Integumentary Disorders - NCLEX Questions - Foundations Ch 42 | 42Questions and Answers Graded A+

A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritis. Why would the nurse use a Woods lamp? A. To dry out the lesions B. To reduce the pruritus C. To kill the fungus D. To cause fluorescence of the infected hairs - D. To cause fluorescence of the infected hairs Rationale: Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen. The use of the diagnostic Woods lamp causes the infected hairs to turn a brilliant blue green. The nurse is caring for a 26-year-old male patient who was burned 72 hours ago. He has partial-thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. What should the nurse do? A. Increase the IV rate and monitor for burn shock B. Monitor for signs of seizure activity C. Assess for signs of fluid overload D. Raise the foot of the bed and apply blankets - C. Assess for signs of fluid overload Rationale: As the blood volume increases, the cardiac output increases to increase renal perfusion. The result includes diuresis. However, a great risk for the patient includes fluid overload because of the rapid movement of fluid back into the intravascular space. What would the nurse stress to the 17-year-old girl who has been prescribed Accutane for her acne? A. Avoid alcoholic beveragesB. Drink at least 1000mL of fluid daily C. Use dependable birth control to avoid pregnancy D. Avoid exposure to the sun - C. Use dependable birth control to avoid pregnancy