Nokea
A patient comes to the dermatology clinic requesting the removal of a port-wine stain on his right cheek. The nurse knows that the procedure especially useful in treating cutaneous vascular lesions such as portwine stains is what?
- A. Skin graft
- B. Laser treatment
- C. Chemical face peeling
- D. Free flap
Correct Answer: B
Rationale: Laser treatment, such as argon laser, effectively treats vascular lesions like port-wine stains. Skin grafts, chemical peels, and free flaps are not suitable for this purpose.
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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 is providing care for a patient who has psoriasis. The nurse is aware of the sequelae that can result from this health problem. Following the appearance of skin lesions, the nurse should prioritize what assessment?
- A. Assessment of the patients stool for evidence of intestinal sloughing
- B. Assessment of the patients apical heart rate for dysrhythmias
- C. Assessment of the patients joints for pain and decreased range of motion
- D. Assessment for cognitive changes resulting from neurologic lesions
Correct Answer: C
Rationale: Psoriasis can lead to psoriatic arthritis in up to 30% of cases, necessitating joint assessment for pain and reduced mobility. It does not affect GI, cardiac, or neurologic function.
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.
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 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.