Chapter 03: Care of the Patient with an Integumentary Disorder

Chapter 03: Care of the Patient with an Integumentary Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient has generalized macular-papular skin eruptions and complains of severe pruritus from contact dermatitis. When the nurse administers his therapeutic bath, it is important to remember that

a.	using Burow’s solution helps promote healing.
b.	rubbing the skin briskly decreases pruritus.
c.	allowing 20 to 60 minutes to complete the bath will prevent pruritus.
d.	sterilizing all equipment used will prevent pruritus.

 

 

ANS:   A

Pruritus is responsible for most of the discomfort. Wet dressings, using Burow’s solution, help promote the healing process. A cool environment with increased humidity decreases the pruritus.

 

DIF:    Cognitive Level: Application             REF:    Page 79           OBJ:    7

TOP:    Pruritus           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

2. A patient, age 63, has cancer of the left breast. After a modified radical mastectomy, she has been receiving chemotherapy. Her grandson, who visited a few days ago, now has varicella (chickenpox). The nurse should observe her carefully for signs of

a.	herpes zoster.
b.	herpes simplex type I.
c.	herpes simplex type II.
d.	impetigo.

 

 

ANS:   A

Herpes zoster is caused by the same virus that causes chickenpox (Herpes varicella). The greatest risk occurs to patients who have a lowered resistance to infection, such as those on chemotherapy or large doses of prednisone, in whom the disease could be fatal because of the patient’s compromised immune system.

 

DIF:    Cognitive Level: Analysis                  REF:    Pages 72, 74    OBJ:    9

TOP:    Chemotherapy                                                KEY:              Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

3. A patient has herpes zoster (shingles). A local antiviral agent, which is useful in delaying the progression of herpetic diseases, was prescribed. This medication is

a.	lorazepam (Ativan).
b.	hydroxyzine (Atarax).
c.	acyclovir (Zovirax).
d.	hydrocortisone (Solu-Cortef).

 

 

ANS:   C

Oral and intravenous acyclovir (Zovirax), when administered early, reduces the pain and duration of the virus.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 72           OBJ:    9

TOP:    Anti-infective                                     KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity

 

4. A child has been sent home from school with pruritus and honey-colored crusts on his lower lip and chin. A probable diagnosis would be

a.	chickenpox.
b.	impetigo.
c.	shingles.
d.	herpes simplex type I.

 

 

ANS:   B

Impetigo is seen at all ages, but is particularly common in children. The crust is honey-colored and easily removed.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 76           OBJ:    10

TOP:    Infection         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

5. A patient has an erythematous patch of vesicles on her scalp, and she complains of pain and pruritus. A diagnosis of tinea capitis is made. The causative organism is

a.	bacterium.
b.	virus.
c.	worm.
d.	fungus.

 

 

ANS:   D

Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen.

 

DIF:    Cognitive Level: Knowledge             REF:    Page 78           OBJ:    10

TOP:    Infection         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity