Chapter 23: Integumentary Problems

Chapter 23: Integumentary Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?

a.	Use a sunscreen with an SPF of at least 10 for adequate protection.
b.	Try to stay out of the direct sun between the hours of 10 AM and 2 PM.
c.	Water resistant sunscreens will provide good protection when swimming.
d.	Increase sun exposure by no more than 10 minutes a day to avoid skin damage.

 

 

ANS:  B

The risk for skin damage from the sun is highest with exposure between 10 AM and 2 PM. No sunscreen is completely water resistant. Sunscreens classified as water resistant still need to be reapplied after swimming. Sunscreen with an SPF of at least 15 is recommended for people at normal risk for skin cancer. Although gradually increasing sun exposure may decrease the risk for burning, the risk for skin cancer is not decreased.

 

DIF:    Cognitive Level: Apply (application)           REF:               408

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Health Promotion and Maintenance

 

2. Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?

a.	Use a sunscreen with a high SPF when exposed to the sun.
b.	Sun exposure may decrease the effectiveness of the medication.
c.	Photosensitivity may result in an artificial-looking tan appearance.
d.	Wear sunglasses to avoid eye damage while taking this medication.

 

 

ANS:  A

The patient should stay out of the sun. If that is not possible, teach the patient to wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.

 

DIF:    Cognitive Level: Apply (application)           REF:               408

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Health Promotion and Maintenance

 

3. Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

a.	Treatment plans include watchful waiting.
b.	Screening for metastasis will be important.
c.	Minimizing sun exposure reduces risk for future BCC.
d.	Low dose systemic chemotherapy is used to treat BCC.

 

 

ANS:  C

BCC is frequently associated with sun exposure, and preventive measures should be taken for future sun exposure. BCC spreads locally, and does not metastasize to distant tissues. Because BCC can cause local tissue destruction, treatment is indicated. Local (not systemic) chemotherapy may be used to treat BCC.

 

DIF:    Cognitive Level: Apply (application)           REF:               411

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Physiological Integrity

 

4. A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?

a.	Prepare the patient for a skin biopsy.
b.	Teach the use of corticosteroid cream.
c.	Explain how to apply tretinoin (Retin-A) to the face.
d.	Discuss the need for topical application of antibiotics.

 

 

ANS:  A

Because the appearance of the lesion is suggestive of actinic keratosis or possible squamous cell carcinoma, the appropriate treatment would be excision and biopsy. Over-the-counter corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion.

 

DIF:    Cognitive Level: Apply (application)           REF:               412

TOP:   Nursing Process: Planning               MSC:  NCLEX: Physiological Integrity

 

5. A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?

a.	The patient has multiple dysplastic nevi.
b.	The patient uses a tanning booth weekly.
c.	The patient is fair-skinned and has blue eyes.
d.	The patient’s mother died of a malignant melanoma.

 

 

ANS:  B

Because the only risk factor that the patient can change is the use of a tanning booth, the nurse should focus teaching about melanoma prevention on this factor. The other factors also will contribute to increased risk for melanoma.

 

DIF:    Cognitive Level: Analyze (analysis)                                  REF:   410

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Health Promotion and Maintenance