Chapter 45--Dermatological Dysfunction: Nursing Management

Chapter 45–Dermatological Dysfunction: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client’s wound is being debrided by letting a wet-to-dry dressing that is packed into the wound dry. This type of debridement is called:

1	autolytic debridement.
2	enzymatic debridement.
3	mechanical debridement.
4	sharp debridement.

 

 

ANS:  3

Mechanical debridement makes use of gauze dressing to remove necrotic or devitalized tissue from wounds. Autolytic debridement makes use of the normal phagocytic action of the macrophages and leukocytes present in the wound. Enzymatic debridement is accomplished by using a chemical debriding agent. Sharp debridement is cutting away necrotic tissue from the wound.

 

PTS:   1                    DIF:    Analyze         REF:   Debridement

 

2. A client is experiencing a circular lesion with an advancing, red, scaly border on the abdomen. The nurse recognizes this lesion as being:

1	tinea capitis.
2	tinea corporis.
3	tinea cruris.
4	tinea pedis.

 

 

ANS:  2

Tinea corporis is a fungal infection that involves the face, trunk, and limbs. Tinea pedis is a common infection of the feet. Tinea cruris occurs in the groin and inner thigh, and tinea capitis involves the scalp.

 

PTS:   1                    DIF:    Analyze         REF:   Fungal Infections

 

3. A client is complaining of pain and drainage coming from an area on his back. The nurse assesses the area and finds a large erythematous, swollen mass with multiple areas of purulent drainage. The nurse suspects the client has a(n):

1	abscess.
2	carbuncle.
3	furuncle.
4	papule.

 

 

ANS:  2

Carbuncles are an aggregate of infected follicles originating deep in the dermis and subcutaneous tissue. Carbuncles are many furuncles, and they form an erythematous, swollen, broad, and slowly evolving mass that can ulcerate and drain from multiple openings. A furuncle is a single localized induration that is painful. An abscess is a cavity containing pus, and a papule is a small, raised lesion.

 

PTS:   1                    DIF:    Analyze         REF:   Furuncles and Carbuncles

 

4. A client has what appears to be a bacterial infection or warts on her fingertips. This can be a sign of:

1	herpes gladiatorum.
2	herpes simplex.
3	herpes zoster.
4	herpetic whitlow.

 

 

ANS:  4

Herpetic whitlow usually occurs on the fingertips and can resemble a bacterial infection or warts. Herpes gladiatorum is most frequently found in athletes who participate in contact sports. The appearance of herpes zoster is usually down a single dermatome. Herpes simplex is usually seen orally or on the genitals.

 

PTS:   1                    DIF:    Analyze         REF:   Cutaneous Herpes Simplex

 

5. A school-age child is experiencing pruritic vesicles around the mouth. The lesions have a honey-colored crust. The nurse realizes that the child is most likely experiencing:

1	candidiasis.
2	herpes simplex.
3	impetigo.
4	tinea corporis.

 

 

ANS:  3

Impetigo is a common, superficial skin infection beginning as a focal erythema and progressing to pruritic vesicles, erosions, and honey-colored crusts. Oral herpes simplex would look like a cold sore. Tinea corporis has a circular, red, scaly border, and candidiasis is a proliferation of the normal yeast flora.

 

PTS:     1          DIF:     Analyze           REF:    Impetigo