Nokea
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.
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A nurse is providing care for a patient who has developed Kaposis sarcoma secondary to HIV infection. The nurse should be aware that this form of malignancy originates in what part of the body?
- A. Connective tissue cells in diffuse locations
- B. Smooth muscle cells of the gastrointestinal and respiratory tract
- C. Neural tissue of the brain and spinal cord
- D. Endothelial cells lining small blood vessels
Correct Answer: D
Rationale: Kaposis sarcoma originates in endothelial cells lining small blood vessels, not in connective tissue, smooth muscle, or neural tissue.
A nurse educator is teaching a group of medical nurses about Kaposis sarcoma. What would the educator identify as characteristics of endemic Kaposis sarcoma? Select all that apply.
- A. Affects people predominantly in the eastern half of Africa
- B. Affects men more than women
- C. Does not affect children
- D. Cannot infiltrate
- E. Can progress to lymphadenopathic forms
Correct Answer: A,B,E
Rationale: Endemic Kaposis sarcoma is prevalent in eastern Africa, affects men more, and can progress to lymphadenopathic forms. It can affect children and may infiltrate.
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.
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.
A nurse is caring for a patient admitted to the medical unit with a diagnosis of pemphigus vulgaris. When writing the care plan for this patient, what nursing diagnoses should be included? Select all that apply.
- A. Risk for Infection Related to Lesions
- B. Impaired Skin Integrity Related to Epidermal Blisters
- C. Disturbed Body Image Related to Presence of Skin Lesions
- D. Acute Pain Related to Disruption in Skin Integrity
- E. Hyperthermia Related to Disruptions in Thermoregulation
Correct Answer: A,B,C,D
Rationale: Pemphigus vulgaris causes blisters, leading to infection risk, impaired skin integrity, pain, and disturbed body image. Hyperthermia is not a concern; hypothermia is more likely.