Chapter 59 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

Chapter 59 Medical Surgical Nursing 2nd Edition By Osborn Wraa Watson

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The mother of a teenaged female with a severe case of acne expresses concern about her daughter’s hygiene habits. Which response by the nurse is most helpful?

1. “Improving facial hygiene is the best way to treat your daughter’s acne.”
2. “The most important causative factor for acne is poor diet, not inadequate hygiene.”
3. “Do you think your daughter is embarrassed by her appearance?”
4. “What are your concerns about her hygiene practices?”

Correct Answer: 4

Rationale 1: Improving facial hygiene should be included in the treatment plan, but it is not the best treatment for severe acne. Isotretinoin (Accutane) and laser and light treatments are used to treat severe acne.

Rationale 2: No connections have been found between diet and acne.

Rationale 3: This question would elicit important information, but it should be addressed to the daughter, not the mother. It also does not address the mother’s statement about hygiene.

Rationale 4: Eliciting more specific information about the daughter’s hygiene practices is primary. Identifying specific concerns will allow the nurse to begin to address the disorder.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 59-4

Question 2

Type: MCSA

A patient has a lesion in the left axilla that is deep, painful, and contains pus. The lesion is three centimeters in diameter and is walled off. The nurse anticipates treatment to be initiated for which condition?

1. A furuncle
2. Folliculitis
3. A carbuncle
4. Herpes zoster

Correct Answer: 1

Rationale 1: A furuncle is a walled-off, deep, painful, firm mass that contains pus. It is usually 1 to 5 centimeters in diameter.

Rationale 2: Folliculitis is inflammation of the hair follicles. It presents as circular papules and pustules associated with the hair follicles and surrounded by an area of erythema.

Rationale 3: A carbuncle is a larger abscess that interconnects several hair follicles and is about 3 to 10 centimeters in diameter.

Rationale 4: Herpes zoster is a viral skin infection that manifests as erythematous vesicles scattered over the skin surface along one or two adjacent dermatomes.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 59-1

Question 3

Type: MCSA

An African American male patient has recurring folliculitis on the face. Which information should the nurse provide about shaving?

1. Use an electric razor.
2. Shave daily.
3. Shave very closely.
4. Shave in the opposite direction of hair growth.

Correct Answer: 1

Rationale 1: Folliculitis is inflammation of the hair follicles. African Americans are particularly susceptible to folliculitis caused by ingrown hairs because of their curly hair. Using an electric razor instead of a straightedge blade may be helpful.

Rationale 2: The patient should be instructed to shave every few days rather than daily.

Rationale 3: The patient should avoid shaving too closely.

Rationale 4: The patient should shave in the direction of hair growth.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 59-1

Question 4

Type: MCSA

The nurse is counseling a patient who has atopic dermatitis (eczema) and has developed a secondary Staphylococcus aureus infection. To prevent this type of infection from recurring in the future, the nurse should recommend which action?

1. Apply an emollient to the area at least once daily.
2. Take antibiotics for 3 weeks of each month.
3. Take a warm shower each morning and again before bedtime.
4. Have allergy testing performed.

Correct Answer: 1

Rationale 1: A secondary S. aureus infection can develop due to skin trauma and breakdown from scratching. Application of an emollient to the area at least once daily can help prevent dryness and the accompanying itching and scratching.

Rationale 2: Intermittent antibiotic therapy is not indicated.

Rationale 3: Frequent bathing may dry out the skin and increase itching.

Rationale 4: It is important to identify the irritants that cause the lesions, but this will not prevent a secondary infection.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 59-2