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1. 1. A nurse practitioner is seeing a B). Benzoyl peroxide and erythromycin (Benzamycin)
16-year-old male patient who has
come to the dermatology clinic for Feedback: Benzamycin gel is among the topical treat-
treatment of acne. The nurse prac- ments available for acne. Zovirax is used in the treatment
titioner would know that the treat- of herpes zoster as an oral antiviral agent.
ment may consist of which of the
following medications?
A). Acyclovir (Zovirax)
B). Benzoyl peroxide and ery-
thromycin (Benzamycin)
C). Diphenhydramine (Benadryl)
D). Triamcinolone (Kenalog)
2. 2. A nurse is caring for a patient A). Use caution when taking nonprescription medica-
who has been diagnosed with pso- tions.
riasis. The nurse is creating an ed-
ucation plan for the patient. What Feedback: The patient should be cautioned about tak-
information should be included in ing nonprescription medications because some may
this plan? aggravate mild psoriasis.
A). Use caution when taking non-
prescription medications.
B). Avoid public places until symp-
toms subside.
C). Wash skin frequently to prevent
infection.
D). Liberally apply corticosteroids
as needed.
3. 3. A nurse is planning the care of D). Acyclovir (Zovirax)
a patient with herpes zoster. What
, Brunner & Suddarth: Test Bank (Chapter 61)
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medication, if administered within Feedback: Acyclovir, if started early, is effective in signif-
the first 24 hours of the initial erup- icantly reducing the pain and halting the progression
tion, can arrest herpes zoster? of the disease.
A). Prednisone (Deltasone)
B). Azanthioprine (Imuran)
C). Triamcinolone (Kenalog)
D). Acyclovir (Zovirax)
4. 4. A patient with squamous cell C). Surgical excision
carcinoma has been scheduled for
treatment of this malignancy. The Feeback: The primary goal of surgical management of
nurse should anticipate that treat- squamous cell carcinoma is to remove the tumor entire-
ment for this type of cancer will ly.
primarily consist of what interven-
tion?
A). Chemotherapy
B). Radiation therapy
C). Surgical excision
D). Biopsy of sample tissue
5. 5. When writing a plan of care for A). Impaired Skin Integrity Related to Scaly Lesions
a patient with psoriasis, the nurse
would know that an appropriate Feedback: An appropriate diagnosis for a patient with
nursing diagnosis for this patient psoriasis would include Impaired Skin Integrity as it
would be what relates to scaly lesions.
A). Impaired Skin Integrity Related
to Scaly Lesions
B). Acute Pain Related to Blistering
and Erosions of the Oral Cavity
C). Impaired Tissue Integrity Relat-
, Brunner & Suddarth: Test Bank (Chapter 61)
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ed to Epidermal Shedding
D). Anxiety Related to Risk for
Melanoma
6. 6. A patient who has sustained D). Teaching the patient how to use and care for the
third-degree facial burns and a fa- prosthesis
cial fracture is undergoing recon-
structive surgery and implantation Feedback: The process of facial reconstruction is often
of a prosthesis. The nurse has iden- slow and tedious. Because a person's facial appearance
tified a nursing diagnosis of Dis- affects self-esteem so greatly, this type of reconstruc-
turbed Body Image Related to Dis- tion is often a very emotional experience for the pa-
figurement. What would be an ap- tient. Reinforcement of the patient's successful coping
propriate nursing intervention re- strategies improves self-esteem. If prosthetic devices
lated to this diagnosis? are used, the patient is taught how to use and care for
them to gain a sense of greater independence. This is
A). Referring the patient to a an intervention that relates to Disturbed Body Image in
speech therapist these patients. None of the other listed interventions re-
B). Gradually adding soft foods to lates directly to the diagnosis of Disturbed Body Image.
diet
C). Administering analgesics as pre-
scribed
D). Teaching the patient how to use
and care for the prosthesis
7. 7. While performing an initial as- D). Malignant melanoma
sessment of a patient admitted
with appendicitis, the nurse ob- Feedback: A malignant melanoma presents itself as a
serves an elevated blue-black le- superficial spreading melanoma which may appear in
sion on the patient's ear. The nurse a combination of colors, with hues of tan, brown, and
knows that this lesion is consistent black mixed with gray, blue-black, or white.
with what type of skin cancer?