Chapter 42: Care of Patents with Integumentary Disorders and Burns

1. The nurse is bathing a patient with poison ivy. Which action is most appropriate? a. Bathe the patient with warm water. b. Maintain a room temperature of 78° to 80° F to prevent chills. c. Cover vesicles with gauze dressings. d. Pat skin dry. 2. The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan? a. Drink 4 ounces of wine daily to promote vasodilation. b. Wash your face at least three times daily. c. Avoid direct sunlight. d. Apply tea bags to the affected areas. 3. For which patient would the nurse question an order for isotretinoin (Accutane)? a. A 20-year-old epileptic man with nodular acne and epilepsy b. A 22-year-old pregnant woman with severe acne c. A 46-year-old woman on oral contraceptive pills with cystic acne d. A 50-year-old hypertensive man with cystic acne 4. The nurse is advising a 20-year-old college sophomore with acne vulgaris. Which information is most important for the nurse to include in the teaching plan? a. Avoid all chocolate. b. Wash your face gently with mild soap. c. Scrub your face with a soft brush. d. Gently express clogged sebum from your pores. 5. A patient with psoriasis is placed on PUVA therapy. What factors compose this therapy? a. Radiation and corticosteroids b. X-rays and methotrexate c. Artificial ultraviolet (UV) rays and a coal tar product d. Laser treatment and antimetabolites 6. The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan? a. Liberally apply a lubricating cream three times daily. b. Use a humidifier at night. c. Use an alcohol-based cleanser in the morning. d. Take hot baths to reduce skin discomfort. 7. An 84-year-old patient has had a low-grade fever for 2 days. This morning, the patient complains of burning, tingling hip pain that shoots down the leg. The nurse observes a small group of vesicles on the leg. These findings are consistent with which disorder? a. Herpes simplex b. Herpes zoster c. Syphilis lesions d. Furuncles 8. The patient with shingles has been on an antiviral medication since the vesicles appeared. The goal of early treatment is to prevent which complication? a. Postherpetic pain b. Outbreak of additional vesicles c. Lesions of the eye d. Transmission to health care workers