A nurse practitioner is seeing a 16-year-old male patient who has come to the dermatology clinic for treatment of acne. The nurse practitioner would know that the treatment may consist of which of the following medications?
- A. Acyclovir (Zovirax)
- B. Benzoyl peroxide and erythromycin (Benzamycin)
- C. Diphenhydramine (Benadryl)
- D. Triamcinolone (Kenalog)
Correct Answer: B
Rationale: Benzamycin gel, combining benzoyl peroxide and erythromycin, is a common topical treatment for acne. Acyclovir treats herpes zoster, diphenhydramine addresses pruritus, and triamcinolone is used for psoriasis.
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When writing a plan of care for a patient with psoriasis, the nurse would know that an appropriate nursing diagnosis for this patient would be what?
- A. Impaired Skin Integrity Related to Scaly Lesions
- B. Acute Pain Related to Blistering and Erosions of the Oral Cavity
- C. Impaired Tissue Integrity Related to Epidermal Shedding
- D. Anxiety Related to Risk for Melanoma
Correct Answer: A
Rationale: Psoriasis causes scaly lesions, leading to impaired skin integrity. It does not typically affect the oral cavity, cause epidermal shedding, or increase melanoma risk.
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.
A nurse is caring for a patient whose chemical injury has necessitated a skin graft to his left hand. The nurse enters the room and observes that the patient is performing active range of motion (ROM) exercises with the affected hand. How should the nurse best respond?
- A. Liaise with the physical therapist to ensure that the patient is performing exercises safely.
- B. Validate the patients efforts to increase blood perfusion to the graft site.
- C. Remind the patient that ROM exercises should be passive, not active.
- D. Remind the patient of the need to immobilize the graft to facilitate healing.
Correct Answer: D
Rationale: Immobilization of the graft site is critical to promote healing and prevent damage. Active or passive ROM exercises can disrupt the graft, and perfusion is not enhanced by early movement.
A nurse is working with a family whose 5 year-old daughter has been diagnosed with impetigo. What educational intervention should the nurse include in this familys care?
- A. Ensuring that the family knows that impetigo is not contagious
- B. Teaching about the safe and effective use of topical corticosteroids
- C. Teaching about the importance of maintaining high standards of hygiene
- D. Ensuring that the family knows how to safely burst the childs vesicles
Correct Answer: C
Rationale: Impetigo is linked to poor hygiene, so teaching hygiene practices is key. It is contagious, corticosteroids are ineffective, and bursting vesicles is harmful.
A 65-year-old man presents at the clinic complaining of nodules on both legs. The man tells the nurse that his son, who is in medical school, encouraged him to seek prompt care and told him that the nodules are related to the fact that he is Jewish. What health problem should the nurse suspect?
- A. Stasis ulcers
- B. Bullous pemphigoid
- C. Psoriasis
- D. Classic Kaposis sarcoma
Correct Answer: D
Rationale: Classic Kaposis sarcoma, common in Jewish men aged 40-70, presents as nodules on the lower extremities. Stasis ulcers, bullous pemphigoid, and psoriasis have different presentations.
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