RNRS 117- Concept Of Tissue Integrity
Pearson (Exam I) Latest Update
A patient seeks medical attention for suspected poison ivy.
Which finding should the nurse expect when assessing this patient?
Rough, thick, hard area of epidermis
Elevated solid palpable mass
Elevated pus-filled vesicles
Elevated fluid-filled palpable mass - ANSWER Elevated fluid-filled palpable mass
Which assessment finding that increases a patient's risk for impaired tissue
perfusion should the nurse identify?
Mechanical devices used for transfer
Body Position
Poor nutrition
Increased mobility - ANSWER Body position
A preschooler has clusters of fluid-filled vesicles around the mouth that have
developed into lesions with a honey-colored crust.
Which skin condition should the nurse assess this patient for?
Acne vulgaris
Urticaria
Impetigo
Candidiasis - ANSWER Impetigo
The nurse is caring for a patient with a suspicious lesion.
For which test should the nurse prepare teaching for this patient?
Biopsy
IgE antibody test
Tzanck test
Intradermal test - ANSWER Biopsy
, A patient with melasma asks how the health problem developed.
Which statement should the nurse give to this patient?
"Melasma is a result of overproduction of melanin."
"Melasma occurs when the skin is exposed to the sun."
"Melasma occurs because of inadequate production of melanin."
"Melasma is a permanent condition that does not resolve on its own." - ANSWER
"Melasma is an overproduction of melanin."
A patient with full-thickness burns has a significant amount of eschar.
Which treatment should the nurse anticipate will be prescribed for this patient?
Wound debridement
Covering with a procoagulant bandage
Drain insertion
Escharotomy - ANSWER Escharotomy
During a routine examination of an older adult patient, the nurse notes "liver
spots" on the patient's skin.
Which physiological change should the nurse suspect has occurred in the
patient?
Meiotic activity decrease
Melanocyte hyperplasia
Hyperkeratosis
Capillary proliferation - ANSWER Melanocyte hyperplasia
The nurse notes that a patient has a rash and areas of inflammation on the skin.
Which should the nurse consider as the reason for this skin change?
Immobility
Poor nutrition
Poor tissue perfusion
Immune response - ANSWER Immune response
A patient is prescribed an oral antibiotic medication to treat a skin infection.
Which instruction should the nurse provide to this patient?
"Do not use with over-the-counter agents containing peroxide."
"Take the medication with a full glass of water."
"Cover the area with an occlusive dressing."
"Treatment may take several weeks." - ANSWER "Take the medication with a full
glass of water."
A patient seeks medical attention for an area on the right arm that is reddened
and bruised, and has a central bleb with a bull's-eye appearance.
Pearson (Exam I) Latest Update
A patient seeks medical attention for suspected poison ivy.
Which finding should the nurse expect when assessing this patient?
Rough, thick, hard area of epidermis
Elevated solid palpable mass
Elevated pus-filled vesicles
Elevated fluid-filled palpable mass - ANSWER Elevated fluid-filled palpable mass
Which assessment finding that increases a patient's risk for impaired tissue
perfusion should the nurse identify?
Mechanical devices used for transfer
Body Position
Poor nutrition
Increased mobility - ANSWER Body position
A preschooler has clusters of fluid-filled vesicles around the mouth that have
developed into lesions with a honey-colored crust.
Which skin condition should the nurse assess this patient for?
Acne vulgaris
Urticaria
Impetigo
Candidiasis - ANSWER Impetigo
The nurse is caring for a patient with a suspicious lesion.
For which test should the nurse prepare teaching for this patient?
Biopsy
IgE antibody test
Tzanck test
Intradermal test - ANSWER Biopsy
, A patient with melasma asks how the health problem developed.
Which statement should the nurse give to this patient?
"Melasma is a result of overproduction of melanin."
"Melasma occurs when the skin is exposed to the sun."
"Melasma occurs because of inadequate production of melanin."
"Melasma is a permanent condition that does not resolve on its own." - ANSWER
"Melasma is an overproduction of melanin."
A patient with full-thickness burns has a significant amount of eschar.
Which treatment should the nurse anticipate will be prescribed for this patient?
Wound debridement
Covering with a procoagulant bandage
Drain insertion
Escharotomy - ANSWER Escharotomy
During a routine examination of an older adult patient, the nurse notes "liver
spots" on the patient's skin.
Which physiological change should the nurse suspect has occurred in the
patient?
Meiotic activity decrease
Melanocyte hyperplasia
Hyperkeratosis
Capillary proliferation - ANSWER Melanocyte hyperplasia
The nurse notes that a patient has a rash and areas of inflammation on the skin.
Which should the nurse consider as the reason for this skin change?
Immobility
Poor nutrition
Poor tissue perfusion
Immune response - ANSWER Immune response
A patient is prescribed an oral antibiotic medication to treat a skin infection.
Which instruction should the nurse provide to this patient?
"Do not use with over-the-counter agents containing peroxide."
"Take the medication with a full glass of water."
"Cover the area with an occlusive dressing."
"Treatment may take several weeks." - ANSWER "Take the medication with a full
glass of water."
A patient seeks medical attention for an area on the right arm that is reddened
and bruised, and has a central bleb with a bull's-eye appearance.
