,Chapter : Dermatologic Disorders
Clinical Guidelines in Primary Care 4th Edition Test bank
MULTIPLE CHOICE
1.What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
a. Use Burows solution to help promote healing
b. Rub the skin briskly to decrease pruritus
c. Limit bathing to 3 times a week
d. Ensure that bath area is at least 85 degrees and dehumidified
ANS: A
Pruritus is responsible for most of the discomfort. Wet dressings and using Burows solution help promote the healing
process. A cool environment with increased humidity decreases the pruritus. Give daily baths with an application to cleanse
the skin.
2.A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) severa
days ago. What should the nurse do?
a. Assess frequently for herpes zoster
b. Be aware of the patients immunity to chickenpox
c. Encourage the patient to have a pneumonia vaccine
d. Arrange for the patient to receive gamma globulin
ANS: A
Herpes zoster is caused by the same virus that causes chickenpox (Herpes varicella). The greatest risk occurs to patients wh
have a lowered resistance to infection, such as those on chemotherapy, aging, or receiving large doses of prednisone, in
whom the disease could be fatal because of the patients compromised immune system.
3.A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when
administering this drug?
a. Apply lightly, being careful not to completely cover the lesion
b. After application, wrap in warm wet dressings
c. Use gloves
d. Rub medication into lesions
ANS: C
The topical application requires that the nurse uses gloves, completely covers the lesion gently, then leaves it open to the ai
, 4.A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse
believes these lesions most likely are:
a. chickenpox.
b. impetigo.
c. shingles.
d. herpes simplex type I.
ANS: B
Impetigo is seen at all ages, but is particularly common in children. The crust is honey-colored and easily removed and is
associated with pruritus. The disease is highly contagious and spreads by contact.
5.A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and
complains of pain and pruritus. Why would the nurse use a Woods lamp?
a. To dry out the lesions
b. To reduce the pruritus
c. To kill the fungus
d. To cause fluorescence of the infected hairs
ANS: D
Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen. The use
the diagnostic Woods lamp causes the infected hairs to turn a brilliant blue green.
6.A patient, age 46, reports to his physicians 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?
a. Macules
b. Plaques
c. Wheals
d. Vesicles
ANS: C
Urticaria is the term applied to the presence of wheals or hives in an allergic reaction commonly caused by drugs, food,
insect bites, inhalants, emotional stress, or exposure to heat or cold. The lesions are elevated with a white center and a pale
red border.
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