A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:
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Question 2 of 55
When performing the caloric test, nystagmus develops in the left eye while irrigating the right ear. The nurse evaluates the client further for which condition that contributes to the results of the caloric test?
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Question 3 of 55
Which statement by the client prescribed calcitonin, a thyroid hormone, indicates to the nurse the teaching has been effective?
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Question 4 of 55
The nurse is assessing a client's wound for signs and symptoms of inflammation. Which of the following would alert the nurse that the client is exhibiting signs of inflammation?
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Question 5 of 55
A nurse in a dermatology clinic is reading the electronic health record of a new patient. The nurse notes that the patient has a history of a primary skin lesion. What is an example of a primary skin lesion?
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Question 6 of 55
Which statement by the female client diagnosed with severe acne would cause the HCP to not prescribe isotretinoin under the SMART protocol?
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Question 7 of 55
Which intervention should the recovery room nurse implement for a client who has just had a left BKA?
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Question 8 of 55
The nurse is assisting to defibrillate a client in ventricular fibrillation. After placing the pad on the client's chest and before discharge, which intervention is a priority?
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Question 9 of 55
The nurse describes common complications that burn patients may experience. Which description best fits hyperkalemia?
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Question 10 of 55
What is the best instruction by the nurse regarding reducing the risk factors for melanoma?
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Question 11 of 55
The nurse is developing a plan of care for a client diagnosed with left-sided paralysis secondary to a right-sided cerebrovascular accident (stroke). Which should be included in the interventions?
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Question 12 of 55
A patient has returned to the postsurgical unit from the PACU after an above-the-knee amputation of the right leg. Results of the nurse's initial postsurgical assessment were unremarkable but the patient has called out. The nurse enters the room and observes copious quantities of blood at the surgical site. What should be the nurse's initial action?
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Question 13 of 55
A 73-year-old asks the nurse to inspect some large reddened lumps that have recently appeared on the legs. The nurse recognizes the lesions as angiomas and tells the patient,
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Question 14 of 55
While inspecting the skin of a patient's arm the nurse notes lesions that are clustered together. How should the nurse document this finding?
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Question 15 of 55
Which signs/symptoms should the nurse expect to find when assessing the client with an acoustic neuroma?
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Question 16 of 55
During a home health visit, the client indicates he feels he might need physical therapy to facilitate his recovery. What action by the nurse is indicated?
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Question 17 of 55
The nurse prepares discharge instructions for a male client following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instruction?
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Question 18 of 55
An emergency department nurse is assessing a 17-year-old soccer player who presented with a knee injury. The patient's description of the injury indicates that his knee was struck medially while his foot was on the ground. The nurse knows that the patient likely has experienced what injury?
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Question 19 of 55
Which psychosocial problem should the nurse identify in a client with significant joint pain despite multiple treatments?
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Question 20 of 55
Which action is a priority during the resuscitation phase for a client with burn injuries?
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Question 21 of 55
In evaluating the adequacy of fluid resuscitation in a burn client, which assessment provides the most reliable indicator?
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Question 22 of 55
The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding?
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Question 23 of 55
The nurse prepares to care for a male client with acute cellulitis of the lower leg. The nurse anticipates that which of the following will be prescribed for the client?
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Question 24 of 55
Which data indicates the CombiDerm nonadhesive, sterile, hydrocolloidal dressing is ready to be removed for a client with a stage 3 pressure ulcer?
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Question 25 of 55
After teaching a client how to care for a furuncle in the axilla, a nurse assesses the client's understanding. Which statement indicates the client correctly understands the teaching?
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Question 26 of 55
A child who was visiting a wooded area on vacation presents to the doctors office with a localized bulls-eye rash. Which action by the nurse is the most appropriate?
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Question 27 of 55
There is one opening in the schedule at the dermatology clinic, and 4 patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
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Question 28 of 55
Which organism causes verruca vulgaris?
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Question 29 of 55
The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination?
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Question 30 of 55
Nurse Jeff is performing skin assessment on a client with a facial lesion. It appears as a well-defined, red, scaling, thickened bump. This type of skin lesion refers to?
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Question 31 of 55
When assessing for primary skin lesions on children, what does the nurse specifically look for?
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Question 32 of 55
A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?
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Question 33 of 55
The nurse is planning the care of a client diagnosed with Addison's disease. Which intervention should be included?
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Question 34 of 55
The nurse notes that a patient with a skin rash has an elevated white blood cell count. What should this information suggest to the nurse?
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Question 35 of 55
A patient, age 46, reports to his physician's office with urticaria with elevated lesions that are white in the center with a pale red border on hands and arms. He says, 'It itches like crazy.' Which type of lesion would the nurse include in her documentation?
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Question 36 of 55
A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching. The nurse knows that this is indicative of what strength reaction?
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Question 37 of 55
Superficial burns affect:
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Question 38 of 55
The client is complaining of ringing in the ears. Which data are most appropriate for the nurse to document in the client's chart?
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Question 39 of 55
A 41-year-old client has reported to the clinic with clinical manifestations consistent with menopause. The client states that her menstrual periods have become irregular, with the last period occurring approximately four months ago. What information should be provided to the client concerning the use of contraceptives?
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Question 40 of 55
The nurse is preparing an educational tool to teach high school students about skin cancer. What should the nurse highlight as being the most common precancerous lesion?
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Question 41 of 55
Which of the following is the initial intervention for a male client with external bleeding?
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Question 42 of 55
The nurse is caring for an 88-year-old client admitted to the orthopedic floor with the diagnosis of fractured pelvis. Which intervention should the nurse implement first?
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Question 43 of 55
Which layer of the skin serves as an insulator and energy reserve?
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Question 44 of 55
An 11-year-old child received burns over both upper and lower arms, both hands, anterior upper and lower legs, anterior chest, and the neck. Using the following as a guide, what is this child's total body surface area burned?
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Question 45 of 55
The public health nurse is providing a class on skin disorders in the African American community. Which information should the nurse include in the presentation?
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Question 46 of 55
The patient with shingles has been on an antiviral medication since the vesicles appeared. The goal of early treatment is to prevent which complication?
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Question 47 of 55
Which of the following statements are true regarding squamous cell carcinoma?
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Question 48 of 55
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action should the nurse prepare to carry out initially?
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Question 49 of 55
The nurse is preparing the client scheduled for a dermabrasion. Which information should the nurse include while teaching the client?
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Question 50 of 55
Which client problem is the nurse's priority concern for the client diagnosed with acute pancreatitis?
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Question 51 of 55
A hospitalized client is diagnosed with scabies. Which of the following would a nurse expect to note on inspection of the client's skin?
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Question 52 of 55
The client is diagnosed with acne vulgaris. Which psychosocial problem is priority?
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Question 53 of 55
A nurse assesses a client who has multiple areas of ecchymosis on both arms. Which question should the nurse ask first?
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Question 54 of 55
Which technique would be most appropriate for the nurse to implement when assessing a four (4)-year-old client in acute pain?
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Question 55 of 55
A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep. The nurse should consult with the provider to further assess the patient for:
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