunscreen liberally and often. d. Avoid exposure to the sun, especially during midday. 2. When teaching a patient with melanoma, the nurse recognizes that the patient's prognosis is most dependent on a. the thickness of the lesion. b. the degree of asymmetry in the lesion. c. the amount of ulceration in the surrounding skin. d. how much color variation is present in the lesion. Correct Answer a. the thickness of the lesion. 3. The nurse determines that a patient with which disorder is most at risk for spreading the disease? a. Tinea pedis b. Impetigo on the face c. Candidiasis of the nails d. Psoriasis on the palms and soles Correct Answer b. Impetigo on the face 4. A mother and her children have been diagnosed with pediculosis corporis at a health care center. An appropriate treatment is a. applying pyrethrins to the body. b. topical application of griseofulvin. c. moist compresses applied frequently. d. administration of systemic antibiotics. Correct Answer a. applying pyrethrins to the body. 5. A common site for the lesions caused by atopic dermatitis is the a. buttocks. b. temporal area. c. antecubital space. d. plantar surface of the feet. Correct Answer c. antecubital space. 6. During the assessment of a patient, you note an area of red, sharply defined plaques covered with silvery scales that are mildly itchy on the patient's knees and elbows. You would describe this finding as a. lentigo. b. psoriasis. c. actinic keratosis. d. seborrheic keratosis. Correct Answer b. psoriasis. 7. In teaching a patient who is using topical corticosteroids to treat acute dermatitis, the nurse should tell the patient that (select all that apply) a. the cream form is the most efficient system of delivery. b. short-term topical corticosteroid use usually does not cause systemic side effects. c. use a glove to apply a large amount of topical ointment to prevent further infection. d. abruptly stopping the use of topical corticosteroids may cause the dermatitis to reappear. e. systemic side effects from topical corticosteroids are likely if the patient is malnourished. Correct Answer b. short-term topical corticosteroid use usually does not cause systemic side effects. d. abruptly stopping the use of topical corticosteroids may cause the dermatitis to reappear. 8. Important patient teaching after a chemical peel includes a. avoidance of sun exposure. b. application of firm bandages. c. limitation of vigorous exercise. d. use of moist heat to relieve discomfort. Correct Answer a. avoidance of sun exposure.