Nokea
A 35-year-old kidney transplant patient comes to the clinic exhibiting new skin lesions. The diagnosis is Kaposis sarcoma. The nurse caring for this patient recognizes that this is what type of Kaposis sarcoma?
- A. Classic
- B. AIDS-related
- C. Immunosuppression-related
- D. Endemic
Correct Answer: C
Rationale: Immunosuppression-related Kaposis sarcoma occurs in transplant recipients due to immunosuppressive therapy. Classic KS affects older Mediterranean or Jewish men, endemic KS is African, and AIDS-related KS occurs in HIV patients.
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A patient presents at the free clinic with a black, wart-like lesion on his face, stating, Ive done some research, and Im pretty sure I have malignant melanoma. Subsequent diagnostic testing results in a diagnosis of seborrheic keratosis. The nurse should recognize what significance of this diagnosis?
- A. The patient requires no treatment unless he finds the lesion to be cosmetically unacceptable.
- B. The patients lesion will be closely observed for 6 months before a plan of treatment is chosen.
- C. The patient has one of the few dermatologic malignancies that respond to chemotherapy.
- D. The patient will likely require wide excision.
Correct Answer: A
Rationale: Seborrheic keratosis is benign and requires no treatment unless cosmetically bothersome. It is not malignant, so chemotherapy or excision is unnecessary, and observation is not required.
A 55-year-old woman is scheduled to have a chemical face peel. The nurse is aware that the patient is likely seeking treatment for which of the following?
- A. Wrinkles near the lips and eyes
- B. Removal of acne scars
- C. Vascular lesions on the cheeks
- D. Real or perceived misshaping of the eyes
Correct Answer: A
Rationale: Chemical face peeling is effective for wrinkles around the lips, eyes, and forehead. It does not address acne scars, vascular lesions, or eye shape.
A nurse is caring for a patient who has a diagnosis of bullous pemphigoid and who is being treated on the medical unit. When providing hygiene for this patient, the nurse should perform which of the following actions?
- A. After washing, wipe lesions with sterile gauze to remove cellular debris.
- B. Apply antibiotic ointment to lesions after washing.
- C. Apply cornstarch to the patients skin after bathing to facilitate mobility.
- D. Avoid using water to cleanse the patients skin in order to maintain skin integrity.
Correct Answer: C
Rationale: Applying cornstarch after bathing reduces friction and enhances mobility in bullous pemphigoid. Wiping lesions or applying antibiotics is inappropriate, and water can be used for hygiene.
A nurse is caring for a patient who has been diagnosed with psoriasis. The nurse is creating an education plan for the patient. What information should be included in this plan?
- A. Use caution when taking nonprescription medications.
- B. Avoid public places until symptoms subside.
- C. Wash skin frequently to prevent infection.
- D. Liberally apply corticosteroids as needed.
Correct Answer: A
Rationale: Nonprescription medications may exacerbate psoriasis, so caution is needed. Psoriasis is not contagious, frequent washing can worsen scaling, and overuse of corticosteroids may cause skin atrophy.
A patient is admitted to the intensive care unit with what is thought to be toxic epidermal necrolysis (TEN). When assessing the health history of the patient, the nurse would be alert to what precipitating factor?
- A. Recent heavy ultraviolet exposure
- B. Substandard hygienic conditions
- C. Recent administration of new medications
- D. Recent varicella infection
Correct Answer: C
Rationale: TEN is commonly triggered by medications, such as antibiotics or antiseizure drugs. UV exposure, hygiene, and varicella are not typical causes.