NCLEX Style Chapter 43 Christensen Flashcards
(10 cards)
When assessing the skin, it is important that the nurse:
Wear gloves only if the skin appears broken or inflamed.
Ask the patient about personal skin care.
Have artificial, preferably fluorescent, lighting for proper illumination of the skin.
Ask the patient about personal skin care. When assessing the skin, the nurse should have natural lighting.
Cultural and ethnic considerations for skin assessment include which of the following?
Baseline skin color should be assessed in areas with the most pigmentation.
To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation.
Pallor in black-skinned individuals will appear as a pale brownish color.
To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation. To assess rashes and skin inflammation in dark-skinned individuals, the nurse should rely on palpation for warmth and induration rather than observation.
IN ADDITION: Pallor in black-skinned individuals will appear as ashen or gray.
Herpes simplex, type 2:
Usually affects the labia in women
Is accompanied by flulike symptoms 3 to 4 days after the vesicles erupt
Is characterized by a vesicle at the corner of the mouth, lips, or nose
Is accompanied by flulike symptoms 3 to 4 days after the vesicles erupt. Herpes simplex, type 2, is accompanied by flulike symptoms 3 to 4 days after the vesicles erupt. Headache, fatigue, myalgia, elevated temperature, and anorexia are common.
IN ADDITION: Herpes simplex, type 2, usually affects the cervix in women and the penis in men.
Your patient with Herpes zoster is asking you about her condition. You base your patient teaching on the knowledge that:
The pain experienced by most patients is typically described as “dull and aching.”
There is usually a rash that occurs in the thoracic region.
Analgesics are often prescribed for pain; however, steroids are usually avoided because of the immune system suppression.
There is usually a rash that occurs in the thoracic region. The rash usually occurs in the thorax region; vesicles erupt in a line along the involved nerve.
IN ADDITION: The pain experienced by most patients is typically described as burning and knifelike.
A patient has come into your dermatology clinic. She states that she had a single 1-inch lesion that was scaly with a raised border and a pink center on her chest. Now, a little more than a week later, she has smaller matching spots of the rash on both sides of her chest. You observe pink, oval-shaped spots that are 1/4- to 1/2-inch across. You suspect that the physician will diagnose the condition as:
Herpes zoster
Impetigo contagiosa
Pityriasis rosea
Pityriasis rosea. Pityriasis rosea begins with a single lesion, 1 to 2 inches in diameter, known as a herald patch. This lesion is scaly with a raised border and a pink center, and is typically found on the patient’s chest, abdomen, back, groin, or axillae. Seven to 14 days after the initial eruption, smaller matching spots of the rash become widespread on both sides of the body.
IN ADDITION: Impetigo contagiosa consists of macular lesions that rupture and form a dried exudate on the face, hands, arms, and legs.
You have a pediatric patient who is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. When asked about her condition, you remember that impetigo contagiosa:
Usually presents with a rash on the patient’s back
Is a viral skin infection
Is a highly contagious inflammatory disorder.
. Impetigo contagiosa is a highly contagious inflammatory disorder. It is highly contagious to a person who directly contacts the exudate of a lesion.
Which of the following is a true statement regarding cellulitis?
Complications from cellulitis can cause sepsis.
Cellulitis cannot enter through broken skin.
The primary treatment for cellulitis includes analgesics, dressing changes, and warm compresses.
Complications from cellulitis can cause sepsis. Complications from cellulitis can include sepsis, meningitis, and lymphangitis.
IN ADDITION: The primary treatment for cellulitis includes prompt administration of antibiotics. If the cellulitis is mild, oral antibiotics may be prescribed; if the cellulitis is rapidly spreading or the patient has evidence of a serious infection, intravenous antibiotics may be required
Hair follicle infection is known as:
A furuncle
A felon
Folliculitis
Folliculitis.
IN ADDITION: A furuncle, also known as a boil, is an inflammation that begins deep in the hair follicles and spreads to the surrounding skin, often located in the posterior area of the neck, the forearm, buttocks, and the axillae.
A felon occurs when the soft tissue under and around an area, such as the fingernail, becomes infected. The involved finger becomes erythematous, edematous, and tender.
Tinea capitis, Microsporum audouinii, Tinea corporis, and Tinea pedis are all examples of:
Fungal skin infection
Bacterial skin infection’
Viral SKin Infections
Fungal Skin Infections. T. capitis, M. audouinii, T. corporis, and T. pedis are all examples of fungal skin infections. These dermatophytoses are superficial infections.
Which of the following skin disorders is the most serious due to the possibility of an acute respiratory reaction? Select all that apply.
Contact dermatitis
Urticaria
Eczema
Psoriasis
Contact Dermatitis
Urticaria
