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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.
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A patient with squamous cell carcinoma has been scheduled for treatment of this malignancy. The nurse should anticipate that treatment for this type of cancer will primarily consist of what intervention?
- A. Chemotherapy
- B. Radiation therapy
- C. Surgical excision
- D. Biopsy of sample tissue
Correct Answer: C
Rationale: Surgical excision is the primary treatment for squamous cell carcinoma to remove the tumor entirely. Radiation is used for non-surgical candidates, chemotherapy is less common, and biopsy is diagnostic, not therapeutic.
A patient has received a diagnosis of irritant contact dermatitis. What action should the nurse prioritize in the patients subsequent care?
- A. Teaching the patient to safely and effectively administer immunosuppressants
- B. Helping the patient identify and avoid the offending agent
- C. Teaching the patient how to maintain meticulous skin hygiene
- D. Helping the patient perform wound care in the home environment
Correct Answer: B
Rationale: Identifying and avoiding the irritant is the primary focus for managing contact dermatitis. Immunosuppressants and wound care are not typically required, and hygiene is not the primary issue.
A patient who has sustained third-degree facial burns and a facial fracture is undergoing reconstructive surgery and implantation of a prosthesis. The nurse has identified a nursing diagnosis of Disturbed Body Image Related to Disfigurement. What would be an appropriate nursing intervention related to this diagnosis?
- A. Referring the patient to a speech therapist
- B. Gradually adding soft foods to diet
- C. Administering analgesics as prescribed
- D. Teaching the patient how to use and care for the prosthesis
Correct Answer: D
Rationale: Teaching prosthesis care fosters independence and addresses body image concerns by empowering the patient. Speech therapy, diet changes, and analgesics do not directly address disturbed body image.
A nurse is planning the care of a patient with herpes zoster. What medication, if administered within the first 24 hours of the initial eruption, can arrest herpes zoster?
- A. Prednisone (Deltasone)
- B. Azanthioprine (Imuran)
- C. Triamcinolone (Kenalog)
- D. Acyclovir (Zovirax)
Correct Answer: D
Rationale: Acyclovir, an antiviral, can halt herpes zoster progression if given within 24 hours of eruption. Prednisone, azathioprine, and triamcinolone are not used for herpes zoster treatment.
An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this residents plan of care?
- A. Avoid the application of skin emollients.
- B. Apply antibiotic ointment as ordered following baths.
- C. Avoid using hot water during the patients baths.
- D. Administer acetaminophen 4 times daily as ordered.
Correct Answer: C
Rationale: Using tepid water for baths reduces pruritus in older adults with dry skin. Emollients help, antibiotics are unnecessary without infection, and acetaminophen does not address itching.