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

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

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

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

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

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