DIF: 2dCognitivedLevel:dKnowledge OBJ:d 13
TOP:d Resumptiondofdurinarydflow
KEY:d NursingdProcessdStep:dDatadCollectiondM
SC:d NCLEX:dPhysiologicaldIntegrity
, Chapterd03:dCaredofdthedPatientdwithdandIntegumentarydDisorderdCo
oper:dAdultdHealthdNursing,d9thdEdition
MULTIPLEdCHOICE
1. Whichdactiondwilldthednursedtakedwhendadministeringdadtherapeuticdbathdtodadpatientdw
hodhasdseveredpruritusdfromdcontactddermatitis?
a. UsedBurow’sdsolutiondtodhelpdpromotedhealing.
b. Rubdthedskindbrisklydtoddecreasedpruritus.
c. Limitdbathingdtodthreedtimesdadweek.
d. Ensuredthatdbathdareadisdatdleastd85ddegreesdandddehumidified.
ANS:d A
Pruritusdisdresponsibledfordmostdofdtheddiscomfort.dWetddressingsdanddusingdBurow’sdsol
utiondhelpdpromotedthedhealingdprocess.dRubbingdthedskindwoulddincreasedpruritis.dGived
dailydbathsdwithdandapplicationdtodcleansedthedskin.dAdcooldenvironmentdwithdincreasedd
humidityddecreasesdthedpruritus
DIF: 4dCognitivedLevel:dApplying OBJ:d 14
TOP:d PruritusdKEY:d NursingdProcessdStep:dImplementation
MSC:d NCLEX:dPhysiologicaldIntegrity
2. Adresidentdofdandassisteddlivingdcenterdreportsdhavingdsharpdpaindondonedsidedofdthedbo
dy,dwithdpatchesdofd“blisters”.dThednursednoticesdvesiclesdondonedsidedofdthedthorax,dw
hichdfollowdadperipheraldnervedpathway.dSuspectingdherpesdzoster,dthednursedimmediat
elydcontactsdthedhealthdcaredprovider.dWhichdisdthedreasondfordthedpromptdnotification?
a. Earlydrecognitiondisdessentialdtodtreatdtheddisorder.
b. Promptdnotificationdpreventsdsexualdtransmission.
c. Oraldulcersdcoulddpreventdintakedofdadequatedfluids.
d. Earlydadministrationdofdthedvaricelladvaccinedisdneeded.
ANS:d A
Earlydrecognitiondofdherpesdzosterd(shingles)dwilldallowdadministrationdofdantiviraldagent
s,dpreventiondofdsecondarydinfectionsdanddpaindrelief.dAcyclovir,dwhendgivendwithind72dh
oursdofdthedonsetdofdsymptoms,dreducesdpaindanddtheddurationdofdthedoutbreak.dHerpesdz
osterdisdnotdtransmitteddsexually.dOraldlesionsdaredassociateddwithdHerpesdsimplexd1.dVa
ricelladvaccinedwilldnotdbedeffectivedagainstdthisdcurrentdoutbreak.
DIF: 7dCognitivedLevel:dAnalyzing OBJ:d 5
TOP:d ShinglesdKEY:d NursingdProcessdStep:dDatadCollection
MSC:d NCLEX:dPhysiologicaldIntegrity
3. Severaldresidentsdindadlongdtermdcaredfacilitydhavedbeenddiagnoseddwithdherpesdzoste
r.dWhichdresidentdwilldrequiredthedclosestdobservationdforddevelopmentdofdcomplicati
ons?
a. Adresidentdwhodisdsexuallydactive
b. Adresidentdrecoveringdfromdadhipdfracture
c. Adresidentdwithddementiadwhodrequiresdassistancedeating.
d. Adresidentdwhodisdundergoingdchemotherapydfordbreastdcancer
ANS:d D
TOP:d Resumptiondofdurinarydflow
KEY:d NursingdProcessdStep:dDatadCollectiondM
SC:d NCLEX:dPhysiologicaldIntegrity
, Chapterd03:dCaredofdthedPatientdwithdandIntegumentarydDisorderdCo
oper:dAdultdHealthdNursing,d9thdEdition
MULTIPLEdCHOICE
1. Whichdactiondwilldthednursedtakedwhendadministeringdadtherapeuticdbathdtodadpatientdw
hodhasdseveredpruritusdfromdcontactddermatitis?
a. UsedBurow’sdsolutiondtodhelpdpromotedhealing.
b. Rubdthedskindbrisklydtoddecreasedpruritus.
c. Limitdbathingdtodthreedtimesdadweek.
d. Ensuredthatdbathdareadisdatdleastd85ddegreesdandddehumidified.
ANS:d A
Pruritusdisdresponsibledfordmostdofdtheddiscomfort.dWetddressingsdanddusingdBurow’sdsol
utiondhelpdpromotedthedhealingdprocess.dRubbingdthedskindwoulddincreasedpruritis.dGived
dailydbathsdwithdandapplicationdtodcleansedthedskin.dAdcooldenvironmentdwithdincreasedd
humidityddecreasesdthedpruritus
DIF: 4dCognitivedLevel:dApplying OBJ:d 14
TOP:d PruritusdKEY:d NursingdProcessdStep:dImplementation
MSC:d NCLEX:dPhysiologicaldIntegrity
2. Adresidentdofdandassisteddlivingdcenterdreportsdhavingdsharpdpaindondonedsidedofdthedbo
dy,dwithdpatchesdofd“blisters”.dThednursednoticesdvesiclesdondonedsidedofdthedthorax,dw
hichdfollowdadperipheraldnervedpathway.dSuspectingdherpesdzoster,dthednursedimmediat
elydcontactsdthedhealthdcaredprovider.dWhichdisdthedreasondfordthedpromptdnotification?
a. Earlydrecognitiondisdessentialdtodtreatdtheddisorder.
b. Promptdnotificationdpreventsdsexualdtransmission.
c. Oraldulcersdcoulddpreventdintakedofdadequatedfluids.
d. Earlydadministrationdofdthedvaricelladvaccinedisdneeded.
ANS:d A
Earlydrecognitiondofdherpesdzosterd(shingles)dwilldallowdadministrationdofdantiviraldagent
s,dpreventiondofdsecondarydinfectionsdanddpaindrelief.dAcyclovir,dwhendgivendwithind72dh
oursdofdthedonsetdofdsymptoms,dreducesdpaindanddtheddurationdofdthedoutbreak.dHerpesdz
osterdisdnotdtransmitteddsexually.dOraldlesionsdaredassociateddwithdHerpesdsimplexd1.dVa
ricelladvaccinedwilldnotdbedeffectivedagainstdthisdcurrentdoutbreak.
DIF: 7dCognitivedLevel:dAnalyzing OBJ:d 5
TOP:d ShinglesdKEY:d NursingdProcessdStep:dDatadCollection
MSC:d NCLEX:dPhysiologicaldIntegrity
3. Severaldresidentsdindadlongdtermdcaredfacilitydhavedbeenddiagnoseddwithdherpesdzoste
r.dWhichdresidentdwilldrequiredthedclosestdobservationdforddevelopmentdofdcomplicati
ons?
a. Adresidentdwhodisdsexuallydactive
b. Adresidentdrecoveringdfromdadhipdfracture
c. Adresidentdwithddementiadwhodrequiresdassistancedeating.
d. Adresidentdwhodisdundergoingdchemotherapydfordbreastdcancer
ANS:d D
