Chapter 28: Integumentary Function

Chapter 28: Integumentary Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse explains that the plan of care for an older adult patient with seborrheic dermatitis of the scalp should include:

a.	cleaning lesions with a weak hydrogen peroxide solution daily.
b.	cleaning the scalp with a low-dose steroidal shampoo.
c.	applying hydrocortisone 10% to scalp lesions.
d.	applying selenium shampoo to the scalp.

 

 

ANS:  D

A successful strategy is to wet the hair, apply selenium shampoo, and then proceed with the rest of the bath or shower. The other measures will not be successful.

 

DIF:    Remembering (Knowledge)             REF:   Page 611        OBJ:   28-3

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity

 

2. An older adult patient reports simple xerosis with mild pruritus. The nurse educates her on the importance of:

a.	applying a lanolin-rich cream and avoiding scratching the areas.
b.	taking warm baths and gently rubbing of affected areas with a terrycloth towel.
c.	minimizing ingestion of fried foods and use of an antihistamine cream.
d.	avoiding bath oils and allowing the skin to air-dry after bathing.

 

 

ANS:  A

The nurse suggests that the patient apply emollients (e.g., Lubriderm, Moisturel, or Eucerin lotion or cream), which have more lanolin or oily substances than many commercial lotions. Time should be planned to teach the patient and family about etiologic factors and the importance of not scratching. The other options are not helpful and will not decrease the itching.

 

DIF:    Understanding (Comprehension)      REF:   Page 612        OBJ:   28-3

TOP:   Teaching-Learning                          MSC:  Health Promotion

 

3. The nurse plans to assess for candidiasis as a priority intervention for a:

a.	60-year-old with a history of bacterial pneumonia.
b.	72-year-old incontinence of urine and feces.
c.	58-year-old with a casted left foot.
d.	90-year-old receiving antihypertensives.

 

 

ANS:  B

Candidiasis is most commonly seen in diaper-clad infants, incontinent patients, and bed-bound individuals and in moisture-prone areas of the body (e.g., skin folds and axillae). The other patients are not as likely to have this disorder as the incontinent patient.

 

DIF:    Understanding (Comprehension)      REF:   Page 612        OBJ:   28-3

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

 

4. An 87-year-old patient developed herpes zoster after surgical repair of a hip fracture. The priority nursing diagnosis is:

a.	impaired skin integrity related to immunologic deficit.
b.	self-care deficit related to severe pain and fatigue.
c.	risk for infection related to impaired skin integrity.
d.	pain related to inadequate pain relief from analgesia.

 

 

ANS:  C

These vesicles are extremely vulnerable to secondary bacterial infections. The other diagnoses might be appropriate for some patients.

 

DIF:    Applying (Application)                    REF:   N/A                OBJ:   28-3

TOP:   Nursing Process: Diagnosis              MSC:  Physiologic Integrity