Nokea
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.
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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 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 patient has recently been diagnosed with advanced malignant melanoma and is scheduled for a wide excision of the tumor on her chest. In writing the plan of care for this patient, what major nursing diagnosis should the nurse include?
- A. Deficient Knowledge about Early Signs of Melanoma
- B. Chronic Pain Related to Surgical Excision and Grafting
- C. Depression Related to Reconstructive Surgery
- D. Anxiety Related to Lack of Social Support
Correct Answer: A
Rationale: Advanced melanoma suggests a lack of early detection, indicating deficient knowledge about melanoma signs. Excision does not cause chronic pain, and depression or anxiety may not be primary concerns.
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.
A patient requires a full-thickness graft to cover a chronic wound. How is the donor site selected?
- A. The largest area of the body without hair is selected.
- B. Any area that is not normally visible can be used.
- C. An area matching the color and texture of the skin at the surgical site is selected.
- D. An area matching the sensory capability of the skin at the surgical site is selected.
Correct Answer: C
Rationale: Donor site selection for full-thickness grafts prioritizes matching the color and texture of the surgical site to minimize scarring and ensure aesthetic compatibility.