Chapter 24: Nursing Management: Integumentary Problems

Chapter 24: Nursing Management: Integumentary Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE
1. To decrease the risk for sun damage to the skin, which information should the nurse
include when teaching patients?
a. Waterproof sunscreens will provide good protection when swimming.
b. Use a sunscreen with an SPF of at least 8 to 10 for adequate protection.
c. Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).
d. Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
ANS: C
The risk for skin damage from the sun is highest with exposure between 10 AM and 2
PM. The term waterproof is misleading; no sunscreen is completely waterproof.
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: Application REF: 448-449
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 sulfamethoxazole and trimethoprim (Septra, Bactrim) 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 sulfamethoxazole.
ANS: A
The patient should wear sunscreen when taking medications that can cause
photosensitivity. The other statements are not accurate.
DIF: Cognitive Level: Application REF: 449
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
3. A patient is diagnosed with basal cell carcinoma (BCC) of the face. Which information
should be included in patient teaching?
a. Treatment plans include watchful waiting.
b. Screening for metastasis will be important.
c. Low dose systemic chemotherapy is used to treat BCC.
d. Minimizing sun exposure will reduce risk for future BCC.
ANS: D
Test Bank 24-2
BCC is frequently associated with sun exposure. BCC spread locally, but do not
metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is
indicated. Local chemotherapy may be used to treat BCC.
DIF: Cognitive Level: Application REF: 451-452
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
4. A patient in the dermatology clinic has a small, slow-growing papule with ulceration and
a depression in the center of the lesion on the right cheek. The nurse will anticipate the
need to
a. prepare the patient for a biopsy.
b. teach about the use of corticosteroid creams.
c. educate the patient about use of tretinoin (Retin-A).
d. discuss the need for topical application of antibiotics.
ANS: A
Because the appearance of the lesion is consistent with a possible basal cell carcinoma
(BCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC)
corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion unless
the biopsy indicated that the lesion was nonmalignant.
DIF: Cognitive Level: Application REF: 451 TOP: Nursing Process:
Planning
MSC: NCLEX: Physiological Integrity