Chapter 42: Care of Patents with Integumentary Disorders and Burns

Chapter 42: Care of Patents with Integumentary Disorders and Burns

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is bathing a patient with poison ivy. Which action is most appropriate?

a.	Bathe the patient with warm water.
b.	Maintain a room temperature of 78° to 80° F to prevent chills.
c.	Cover vesicles with gauze dressings.
d.	Pat skin dry.

 

 

ANS:  D

Patting the skin dry will decrease irritation and will not break vesicles. Heat (both water and room temperatures) will exacerbate itching. Vesicles should not be covered with dressings.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   971

OBJ:   1 (theory)       TOP:   Contact Dermatitis: Care Instruction

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan?

a.	Drink 4 ounces of wine daily to promote vasodilation.
b.	Wash your face at least three times daily.
c.	Avoid direct sunlight.
d.	Apply tea bags to the affected areas.

 

 

ANS:  C

Avoiding direct sunlight will reduce the symptoms. Factors that cause facial flushing precipitate worsening. Tea, coffee, alcohol (especially wine), caffeine-containing foods, spicy foods, sunlight, and emotional stress cause flare-ups. Washing the face too frequently can lead to skin irritation and dry skin.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   971

OBJ:   5 (theory)       TOP:   Acne Rosacea: Exacerbation

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. For which patient would the nurse question an order for isotretinoin (Accutane)?

a.	A 20-year-old epileptic man with nodular acne and epilepsy
b.	A 22-year-old pregnant woman with severe acne
c.	A 46-year-old woman on oral contraceptive pills with cystic acne
d.	A 50-year-old hypertensive man with cystic acne

 

 

ANS:  B

Accutane is considered a teratogen and can cause fetal malformations. Patients of childbearing age must be on a contraceptive.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   972

OBJ:   5 (theory)       TOP:   Accutane: Contraindications

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

4. The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan?

a.	Avoid all chocolate.
b.	Wash your face gently with mild soap.
c.	Scrub your face with a soft brush.
d.	Gently express clogged sebum from your pores.

 

 

ANS:  B

The patient should keep his face clean and dry by washing with gently with mild soap and water. Although evidence exists that caffeine could potentially cause flare-ups, strict diet restrictions are no longer recommended. Scrubbing the face with a brush can cause irritation, and squeezing pustules can lead to infection.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   972

OBJ:   5 (theory)       TOP:   Acne: Home Care

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

5. A patient with psoriasis is placed on PUVA therapy. What factors compose this therapy?

a.	Radiation and corticosteroids
b.	X-rays and methotrexate
c.	Artificial ultraviolet (UV) rays and a coal tar product
d.	Laser treatment and antimetabolites

 

 

ANS:  C

PUVA is a combination of artificial UV rays and psoralen, a coal tar product.

 

PTS:   1                    DIF:    Cognitive Level: Knowledge            REF:   973

OBJ:   2 (theory)       TOP:   Psoriasis Treatment: PUVA

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort