Chapter 43: Care of Patients with Integumentary Disorders and Burns

Chapter 43: Care of Patients with Integumentary Disorders and Burns

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse counsels a patient with poison ivy to decrease his discomfort by:

a.	bathing in warm water.
b.	maintaining an environment of 80° to 85° F.
c.	scrubbing skin to break the vesicles.
d.	patting skin dry.

 

 

ANS:  D

Patting the skin dry will decrease irritation and will not break vesicles. The patient should bathe in tepid water and avoid getting hot as heat exacerbates the itching.

 

DIF:    Cognitive Level: Application           REF:   967                OBJ:   1 (theory)

TOP:   Contact Dermatitis: Care Instruction

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. A patient with acne rosacea is sensitive about the facial erythema and telangiectases. The nurse recommends that she:

a.	drink 4 ounces of wine a day for vasodilation.
b.	cease smoking.
c.	avoid direct sunlight.
d.	forgo coffee and tea.

 

 

ANS:  C

Avoiding direct sunlight will reduce the symptoms.

 

DIF:    Cognitive Level: Application           REF:   967                OBJ:   5 (theory)

TOP:   Acne Rosacea: Exacerbation            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

3. The nurse would question the order for isotretinoin (Accutane) that was prescribed for a:

a.	20-year-old man with nodular acne who is an epileptic.
b.	22-year-old woman with severe acne who is pregnant.
c.	46-year-old woman with cystic acne who is on oral contraceptive pills.
d.	50-year-old man with cystic acne who is on medication for hypertension.

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Analysis                REF:   968                OBJ:   5 (theory)

TOP:   Accutane: Contraindications            KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

4. The nurse advises a 20-year-old college sophomore with acne vulgaris to:

a.	avoid all chocolate.
b.	wash the face gently with mild soap.
c.	scrub the face with soft brush.
d.	express clogged sebum from the pores.

 

 

ANS:  B

Keeping the face clean and dry by washing with mild soap and not scrubbing is helpful to clear up clogged pores. Pustules should not be squeezed as this could lead to infection. Strict diet restrictions of the past are no longer observed as strenuously.

 

DIF:    Cognitive Level: Application           REF:   968                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. The nurse clarifies that this therapy involves the combination of:

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.

 

DIF:    Cognitive Level: Application           REF:   969                OBJ:   2 (theory)

TOP:   Psoriasis Treatment: PUVA             KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort