ADVANCED MEDSURG EXAM | ALL QUESTIONS
AND CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | VERIFIED ANSWERS
Which safe sun practices would the nurse include in the teaching care plan
for a patient who has photosensitivity (select all that apply)?
a. wear protective clothing
b. apply sunscreen liberally and often
c. emphasize the short term use of tanning booth
d. avoid exposure to the sun, especially during midday
e. wear any sunscreen as long as it is purchased at a drugstore ---------
CORRECT ANSWER-----------------a. Wear protective clothing
b. Apply sunscreen liberally and often
d. Avoid exposure to the sun, especially during midday
When teaching a patient with malignant melanoma about this disorder, the
nurse recognizes that the patient's prognosis is most dependent on
a. the thickness of the lesion
b. the degree of asymmetry in the lesion
c. the amount of ulceration in the lesion
d. how much the lesion has spread superficially ---------CORRECT
ANSWER-----------------a. The thickness of the lesion
The nurse determines that a patient with a diagnosis of which disorder is
the most at risk for spreading the disease
a. tinea pedis
b. impetigo on the face
c. candidiasis of the nails
d. psoriasis on the palms and soles ---------CORRECT ANSWER--------------
---b. Impetigo on the face
,A mother and her two children have been diagnosed with pediculosis
corporis at a health care center. An appropriate measure in treating this
condition is
a. applying pyrethrins to the body
b. topical application of griseofulvin
c. moist compresses applied frequently
d. administration of systemic antibodies ---------CORRECT ANSWER---------
--------a. Applying pyrethrins to the body
A common site for the lesion associated with atopic dermatitis is the
a. buttocks
b. temporal area
c. antecubital space
d. plantar surface of the feet ---------CORRECT ANSWER-----------------c.
Antecubital space
During the assessment of a patient, you note an area of red, sharply
defined plaques covered with silvery scales that are mildly itchy on the
patient's knees and elbows. You recognize this finding as
a. lentigo
b. psoriasis
c. actinic keratosis
d. seborrheic keratosis ---------CORRECT ANSWER-----------------b.
Psoriasis
In teaching a patient who is using topical corticosteroids to treat acute
dermatitis, the nurse should tell the patient that (SATA)
a. cream form is the most efficient system of delivery
b. short-term use of topical corticosteroids usually does not cause systemic
side effects
c. apply creams and ointments with a glove in small amounts to prevent
further infection
d. abruptly discontinuing the use of topical may cause a reappearance of
the dermatitis
,e. systemic side effects may be experienced from topical corticosteroids if
the person is malnourished ---------CORRECT ANSWER-----------------b.
Short-term use of topical corticosteroids usually does not cause systemic
side effects
d. Abruptly discontinuing the use of topical may cause a reappearance of
the dermatitis
A patient with acne vulgaris tells the nurse that she has quit her job as a
receptionist because she believes her facial appearance is unattractive to
customers. The nursing diagnosis that best this patient response is
a. ineffective coping related to lack of social support
b. impaired skin integrity related to presence of lesions
c. anxiety related to lack of knowledge of the disease process
d. social isolation related to decreased activities secondary to fear of
rejection ---------CORRECT ANSWER-----------------d. Social isolation
related to decreased activities secondary to fear of rejection
Important patient teaching after a chemical peel includes
a. avoidance of sun exposure
b. application of firm bandages
c. limitation of vigorous exercise
d. use of moist heat to relieve discomfort ---------CORRECT ANSWER-------
----------a. avoidance of sun exposure
Knowing the most common causes of household fires, which of the
following prevention strategies would the nurse focus on when teaching
about fire safety?
a. set hot water temp at 140 F
b. use only hardwired smoke detectors
c. encourage regular home fire exit drills
d. never permit older adults to cook unattended ---------CORRECT
ANSWER-----------------c. Encourage regular home fire exit drills
, The injury that is least likely to result in a full-thickness burn is
a. sunburn
b. scald injury
c. chemical burn
d. electrical injury ---------CORRECT ANSWER-----------------a. sunburn
When assessing a patient with a partial-thickness burn, the nurse would
expect to find (SATA)
a. blisters
b. exposed fascia
c. exposed muscles
d. intact nerve endings
e. red, shiny, wet appearance ---------CORRECT ANSWER-----------------a.
Blisters
d. intact nerve endings
e. red, shiny, wet appearance
A patient is admitted to the burn center with burns to his head, neck, and
anterior and posterior chest after an explosion in his garage. On
assessment, the nurse auscultates wheezes throughout the lung fields. On
reassessment, the wheezes are gone and the breath sounds are greatly
diminished. Which action is the most appropriate for the nurse to take next?
a. encourage the patient to cough and auscultate the lungs again.
b. obtain vital signs, oxygen saturation, and a STAT material blood gas.
c. document the findings and continue to monitor the patient's breathing
d. anticipate the need for endotracheal intubation and notify the physician --
-------CORRECT ANSWER-----------------d. Anticipate the need for
endotracheal intubation and notify the physician
Fluid and electrolyte shifts that occur during the early emergent phase of a
burn injury include
a. adherence of albumin to vascular walls
b. movement of potassium into the vascular space
AND CORRECT ANSWERS | GRADED A+ |
LATEST VERSION | VERIFIED ANSWERS
Which safe sun practices would the nurse include in the teaching care plan
for a patient who has photosensitivity (select all that apply)?
a. wear protective clothing
b. apply sunscreen liberally and often
c. emphasize the short term use of tanning booth
d. avoid exposure to the sun, especially during midday
e. wear any sunscreen as long as it is purchased at a drugstore ---------
CORRECT ANSWER-----------------a. Wear protective clothing
b. Apply sunscreen liberally and often
d. Avoid exposure to the sun, especially during midday
When teaching a patient with malignant melanoma about this disorder, the
nurse recognizes that the patient's prognosis is most dependent on
a. the thickness of the lesion
b. the degree of asymmetry in the lesion
c. the amount of ulceration in the lesion
d. how much the lesion has spread superficially ---------CORRECT
ANSWER-----------------a. The thickness of the lesion
The nurse determines that a patient with a diagnosis of which disorder is
the most at risk for spreading the disease
a. tinea pedis
b. impetigo on the face
c. candidiasis of the nails
d. psoriasis on the palms and soles ---------CORRECT ANSWER--------------
---b. Impetigo on the face
,A mother and her two children have been diagnosed with pediculosis
corporis at a health care center. An appropriate measure in treating this
condition is
a. applying pyrethrins to the body
b. topical application of griseofulvin
c. moist compresses applied frequently
d. administration of systemic antibodies ---------CORRECT ANSWER---------
--------a. Applying pyrethrins to the body
A common site for the lesion associated with atopic dermatitis is the
a. buttocks
b. temporal area
c. antecubital space
d. plantar surface of the feet ---------CORRECT ANSWER-----------------c.
Antecubital space
During the assessment of a patient, you note an area of red, sharply
defined plaques covered with silvery scales that are mildly itchy on the
patient's knees and elbows. You recognize this finding as
a. lentigo
b. psoriasis
c. actinic keratosis
d. seborrheic keratosis ---------CORRECT ANSWER-----------------b.
Psoriasis
In teaching a patient who is using topical corticosteroids to treat acute
dermatitis, the nurse should tell the patient that (SATA)
a. cream form is the most efficient system of delivery
b. short-term use of topical corticosteroids usually does not cause systemic
side effects
c. apply creams and ointments with a glove in small amounts to prevent
further infection
d. abruptly discontinuing the use of topical may cause a reappearance of
the dermatitis
,e. systemic side effects may be experienced from topical corticosteroids if
the person is malnourished ---------CORRECT ANSWER-----------------b.
Short-term use of topical corticosteroids usually does not cause systemic
side effects
d. Abruptly discontinuing the use of topical may cause a reappearance of
the dermatitis
A patient with acne vulgaris tells the nurse that she has quit her job as a
receptionist because she believes her facial appearance is unattractive to
customers. The nursing diagnosis that best this patient response is
a. ineffective coping related to lack of social support
b. impaired skin integrity related to presence of lesions
c. anxiety related to lack of knowledge of the disease process
d. social isolation related to decreased activities secondary to fear of
rejection ---------CORRECT ANSWER-----------------d. Social isolation
related to decreased activities secondary to fear of rejection
Important patient teaching after a chemical peel includes
a. avoidance of sun exposure
b. application of firm bandages
c. limitation of vigorous exercise
d. use of moist heat to relieve discomfort ---------CORRECT ANSWER-------
----------a. avoidance of sun exposure
Knowing the most common causes of household fires, which of the
following prevention strategies would the nurse focus on when teaching
about fire safety?
a. set hot water temp at 140 F
b. use only hardwired smoke detectors
c. encourage regular home fire exit drills
d. never permit older adults to cook unattended ---------CORRECT
ANSWER-----------------c. Encourage regular home fire exit drills
, The injury that is least likely to result in a full-thickness burn is
a. sunburn
b. scald injury
c. chemical burn
d. electrical injury ---------CORRECT ANSWER-----------------a. sunburn
When assessing a patient with a partial-thickness burn, the nurse would
expect to find (SATA)
a. blisters
b. exposed fascia
c. exposed muscles
d. intact nerve endings
e. red, shiny, wet appearance ---------CORRECT ANSWER-----------------a.
Blisters
d. intact nerve endings
e. red, shiny, wet appearance
A patient is admitted to the burn center with burns to his head, neck, and
anterior and posterior chest after an explosion in his garage. On
assessment, the nurse auscultates wheezes throughout the lung fields. On
reassessment, the wheezes are gone and the breath sounds are greatly
diminished. Which action is the most appropriate for the nurse to take next?
a. encourage the patient to cough and auscultate the lungs again.
b. obtain vital signs, oxygen saturation, and a STAT material blood gas.
c. document the findings and continue to monitor the patient's breathing
d. anticipate the need for endotracheal intubation and notify the physician --
-------CORRECT ANSWER-----------------d. Anticipate the need for
endotracheal intubation and notify the physician
Fluid and electrolyte shifts that occur during the early emergent phase of a
burn injury include
a. adherence of albumin to vascular walls
b. movement of potassium into the vascular space
