Senior Seminar Med Surg Quiz 2 (Complete Solutions)

Senior Seminar Med Surg Quiz 2 (Complete Solutions)
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for a snakebite to an extremity. The nurse should inform those attending
the session that the first priority intervention in the event of this occurrence is which
action?
1. Immobilize the affected extremity
2. Remove jewelry and constricting clothing from the victim
3. Place the extremity in a position so that it is below the level of the heart
4. Move the victim to a safe area away from the snake and encourage the victim to rest.
A client calls the ED and tells the nurse that he came directly into contact with poison
ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks
the nurse what to do. The nurse should make which response?
1. "Come to the ED."
2. "Apply calamine lotion immediately to exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your skin."
A client is being admitted to the hospital for treatment of acute cellulitis of lower left leg.
During the admission assessment, the nurse expects to note which finding?
1. An inflammation of the epidermis only
2. A skin infection of the dermis and underlying hypodermis
3. An acute superficial infection of the dermis and lymphatics
4. An epidermal and lymphatic infection caused by Staphylococcus
The clinic nurse assesses the skin of a client with psoriasis after the client has used a
new topical treatment for 2 months. The nurse identifies which characteristics as
improvement in the manifestations of psoriasis? Select all that apply
1. Presence of striae
2. Palpable radial pulses
3. Absence of any ecchymosis on the extremities
4. Thinner and decrease number of reddish papules
5. Scarce amount of silvery-white scaly patches on the arms
The clinic nurse notes that the HCP has documented a diagnosis of herpes zoster
(shingles) in the client's chart. Based on an understanding of the cause of this disorder,
the nurse determines that this definitive diagnosis was made by which diagnostic test?
1. Positive patch test
2. Positive culture results
3. Abnormal biopsy results
4. Wood's light examination indicative of infection
A client returns to the clinic for follow-up treatment following a skin biopsy of a
suspicious lesion performed 1 week ago. The biopsy report indicates that the lesion is a
melanoma. The nurse understands that melanoma has which characteristics? Select all
that apply.
1. Lesion is painful to touch
2. Lesion is highly metastatic
3. Lesion is a nevus that has changes in color
4. Skin under the lesion is reddened and warm to touch
5. Lesion occurs in body area exposed to outdoor sunlight
When assessing a lesion diagnosed as basal cell carcinoma, the nurse most likely
expects to note which findings? Select all that apply
1. An irregularly shaped lesion
2. A small papule with a dry, rough scale
3. A firm, nodular lesion topped with crust
4. A pearly papule with a central crater and a waxy border
5. Location in the bald spot atop the head that is exposed to outdoor sunlight
A client arriving at the ED has experienced frostbite to the right hand. Which finding
would the nurse note on assessment of the client's hand?
1. A pink, edematous hand
2. Fiery red skin with edema in the nail beds
3. Black fingertips surrounded by an erythematous rash
4. A white color to the skin, which is insensitive to touch
The evening nurse reviews the nursing documentation in a client's chart and notes that
the day nurse has documented that the client has a stage II pressure ulcer in the sacral
area. Which finding would the nurse expect to note on assessment of the client's sacral
area?
1. Intact skin
2. Full-thickness skin loss
3. Exposed bone, tendon, or muscle
4. Partial thickness skin loss of the dermis
An adult client was burned in an explosion. The burn initially affected the client's entire
face (anterior half of the head) and the upper half of the anterior torso, and there were
circumferential burns to the lower half of both arms. The client's clothes caught on fire,
and the client ran, causing subsequent burn injuries to the posterior surface of the head
and upper half of the posterior torso. Using the rule of nines, what would be the extent
of the burn injury?
1. 18%
2. 24%
3. 36%
4. 48%

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