Which of the following statements is FALSE in effective skin preparation prior to application of
an adhesive product? Excessive hair should be shaved from the area.
Which of the following statements is an ideal adhesive alternative for dressing securement on a
lower extremity? Tubular elastic dressing.
Medical adhesive products can produce allergic or contact dermatitis. Which of the following
statements BEST demonstrates a skin reaction from the medical adhesive Well-defined
vesicles (small blisters) found upon removal of adhesive product.
Which of the following treatments would be most appropriate for the management of a partial
thickness wound with a fully approximated epidermal flap? Re-approximate edges and apply
a non-adherent dressing.
You have a patient in acute care who has multiple risk factors for skin breakdown. Which of the
following statements are true regarding frequency of skin assessments? Patients at risk for
skin breakdown should have at least a daily skin inspection.
When the skin around a wound develops a whitish appearance, it can be described as:
Macerated
,A 32-year-old patient has several linear, hollowed-out, crusted lesions with the loss of
epidermis on his left lower leg. In his visit documentation, you describe these lesions as a:
Excoriation
You have a patient with a macular-papular redden rash to their lower leg. Which of the
following dermatologic terms describes this assessment? Flat and palpable skin
discolorations <1 cm
You are assessing a skin lesion to the upper arm that is elevated, serous fluid filled beneath the
epidermis that is 2X3 cm. The correct dermatologic term for this is which of the following:
Bulla
You have a patient with reticulated (lace-like) macules and papules that are dark maroon to
purple. Which of the following terms BEST describes this type of skin lesion: Purpura
Mr. Smith has significant edema to his lower extremities. What is the preferred method to
measure his edematous legs to see if it is reduced over time? Use a "point of reference" so
the circumference is measured the same way each time
Upon a head-to-toe patient skin inspection, the nurse noted brown and reddish staining on the
lower extremities near the ankles as well as leg edema and tortuous varicosities. The WOC
nurse specialist provided the following term to describe this leg lesion: Hemosiderosis
, Which of the following describes the loss of epidermis due to a rupture of a vesicle or bulla?
Erosion
Which of the following is the primary purpose of a comprehensive patient assessment across
the scopes? Gather clues regarding the potential etiology of a wound, ostomy, or
continence issue
As you obtain your past medical history, your patient with metastatic colon cancer divulges he
is having problems with keeping his skin from getting sore between his buttocks. Which of the
following may contribute to his skin problem? History of radiation
In the following statements, which is objective data found in the focus physical exam?
Wound dimensions and characteristics
Which of the following is an example of a patient center goal? Reviewing written education
materials with patient and family and asking for questions or clarifications
Which of the following reflect a long-term goal in a patient with a temporary ostomy?
Patient is independent in ostomy care
In the following examples, which one reflects demographic barriers to following a plan of care?
Food fasting due to religious practices