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The nurse is caring for a patient with a urinary tract infection and has been prescribed cipprofloxacin. Which of the following information should the nurse include when teaching this patient?
- A. Use a sunscreen with a high SPF when exposed to the sun.
- B. Sun exposure may decrease the effectiveness of the medication.
- C. Photosensitivity may result in an artificial-looking tan appearance.
- D. Wear sunglasses to avoid eye damage while taking cipprofloxacin.
Correct Answer: A
Rationale: The patient should wear sunscreen when taking medications that can cause photosensitivity. The other statements are not accurate.
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The nurse is caring for a patient who has basal cell carcinoma (BCC) of the face. Which of the following information should the nurse include when teaching this patient?
- A. Treatment plans include watchful waiting.
- B. Screening for metastasis will be important.
- C. Low-dose systemic chemotherapy is used to treat BCC.
- D. Minimizing sun exposure will reduce risk for future BCC.
Correct Answer: D
Rationale: BCC is frequently associated with sun exposure. BCC spread locally, but do not metastasize to distant tissues. Since BCC can cause local tissue destruction, treatment is indicated. Local chemotherapy may be used to treat BCC.
The nurse is providing care to a patient with a squamous cell carcinoma (SCC) that had a Mohs procedure in the dermatology clinic. Which of the following nursing actions would be included in the postoperative plan of care?
- A. Describe the use of topical fluorouracil on the incision.
- B. Teach how to use sterile technique to clean the suture line.
- C. Schedule daily appointments for wet-to-dry dressing changes.
- D. Educate about use of cold packs to reduce bruising and swelling.
Correct Answer: D
Rationale: Application of cold packs to the incision after the surgery will help decrease bruising and swelling at the site. Since the Mohs procedure results in complete excision of the lesion, topical fluorouracil is not needed after surgery. The suture line is cleaned with tap water. No debridement with wet-to-dry dressings is indicated.
Which of the following information would the nurse include when teaching an older-adult patient about skin care?
- A. Dry the skin thoroughly before applying lotons.
- B. Bathe and shampoo daily with soap and shampoo.
- C. Use warm water and a moisturizing soap when bathing.
- D. Use antibacterial soaps when bathing to avoid infection.
Correct Answer: C
Rationale: Warm water and moisturizing soap will avoid overdrying of the skin. Since older patients have dryer skin, daily bathing and shampooing are not necessary and may dry the skin unnecessarily. Antibacterial soaps are not necessary. Lotions should be applied while the skin is still damp to seal moisture in.
A patient who has severe refractory psoriasis on the face, neck, and extremities has quit working and withdrawn from social activities because of the appearance of the lesions. Which of the following actions should the nurse take first?
- A. Discuss the possibility of enrolling in a worker-retraining program.
- B. Encourage the patient to volunteer to work on community projects.
- C. Suggest that the patient use cosmetics to cover the psoriatic lesions
- D. Ask the patient to describe the impact of psoriasis on quality of life.
Correct Answer: D
Rationale: The nurse's initial actions should be to assess the impact of the disease on the patient's life and to allow the patient to verbalize feelings about the psoriasis. Depending on the assessment findings, other actions may be appropriate.
A patient with an enlarging, irregular mole that is $6 \mathrm{mm}$ in diameter is scheduled for outpatient treatment. Which of the following procedures would the nurse include in the teaching plan for this patient?
- A. Curettage
- B. Cryosurgery
- C. Punch biopsy
- D. Surgical excision
Correct Answer: D
Rationale: The description of the mole is consistent with malignancy, so excision and biopsy are indicated. Curettage and cryosurgery are not used if malignancy is suspected. A punch biopsy would not be done for a lesion greater than $5 \mathrm{mm}$ in diameter.