Saunders NCLEX-RN
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1. Isotretinoin is prescribed for a 1."I need to continue to take my vitamin A supplements."
client with severe cystic acne. Rationale: In severe cystic acne, isotretinoin is used to
The nurse provides instructions inhibit inflammation. Adverse effects include elevated
to the client regarding adminis- triglyceride levels, skin dryness, eye discomfort such as
tration of the medication. Which dryness and burning, and cheilitis (lip inflammation).
phrase stated by the client indi- Close medical follow-up is required, and dry skin and
cates a need for further teaching cheilitis can be decreased by the use of emollients and
regarding this medication? lip balms. Vitamin A supplements are stopped during this
1."I need to continue to take my treatment.
vitamin A supplements."
2."The medication may cause dry-
ness and burning in my eyes."
3."I need to use emollients and lip
balms for my dry skin and lips."
4."I will need to return for a blood
test to check my triglyceride lev-
el."
2. In planning care for the client with Altered body image
psoriasis, the nurse understands Psoriasis is an autoimmune dermatitis that is expressed
that which represents a priority as silvery scales on reddish-colored skin on areas such
client problem? as scalp, elbows, hands, and knees. Onset of the disease
1.Fatigue generally occurs before age 40, with symptoms varying in
2.Constipation intensity from mild to severe. Skin disorders, particular-
3.Impaired safety ly when experienced by young persons and particularly
4.Altered body image when visible on exposed body parts, can cause significant
psychosocial distress. Altered body image is a priority
client problem that should be considered when planning
care for a client with psoriasis. The remaining options are
not priority client problems associated with psoriasis.
3.
, Saunders NCLEX-RN
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The nurse expects to note which 1.Applying warm compresses to the affected area
prescription for a client with a Warm compresses may be prescribed to decrease the
skin infection that extends into discomfort, erythema, and edema associated with a skin
the dermis? infection that is characteristic of cellulitis. The nurse should
1.Applying warm compresses to also provide supportive care as prescribed to manage as-
the affected area 2.Placing iced sociated symptoms such as fever or chills. After tissue and
compresses to the affected area blood are obtained for culture, antibiotics are initiated.
every 4 hours Heat lamps can cause more disruption to already inflamed
3.Alternating the application of tissue. Iced compresses are not prescribed because they
hot and iced compresses every 2 can damage tissue.
hours
4.Placing antibiotic ointment on
the affected site followed by con-
tinuous heat lamp application
4. A client is being admitted to the 2.A skin infection of the dermis and underlying hypoder-
hospital for treatment of acute mis
cellulitis of the lower left leg. Dur- Cellulitis is an infection of the dermis and underlying
ing the admission assessment, hypodermis that results in a deep red erythema with-
the nurse expects to note which out sharp borders and spreads widely throughout tis-
finding? sue spaces. The skin is erythematous, edematous, tender,
1.An inflammation of the epider- and sometimes nodular. Erysipelas is an acute, superfi-
mis only cial, rapidly spreading inflammation of the dermis and
2.A skin infection of the dermis lymphatics. The infection is not superficial and extends
and underlying hypodermis deeper than the epidermis.
3.An acute superficial infection of
the dermis and lymphatics
4.An epidermal and lymphatic in-
fection caused by Staphylococcus
5. An outbreak of head lice infes- 4.Leave the lotion on for 8 to 12 hours, and then wash the
tation has occurred at a local hair with nonmedicated shampoo.
, Saunders NCLEX-RN
Study online at https://quizlet.com/_9zhaud
school. The school nurse is pro- Rationale: The instructions for the use of malathion are as
viding instructions to the moth- follows: Sprinkle lotion on dry hair and rub gently until
ers of the children attending the the scalp is moistened; allow to dry naturally; after 8 to 12
school regarding the application hours, wash the hair with a nonmedicated shampoo; rinse
of malathion. The nurse should and use a fine-toothed comb to remove lice; and repeat
tell the mothers to take which ac- in 7 to 9 days if needed.
tion?
1.Apply the lotion immediately af-
ter washing the hair.
2.Pour the lotion onto the hair
and then rinse immediately.
3.Allow the lotion to remain on
the hair for 10 minutes and then
rinse with water.
4.Leave the lotion on for 8 to 12
hours, and then wash the hair
with nonmedicated shampoo.
6. The nurse is providing an ed- 1.It is caused by a tick bite.
ucational session to communi- Lyme disease is a multisystem infection that results from
ty members regarding Lyme dis- a bite by a tick that is usually carried by several species of
ease. The nurse should provide deer. Persons bitten by the Ixodes ticks are infected with
what information regarding this the spirochete Borrelia burgdorferi. Lyme disease cannot
disease? be transmitted from 1 person to another. Histoplasmosis
1.It is caused by a tick bite. is caused by the inhalation of spores from bat or bird
2.It can be contagious by skin con- droppings. Toxoplasmosis is caused from the inhalation
tact with an infected person. of cysts from contaminated cat feces or the consumption
3.It can be caused by the inhala- of rare or raw meat.
tion of spores from bird drop-
pings.
4.It is caused by contamination
Study online at https://quizlet.com/_9zhaud
1. Isotretinoin is prescribed for a 1."I need to continue to take my vitamin A supplements."
client with severe cystic acne. Rationale: In severe cystic acne, isotretinoin is used to
The nurse provides instructions inhibit inflammation. Adverse effects include elevated
to the client regarding adminis- triglyceride levels, skin dryness, eye discomfort such as
tration of the medication. Which dryness and burning, and cheilitis (lip inflammation).
phrase stated by the client indi- Close medical follow-up is required, and dry skin and
cates a need for further teaching cheilitis can be decreased by the use of emollients and
regarding this medication? lip balms. Vitamin A supplements are stopped during this
1."I need to continue to take my treatment.
vitamin A supplements."
2."The medication may cause dry-
ness and burning in my eyes."
3."I need to use emollients and lip
balms for my dry skin and lips."
4."I will need to return for a blood
test to check my triglyceride lev-
el."
2. In planning care for the client with Altered body image
psoriasis, the nurse understands Psoriasis is an autoimmune dermatitis that is expressed
that which represents a priority as silvery scales on reddish-colored skin on areas such
client problem? as scalp, elbows, hands, and knees. Onset of the disease
1.Fatigue generally occurs before age 40, with symptoms varying in
2.Constipation intensity from mild to severe. Skin disorders, particular-
3.Impaired safety ly when experienced by young persons and particularly
4.Altered body image when visible on exposed body parts, can cause significant
psychosocial distress. Altered body image is a priority
client problem that should be considered when planning
care for a client with psoriasis. The remaining options are
not priority client problems associated with psoriasis.
3.
, Saunders NCLEX-RN
Study online at https://quizlet.com/_9zhaud
The nurse expects to note which 1.Applying warm compresses to the affected area
prescription for a client with a Warm compresses may be prescribed to decrease the
skin infection that extends into discomfort, erythema, and edema associated with a skin
the dermis? infection that is characteristic of cellulitis. The nurse should
1.Applying warm compresses to also provide supportive care as prescribed to manage as-
the affected area 2.Placing iced sociated symptoms such as fever or chills. After tissue and
compresses to the affected area blood are obtained for culture, antibiotics are initiated.
every 4 hours Heat lamps can cause more disruption to already inflamed
3.Alternating the application of tissue. Iced compresses are not prescribed because they
hot and iced compresses every 2 can damage tissue.
hours
4.Placing antibiotic ointment on
the affected site followed by con-
tinuous heat lamp application
4. A client is being admitted to the 2.A skin infection of the dermis and underlying hypoder-
hospital for treatment of acute mis
cellulitis of the lower left leg. Dur- Cellulitis is an infection of the dermis and underlying
ing the admission assessment, hypodermis that results in a deep red erythema with-
the nurse expects to note which out sharp borders and spreads widely throughout tis-
finding? sue spaces. The skin is erythematous, edematous, tender,
1.An inflammation of the epider- and sometimes nodular. Erysipelas is an acute, superfi-
mis only cial, rapidly spreading inflammation of the dermis and
2.A skin infection of the dermis lymphatics. The infection is not superficial and extends
and underlying hypodermis deeper than the epidermis.
3.An acute superficial infection of
the dermis and lymphatics
4.An epidermal and lymphatic in-
fection caused by Staphylococcus
5. An outbreak of head lice infes- 4.Leave the lotion on for 8 to 12 hours, and then wash the
tation has occurred at a local hair with nonmedicated shampoo.
, Saunders NCLEX-RN
Study online at https://quizlet.com/_9zhaud
school. The school nurse is pro- Rationale: The instructions for the use of malathion are as
viding instructions to the moth- follows: Sprinkle lotion on dry hair and rub gently until
ers of the children attending the the scalp is moistened; allow to dry naturally; after 8 to 12
school regarding the application hours, wash the hair with a nonmedicated shampoo; rinse
of malathion. The nurse should and use a fine-toothed comb to remove lice; and repeat
tell the mothers to take which ac- in 7 to 9 days if needed.
tion?
1.Apply the lotion immediately af-
ter washing the hair.
2.Pour the lotion onto the hair
and then rinse immediately.
3.Allow the lotion to remain on
the hair for 10 minutes and then
rinse with water.
4.Leave the lotion on for 8 to 12
hours, and then wash the hair
with nonmedicated shampoo.
6. The nurse is providing an ed- 1.It is caused by a tick bite.
ucational session to communi- Lyme disease is a multisystem infection that results from
ty members regarding Lyme dis- a bite by a tick that is usually carried by several species of
ease. The nurse should provide deer. Persons bitten by the Ixodes ticks are infected with
what information regarding this the spirochete Borrelia burgdorferi. Lyme disease cannot
disease? be transmitted from 1 person to another. Histoplasmosis
1.It is caused by a tick bite. is caused by the inhalation of spores from bat or bird
2.It can be contagious by skin con- droppings. Toxoplasmosis is caused from the inhalation
tact with an infected person. of cysts from contaminated cat feces or the consumption
3.It can be caused by the inhala- of rare or raw meat.
tion of spores from bird drop-
pings.
4.It is caused by contamination
