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NCLEX - Respiratory, Neuro, GI, Ortho Cardio {Accumulative}.
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NCLEX - Respiratory, Neuro, GI, Ortho Cardio {Accumulative}.
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NCLEX: Respiratory,Neuro, GI, Ortho Cardio
GI, Endocrine,
Integumentary
,Integumentary NCLEX
A client with dermatitis has been prescribed a topical corticosteroid for use on the affected areas, and the nurse
has reinforced instructions about the use of this medication. Which statement by the client indicates a need for
further teaching?
Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse provides instructions to
the client regarding the use of the medication. Which statement by the client indicates an accurate
understanding of the use of this medication?
Isotretinoin (Amnesteem, Clavaris) is prescribed for a client with severe acne. Before the administration of this
medication, the nurse anticipates that which laboratory test will be prescribed?
A client is newly admitted to the hospital with cellulitis of the lower leg. The nurse checks the health care
provider's prescription sheet to see if which therapy has been prescribed for site care
A client with eczema has a prescription for a topical corticosteroid. The nurse cautions the client to use the
product carefully in which area where the risk of systemic absorption is greater?
The nurse is providing instructions to a client with a diagnosis of scabies regarding the administration of
crotamiton (Eurax). Which statement by the client indicates an understanding regarding the application of this
medication?
The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness
burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client
about the medication. Which statement made by the client indicates a lack of understanding about the
treatments?
A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks.
Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the
nurse is asked to provide instructions to the client regarding the use of the medication.
How should the nurse teach the client to apply the cream?
The nurse is applying a topical glucocorticoid on a client with eczema. The nurse monitors for systemic
absorption of the medication if the medication is being applied to which body areas?
Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse reinforces instructions to
the client about the medication. Which statement by the client indicates a need for further teaching?
Isotretinoin (Accutane) is prescribed for a client to treat severe cystic acne. The nurse tells the client that the
length of the usual prescribed course of treatment is which?
Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the
client complains of local discomfort and burning. Which is the most appropriate nursing action?
,The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse
monitors the client knowing that which indicates a systemic effect has occurred?
Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse is preparing to reinforce
instructions to the client and spouse regarding the wound treatment. Which directions should the nurse include
in the instructions?
The nurse is assigned to care for a client with a leg ulcer. Sutilains (Travase) treatments are prescribed. The
nurse should avoid which action when performing the treatment?
A client is undergoing radiation therapy to treat lung cancer. Following the treatment, the nurse notes that the
chest and neck are red, and the client is complaining of pain at the radiation site. How should the nurse
interpret this data?
A client with severe acne is seen in the clinic, and the health care provider (HCP) prescribes isotretinoin
(Amnesteem, Clavaris). The nurse reviews the client's medication record and should contact the HCP if the client
is taking which medication?
The nurse is applying a topical corticosteroid to a client with eczema. The nurse should monitor for the potential
for increased systemic absorption of the medication if the medication is being applied to which body area?
A client with a burn injury is applying mafenide acetate (Sulfamylon) to the wound. The client calls the health
care provider's office and tells the nurse that the medication is uncomfortable and is causing a burning
sensation. Which instructions should the nurse reinforce to the client?
The nurse reinforces instructions to a client regarding the use of tretinoin (RetinA). Which statement by the
client indicates the need for further teaching?
The nurse is caring for a client with a burn injury to the lower legs. Silver sulfadiazine (Silvadene) is prescribed to
be applied to the sites of injury. Which indicates the appropriate method to apply this medication?
, The nurse is caring for a client diagnosed with scabies who has just been prescribed crotamiton (Eurax). The
nurse provides which instruction for application of this medication?
Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client,
knowing that which finding indicates the presence of systemic toxicity from this medication?
The nurse reviews the laboratory results for a client diagnosed with leukemia who is receiving chemotherapy.
The nurse notes that the white blood cell (WBC) count is 2000 cells/mm3. The nurse identifies the finding as
indicative of which?
The nurse in a health care provider's office has scheduled a client with dermatitis to be seen in 1 week for a
patch test. The nurse should reinforce instructions to the client to do which action before the procedure?
The clinic nurse is collecting data on a client being admitted. The nurse notes that the client is taking azelaic acid
(Azelex). Because of the medication prescription the nurse should suspect that the client is being treated for
which condition?
1. An adult client was burned as a result of an explosion. The burn initially affected the client's entire face
(the anterior half of the head) and the upper half of the anterior torso, and there were circumferential
burns to the lower half of both of the arms. The client's clothes caught on fire, and the client ran, which
caused subsequent burn injuries of the posterior surface of the head and the upper half of the posterior
torso. According to the rule of nines, what is the extent of this client's burn injury? Fill in the blank.
2. A client returns to the clinic for follow-up treatment after a skin biopsy of a suspicious lesion that was
performed 1 week ago. The biopsy report indicates that the lesion is a melanoma. The nurse understands
that which describes a characteristic of this type of a lesion?
3. The nurse is reviewing the health care record of a client with a lesion that has been diagnosed as
malignant melanoma. The nurse should expect which characteristic of this type of lesion to be
documented in the client's record?
4. The nurse reinforces instructions to a group of clients regarding measures that will assist with the
prevention of skin cancer. Which statement by a client indicates the need for further teaching?
5. A client arrives at the emergency department and has experienced frostbite to the right hand. Which
should the nurse expect to find when inspecting the client's hand?
6. The evening nurse reviews the nursing documentation in the client's chart and notes that the day nurse
has documented that the client has a stage 2 pressure ulcer in the sacral area. Which should the nurse
expect to find when checking the client's sacral area?
7. The nurse inspects the skin of a client who is suspected of having psoriasis. Which finding should the
nurse note if this disorder is present?
8. Which should be the anticipated therapeutic outcome of an escharotomy procedure performed for a
circumferential arm burn?
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