Chapter 42: Care of Patents with Integumentary Disorders and Burns |DeWit: Medical- Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. The nurse is bathing a patient with poison ivy. Which action is most appropriate? a. Bathe the patient with warm water. b. Maintain a room temperature of 78° to 80° F to prevent chills. c. Cover vesicles with gauze dressings. d. Pat skin dry. ANS: D Patting the skin dry will decrease irritation and will not break vesicles. Heat (both water and room temperatures) will exacerbate itching. Vesicles should not be covered with dressings. PTS:1 DIF: Cognitive Level: Application REF: 971 OBJ:1 (theory) TOP: Contact Dermatitis: Care Instruction KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan? a. Drink 4 ounces of wine daily to promote vasodilation. b. Wash your face at least three times daily. c. Avoid direct sunlight. d. Apply tea bags to the affected areas. ANS: C Avoiding direct sunlight will reduce the symptoms. Factors that cause facial flushing precipitate worsening. Tea, coffee, alcohol (especially wine), caffeine containing foods, spicy foods, sunlight, and emotional stress cause flare-ups. Washing the face too frequently can lead to skin irritation and dry skin. PTS:1 DIF: Cognitive Level: Application REF: 971 OBJ:5 (theory) TOP: Acne Rosacea: Exacerbation KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 3. For which patient would the nurse question an order for isotretinoin (Accutane)? a. A 20-year-old epileptic man with nodular acne and epilepsy b. A 22-year-old pregnant woman with severe acne c. A 46-year-old woman on oral contraceptive pills with cystic acne d. A 50-year-old hypertensive man with cystic acne ANS: B Accutane is considered a teratogen and can cause fetal malformations. Patients of childbearing age must be on a contraceptive. PTS:1 DIF: Cognitive Level: Analysis REF: 972 OBJ:5 (theory) TOP: Accutane: Contraindications KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential 4. The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan? a. Avoid all chocolate. b. Wash your face gently with mild soap. c. Scrub your face with a soft brush. d. Gently express clogged sebum from your pores.