Nokea
A nurse is caring for a patient whose skin cancer will soon be removed by excision. Which of the following actions should the nurse perform?
- A. Teach the patient about early signs of secondary blistering diseases.
- B. Teach the patient about self-care after treatment.
- C. Assess the patients risk for recurrent malignancy.
- D. Assess the patient for adverse effects of radiotherapy.
Correct Answer: B
Rationale: The nurse's role includes teaching self-care after skin cancer excision. Assessing malignancy risk is the physician's role, blistering diseases are unrelated, and radiotherapy is not typically used.
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A school nurse has sent home four children who show evidence of pediculosis capitis. What is an important instruction the nurse should include in the note being sent home to parents?
- A. The childs scalp should be monitored for 48 to 72 hours before starting treatment.
- B. Nits may have to be manually removed from the childs hair shafts.
- C. The disease is self-limiting and symptoms will abate within 1 week.
- D. Efforts should be made to improve the childs level of hygiene.
Correct Answer: B
Rationale: Manual removal of nits is often necessary after medicated shampoo for pediculosis capitis. The condition is not self-limiting, requires prompt treatment, and is not caused by poor hygiene.
A nurse is providing self-care education to a patient who has been receiving treatment for acne vulgaris. What instruction should the nurse provide to the patient?
- A. Wash your face with water and gentle soap each morning and evening.
- B. Before bedtime, clean your face with rubbing alcohol on a cotton pad.
- C. Gently burst new pimples before they form a visible head.
- D. Set aside time each day to squeeze blackheads and remove the plug.
Correct Answer: A
Rationale: Washing with mild soap and water twice daily removes oils and prevents gland obstruction in acne. Alcohol is too harsh, and manipulating pimples or blackheads worsens symptoms.
A patient has just been diagnosed with psoriasis and frequently has lesions around his right eye. What should the nurse teach the patient about topical corticosteroid use on these lesions?
- A. Cataract development is possible.
- B. The ointment is likely to cause weeping.
- C. Corticosteroid use is contraindicated on these lesions.
- D. The patient may develop glaucoma.
Correct Answer: A
Rationale: Repeated use of topical corticosteroids near the eyes can lead to cataract development. Weeping and glaucoma are not typical risks, and corticosteroids are not contraindicated for periorbital psoriasis.
A patient has a diagnosis of seborrhea and has been referred to the dermatology clinic, where the nurse contributes to care. When planning this patients care, the nurse should include which of the following nursing diagnoses?
- A. Risk for Deficient Fluid Volume Related to Excess Sebum Synthesis
- B. Ineffective Thermoregulation Related to Occlusion of Sebaceous Glands
- C. Disturbed Body Image Related to Excess Sebum Production
- D. Ineffective Tissue Perfusion Related to Occlusion of Sebaceous Glands
Correct Answer: C
Rationale: Seborrhea's visible oily skin can lead to disturbed body image. It does not cause fluid volume deficits, thermoregulation issues, or tissue perfusion problems.
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.