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Med Surg ATI: Dermatological exam questions and answers with complete solutions

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Med Surg ATI: Dermatological 5.0 (3 reviews) Students also studied Flashcard sets Study guides Practice tests Terms in this set (20) A client is hospitalized with extensive full thickness burns of both legs. In response to the client's questions, the nurse explains that during the acute phase of burn injury, biological dressings are used primarily to a. maintain range of motion b. reduce fluid loss c. relieve pain d. promote healing D Biological dressings are temporary grafts used during the acute phase to increase the rate of epithelialization, act as a barrer to protect the wound from contamination, and reduce fluid and protein loss A client comes to the clinic reporting skin lesions. The nurse assesses the lesions and notes that they are 0.5 cm in size, elevated and solid, with very distinct borders. Based on the findings, which of the following should the nurse document the presence of? a. papules b. macules c. wheals d. vesicles A 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 acne, and warts can also be papules A client about to undergo a biopsy of a 6- mm, bluish-red lesion. In addition to a thorough skin examination, the nurse knows the most critical assessment to be made at this time is the status of the client's a. cardiovascular system b. pulmonary function c. white blood cells d. regional lymph nodes D The description of the lesion suggest a malignant melanoma. The assessment should include not only a thorough skin examination, but also palpation of the regional lymph nodes that drain the area near the lesion A 15 year old girl was admitted with burns of her face and hands. Which statement indicates to the nurse that the client has adapted to her changed body image? a. can I go with my family to the visitors lounge b. I'll see my friends when I get home c. My dad is here. Can I have pain medicine now d. I told my cousins I'm in protective isolation A This demonstrates a positive self-image. The client is asking to visit with her family in a public setting To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and which of the following? a. iron b. folate c. vitamin c d. potassium C Diets high in protein and vitamin C are recommended because these nutrients promote wound healing. A wound with little or no tissue loss (a surgical wound) heals by primary intention. Wounds involving loss of tissue (severe lacerations or pressure ulcers) are left open until filled with scar tissue. This healing by secondary intention takes longer A client arrives at the emergency department with a snakebite of the lower left leg. What should the nurse do? a. immobilize the limb below the level of the heart b. apply a tourniquet to the affected limb c. identify the type of snake causing the bite d. apply ice to the skin over the snakebite wound A The emergency management of a client with a snakebite focuses on preventing the spread of venom. Any constrictive clothing or jewelry should be removed, and the affected limb should be immobilized below the level of the heart A nurse plans to teach a group of young adults health promotion techniques to reduce the risk of skin cancer. Which of the following should the nurse include? a. use a topical hydrocortisone cream for sunburn b. avoid exposure to the midday sun c. wear a sun visor during early afternoon d. choose a tanning booth instead of a beach B Avoiding skin exposure, especially during the midday hours of 1000 to 1500 is crucial for preventing skin cancer A client has had a basal cell carcinoma removed by surgical excision. The nurse instructs the client to watch for indications of potential malignancy in other moles, including which of the following? a. ulceration b. blanching of surrounding skin c. dimpling d. a raised appearance A ulceration, bleeding, or exudation are indications of a moles potential malignancy. Increasing size is also a warning sign. The nurse should emphasize the importance of lifetime follow-up evaluations and the proper techniques for self-exam of the skin every month A client is prescribed 1% silver sulfadiazine (silvadene) to be applied to her burn wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the medication when the client develops which of the following? a. hyponatremia b. leukopenia c. hyperchloremia d. hyperkalemia B Transient leukopenia is a common adverse effect that appears after 2-3 days of treatment with silver sulfadiazine cream A nurse teaches a wheelchair bound client to reduce the risk of pressure ulcer formation by instructing the client to do which of the following? a. move between the bed and the wheelchair every 2 hours b. make sure that your personal assistant massages your skin daily c. be certain to eat a diet that is high in both fiber and fluids d. shift your weight in the wheelchair every 15 minutes D This response addresses the safety issue of the risk of pressure ulcers. Pressure ulcers. wounds that develop due to prolonged pressure on a particular point on the body, are most likely to develop if the client does not shift position frequently When targeting a group of clients for health teaching, the nurse should be aware that which group is at greatest risk for developing malignant melanoma? a. clients who have brown eyes and are of asian descent b. clients who are fair-haired, fair-skinned, and of celtic decent c. clients who are olive-skinned, brown- eyed, and of european descent d. clients who are dark-skinned and of native american descent B Clients who have fair hair, fair skin, and blue eyes and are of celtic descent are at the highest risk for developing skin cancer

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3/19/25, 6:11 Med Surg ATI: Dermatological Flashcards |
AM Quizlet


Med Surg ATI: Dermatological
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Terms in this set (20)


A client is hospitalized with extensive full D
thickness burns of both legs. In response to Biological dressings are temporary grafts used during the acute phase to
the client's questions, the nurse explains increase the rate of epithelialization, act as a barrer to protect the wound from
that during the acute phase of burn injury, contamination, and reduce fluid and protein loss
biological dressings are used primarily to
a.maintain range of motion
b. reduce fluid loss
c. relieve pain
d. promote healing

A client comes to the clinic reporting A
skin lesions. The nurse assesses the a papule is a small, solid, elevated lesion with distinct borders. It is usually smaller
lesions and notes that they are 0.5 cm in than 10 mm in diameter. Papules are common lesions of acne, and warts can also be
size, elevated and solid, with very distinct papules
borders. Based on the findings, which of
the following
should the nurse document the presence
of?
a.papules
b. macules
c. wheals
d. vesicles
A client about to undergo a biopsy of a 6- D
mm, bluish-red lesion. In addition to a The description of the lesion suggest a malignant melanoma. The assessment
thorough skin examination, the nurse knows should include not only a thorough skin examination, but also palpation of the
the most critical assessment to be made at regional lymph nodes that drain the area near the lesion
this time is the status of the client's
a.cardiovascular system
b. pulmonary function
c. white blood cells
d. regional lymph nodes




https://quizlet.com/265750956/med-surg-ati-dermatological- 1/
flash-cards/ 5

, 3/19/25, 6:11 Med Surg ATI: Dermatological Flashcards |
AM Quizlet
A 15 year old girl was admitted with A
burns of her face and hands. Which This demonstrates a positive self-image. The client is asking to visit with her family in a
statement public setting
indicates to the nurse that the client has
adapted to her changed body image?
a.can I go with my family to the
visitors lounge
b. I'll see my friends when I get home
c. My dad is here. Can I have pain
medicine now
d. I told my cousins I'm in protective
isolation
To promote healing for a client with a C
large wound healing by secondary Diets high in protein and vitamin C are recommended because these nutrients
intention, the nurse recommends a diet promote wound healing. A wound with little or no tissue loss (a surgical wound)
high in protein heals by primary intention. Wounds involving loss of tissue (severe lacerations or
and which of the following? pressure ulcers) are left open until filled with scar tissue. This healing by secondary
a.iron intention takes longer
b. folate
c. vitamin c
d. potassium
A client arrives at the emergency A
department with a snakebite of the lower The emergency management of a client with a snakebite focuses on preventing the
left leg. What should the nurse do? spread of venom. Any constrictive clothing or jewelry should be removed, and the
a.immobilize the limb below the level of affected limb should be immobilized below the level of the heart
the heart
b. apply a tourniquet to the affected limb
c. identify the type of snake causing
the bite
d. apply ice to the skin over the
snakebite wound

A nurse plans to teach a group of young B
adults health promotion techniques to Avoiding skin exposure, especially during the midday hours of 1000 to 1500 is
reduce the risk of skin cancer. Which of the crucial for preventing skin cancer
following should the nurse include?
a.use a topical hydrocortisone cream for
sunburn
b. avoid exposure to the midday sun
c. wear a sun visor during early afternoon
d. choose a tanning booth instead of a
beach

A client has had a basal cell carcinoma A
removed by surgical excision. The ulceration, bleeding, or exudation are indications of a moles potential malignancy.
nurse instructs the client to watch for Increasing size is also a warning sign. The nurse should emphasize the importance
indications of potential malignancy in of lifetime follow-up evaluations and the proper techniques for self-exam of the
other moles, skin every month
including which of the following?
a.ulceration
b. blanching of surrounding skin
c. dimpling
d. a raised appearance




https://quizlet.com/265750956/med-surg-ati-dermatological- 2/
flash-cards/ 5

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