Adult Health Care 7th Edition Questions
and Answers|100% Verified 2025 Edition
_____________________________________________________________________________________
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
ANS: C
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.
A patient with severe eczema is starting a coal tar derivative treatment. What should the nurse
include in the teaching plan for the patient relative to this treatment?
a. Drink at least 1000 mL of fluid daily
b. Avoid exposure to sunlight for 72 hours after use
c. Bathe with an astringent soap
d. Reduce intake of high calcium foods
ANS: B
Persons using coal tar derivatives should avoid exposure to sunlight for 72 hours after use. The
product stains clothes and bathroom fixtures.
What should the nurse examine in assessing a patient for tinea corporis?
a. Soles of the feet
b. Scalp
c. Armpits
d. Abdomen
ANS: D
Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no
hair.
,What is the initial intervention for relief of the pruritus of dermatitis venenata?
a. Apply baking soda to lesions
b. Wash area with copious amounts of water
c. Apply cool compresses continuously
d. Expose area to air
ANS: B
In dermatitis venenata (poison oak or ivy), the patient should wash the affected part
immediately after contact with the offending allergen.
The nurse debriding a burn wound explains that the purpose of debridement is to:
a. increase the effectiveness of the skin graft.
b. prevent infection and promote healing.
c. promote suppuration of the wound.
d. promote movement in the affected area.
ANS: B
Debridement is the removal of damaged tissue and cellular debris from a wound or burn to
prevent infection and to promote healing.
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed
nasal hairs. The nurse needs to assess this patient frequently for which condition?
a. Decreased activity
b. Bradycardia
c. Respiratory complications
d. Hypertension
ANS: C
Signs and symptoms of inhalation injury include singed nasal hairs. Breathing difficulties may
take several hours to occur.
Which may indicate a malignant melanoma in a nevus on a patients arm?
a. Even coloring of the mole
b. Decrease in size of the mole
c. Irregular border of the mole
d. Symmetry of the mole
ANS: C
Any change in color, size, or texture and any bleeding or pruritus of a nevus deserves
, investigation. A malignant melanoma is a cancerous neoplasm in which pigment cells or
melanocytes invade the epidermis, dermis, and sometimes the subcutaneous tissue.
A nurse can assess cyanosis in a dark-skinned patient by noting the color of the:
a. conjunctiva.
b. sclera.
c. lips and mucous membranes.
d. soles of the feet.
ANS: C
Assessment of color is more easily made in areas where the epidermis is thin, such as the lips
and mucous membranes.
A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an
afternoon picking strawberries. The patient states that the itching is severe and cannot keep from
scratching. Which instruction would be most helpful in managing the pruritus?
a. Use cool, wet dressings and baths to promote vasoconstriction.
b. Trim the fingernails short to prevent skin damage from scratching.
c. Expose the areas to the sun to promote drying and healing of the lesions.
d. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental
irritation.
ANS: A
Wet dressings and using Burows solution help promote the healing process. Cold compresses
may be applied to decrease circulation to the area (vasoconstriction). Short nails prevent skin
damage, but not pruritus.
What is the best instruction by the nurse regarding reducing the risk factors for melanoma?
a. Avoid exposure to the sun and use protective measures when exposure occurs.
b. Have all nevi removed.
c. Watch for changes in moles, especially on the back.
d. Use a sun lamp for tanning.
ANS: A
Encourage the patient to protect skin from the sun by wearing protective clothing, including a
hat with 4-inch brim, applying sunscreen all over the body, and avoiding the midday sun from 10
am to 4 pm. Sun lamps are just as damaging as the sun.
Which patient instruction should the nurse include in the teaching plan relative to the management of
systemic lupus erythematosus?
, a. Maintain a balance between rest and activity
b. Increase activity to promote mobility
c. Increase exposure to the sun to increase vitamin D absorption
d. Increase sodium consumption
ANS: A
Balanced rest, activity, and diet will support medication management. Limited sunlight exposure
is recommended to prevent photosensitivity. SLE often has kidney involvement, which would
require reduction of sodium.
Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the
treatment of cellulitis?
a. My skin is cleared up. I dont think I need the medication anymore.
b. Cellulitis can come back at any time.
c. If I had washed that scratch with soap and water, I probably would not have gotten cellulitis.
d. Cellulitis is contagious.
ANS: A
The entire amount of antibiotic medication should be completed even if the symptoms have
abated to ensure the eradication of the infectious agent.
What should a patient be assessed for upon the diagnosis of genital herpes?
a. Hepatitis B
b. Syphilis
c. Human immunodeficiency virus (HIV).
d. Cirrhosis
ANS: C
Persons with genital herpes should be assessed for HIV because the therapy for herpes is
suppressive; persons with HIV are not candidates for suppressant therapy.
The school nurse recognizes the signs of scabies when a child presents with:
a. small fluid filled blisters that sting when scratched.
b. dry scaly patches in body creases that itch.
c. wavy threadlike lines on the body and pruritus.
d. cluster of papular lesions with pruritus.
ANS: C
Scabies is manifested by brown threadlike lines on the body, especially the hands, anus, and
body folds. Pruritus is severe.
and Answers|100% Verified 2025 Edition
_____________________________________________________________________________________
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
ANS: C
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.
A patient with severe eczema is starting a coal tar derivative treatment. What should the nurse
include in the teaching plan for the patient relative to this treatment?
a. Drink at least 1000 mL of fluid daily
b. Avoid exposure to sunlight for 72 hours after use
c. Bathe with an astringent soap
d. Reduce intake of high calcium foods
ANS: B
Persons using coal tar derivatives should avoid exposure to sunlight for 72 hours after use. The
product stains clothes and bathroom fixtures.
What should the nurse examine in assessing a patient for tinea corporis?
a. Soles of the feet
b. Scalp
c. Armpits
d. Abdomen
ANS: D
Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no
hair.
,What is the initial intervention for relief of the pruritus of dermatitis venenata?
a. Apply baking soda to lesions
b. Wash area with copious amounts of water
c. Apply cool compresses continuously
d. Expose area to air
ANS: B
In dermatitis venenata (poison oak or ivy), the patient should wash the affected part
immediately after contact with the offending allergen.
The nurse debriding a burn wound explains that the purpose of debridement is to:
a. increase the effectiveness of the skin graft.
b. prevent infection and promote healing.
c. promote suppuration of the wound.
d. promote movement in the affected area.
ANS: B
Debridement is the removal of damaged tissue and cellular debris from a wound or burn to
prevent infection and to promote healing.
A patient has been admitted to the hospital with burns to the upper chest. The nurse notes singed
nasal hairs. The nurse needs to assess this patient frequently for which condition?
a. Decreased activity
b. Bradycardia
c. Respiratory complications
d. Hypertension
ANS: C
Signs and symptoms of inhalation injury include singed nasal hairs. Breathing difficulties may
take several hours to occur.
Which may indicate a malignant melanoma in a nevus on a patients arm?
a. Even coloring of the mole
b. Decrease in size of the mole
c. Irregular border of the mole
d. Symmetry of the mole
ANS: C
Any change in color, size, or texture and any bleeding or pruritus of a nevus deserves
, investigation. A malignant melanoma is a cancerous neoplasm in which pigment cells or
melanocytes invade the epidermis, dermis, and sometimes the subcutaneous tissue.
A nurse can assess cyanosis in a dark-skinned patient by noting the color of the:
a. conjunctiva.
b. sclera.
c. lips and mucous membranes.
d. soles of the feet.
ANS: C
Assessment of color is more easily made in areas where the epidermis is thin, such as the lips
and mucous membranes.
A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an
afternoon picking strawberries. The patient states that the itching is severe and cannot keep from
scratching. Which instruction would be most helpful in managing the pruritus?
a. Use cool, wet dressings and baths to promote vasoconstriction.
b. Trim the fingernails short to prevent skin damage from scratching.
c. Expose the areas to the sun to promote drying and healing of the lesions.
d. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental
irritation.
ANS: A
Wet dressings and using Burows solution help promote the healing process. Cold compresses
may be applied to decrease circulation to the area (vasoconstriction). Short nails prevent skin
damage, but not pruritus.
What is the best instruction by the nurse regarding reducing the risk factors for melanoma?
a. Avoid exposure to the sun and use protective measures when exposure occurs.
b. Have all nevi removed.
c. Watch for changes in moles, especially on the back.
d. Use a sun lamp for tanning.
ANS: A
Encourage the patient to protect skin from the sun by wearing protective clothing, including a
hat with 4-inch brim, applying sunscreen all over the body, and avoiding the midday sun from 10
am to 4 pm. Sun lamps are just as damaging as the sun.
Which patient instruction should the nurse include in the teaching plan relative to the management of
systemic lupus erythematosus?
, a. Maintain a balance between rest and activity
b. Increase activity to promote mobility
c. Increase exposure to the sun to increase vitamin D absorption
d. Increase sodium consumption
ANS: A
Balanced rest, activity, and diet will support medication management. Limited sunlight exposure
is recommended to prevent photosensitivity. SLE often has kidney involvement, which would
require reduction of sodium.
Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the
treatment of cellulitis?
a. My skin is cleared up. I dont think I need the medication anymore.
b. Cellulitis can come back at any time.
c. If I had washed that scratch with soap and water, I probably would not have gotten cellulitis.
d. Cellulitis is contagious.
ANS: A
The entire amount of antibiotic medication should be completed even if the symptoms have
abated to ensure the eradication of the infectious agent.
What should a patient be assessed for upon the diagnosis of genital herpes?
a. Hepatitis B
b. Syphilis
c. Human immunodeficiency virus (HIV).
d. Cirrhosis
ANS: C
Persons with genital herpes should be assessed for HIV because the therapy for herpes is
suppressive; persons with HIV are not candidates for suppressant therapy.
The school nurse recognizes the signs of scabies when a child presents with:
a. small fluid filled blisters that sting when scratched.
b. dry scaly patches in body creases that itch.
c. wavy threadlike lines on the body and pruritus.
d. cluster of papular lesions with pruritus.
ANS: C
Scabies is manifested by brown threadlike lines on the body, especially the hands, anus, and
body folds. Pruritus is severe.
