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Adult Health Nursing 6th Edition By Kockrow Test Bank

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Test Bank on Adult Health Nursing 6th Edition By Kockrow Adult Health Nursing 6th Edition By Kockrow Test Bank

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  • March 16, 2022
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Test Bank on Adult Health Nursing 6th Edition By
Kockrow




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INSTANT DOWNLOAD WITH ANSWERS
Adult Health Nursing 6th Edition By kockrow
Sample Test
Christensen: Adult Health Nursing, 6th Edition

Chapter 03: Care of the Patient with an Integumentary Disorder

Test Bank

MULTIPLE CHOICE

1. A patient has generalized macular-papular skin eruptions and complains of severe pruritus
from contact dermatitis. When the nurse administers his therapeutic bath, it is important to
remember that
a. using Burow’s solution helps promote healing.
b. rubbing the skin briskly decreases pruritus.
c. allowing 20 to 60 minutes to complete the bath will prevent pruritus.
d. sterilizing all equipment used will prevent pruritus.


ANS: A
Pruritus is responsible for most of the discomfort. Wet dressings, using Burow’s solution, help
promote the healing process. A cool environment with increased humidity decreases the pruritus.

,DIF: Cognitive Level: Application REF: Page 79 OBJ: 7
TOP: Pruritus KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity

2. A patient, age 63, has cancer of the left breast. After a modified radical mastectomy, she
has been receiving chemotherapy. Her grandson, who visited a few days ago, now has
varicella (chickenpox). The nurse should observe her carefully for signs of
a. herpes zoster.
b. herpes simplex type I.
c. herpes simplex type II.
d. impetigo.


ANS: A
Herpes zoster is caused by the same virus that causes chickenpox (Herpes varicella). The
greatest risk occurs to patients who have a lowered resistance to infection, such as those on
chemotherapy or large doses of prednisone, in whom the disease could be fatal because of the
patient’s compromised immune system.

DIF: Cognitive Level: Analysis REF: Pages 72, 74 OBJ: 9
TOP: Chemotherapy KEY: Nursing Process Step:
Assessment
MSC: NCLEX: Physiological Integrity

3. A patient has herpes zoster (shingles). A local antiviral agent, which is useful in delaying
the progression of herpetic diseases, was prescribed. This medication is
a. lorazepam (Ativan).
b. hydroxyzine (Atarax).
c. acyclovir (Zovirax).
d. hydrocortisone (Solu-Cortef).


ANS: C
Oral and intravenous acyclovir (Zovirax), when administered early, reduces the pain and duration
of the virus.

DIF: Cognitive Level: Comprehension REF: Page 72 OBJ: 9
TOP: Anti-infective KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity

4. A child has been sent home from school with pruritus and honey-colored crusts on his
lower lip and chin. A probable diagnosis would be
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.

DIF: Cognitive Level: Comprehension REF: Page 76 OBJ: 10
TOP: Infection KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

5. A patient has an erythematous patch of vesicles on her scalp, and she complains of pain
and pruritus. A diagnosis of tinea capitis is made. The causative organism is
a. bacterium.
b. virus.
c. worm.
d. fungus.


ANS: D
Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major
fungal pathogen.

DIF: Cognitive Level: Knowledge REF: Page 78 OBJ: 10
TOP: Infection KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

6. A patient, age 46, reports to his physician’s office with urticaria and papules on his hands
and arms. He says, “It itches so badly.” In assessing the patient, the nurse should gather data
regarding recent
a. travel to foreign countries.
b. upper respiratory tract infection.
c. changes in medication.
d. contact with people who have an infectious disease.


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.

DIF: Cognitive Level: Analysis REF: Page 81 OBJ: 8
TOP: Urticaria KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity

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