ATI Dermatological Practice Questions And Answers With Verified Solutions A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the follo wing responses by the nurse is appropriate? A.) Basal cell carcinomas B.) Melanomas C.) Actinic keratosis D.) Squamous cell carcinomas ✔✔B Melanomas are malignant neoplasms which atypical melanocytes in both the epidermis, the dermis, and sometimes the subcutaneous cells. It is the most lethal type of skin cancer, often causing metastases in the bone, liver, lungs, spleen, CNS, and lymph node s. A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her burn wounds. The nurse should evaluate the client for which of the following laboratory findings? A.) Hyponatremia B.) Leukopenia C.) Hypochloremia D.) Elevated BUN ✔✔Leukopenia A nurse is assessing the skin of a client who has frostbite. The client has small blisters that contain blood and the skin of the affected area does not blanch. The nurse should classify this injury as which of the fol lowing? A.) First -degree frostbite B.) Second -degree frostbite C.) Third -degree frostbite D.) Fourth -degree frostbite ✔✔Third -degree frostbite -blood filled blisters, skin does not blanch A nurse is assessing a client who is bedridden and was admitted f rom home. The nurse notes a shallow crater in the epidermis of the client's sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages? A.) IV B.) I C.) III D.) II ✔✔II -Stage II pressure ulcer: partial t hickness skin loss involving epidermis and dermis. Ulcer is visible and superficial and can appear as an abrasion, blister, or shallow crater. Edema persists and the ulcer might become infected. Client might report pain, small amount of drainage. A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that the lesions are 0.5 cm (0.20 in.) in size, elevated, and solid with very distinct borders. The nurse should document the finding as which of the following skin lesions? A.) Papules B.) Macules C.) Wheals D.) Vesicles ✔✔Papules -small, solid, elevated lesion with distinct borders. usually smaller than 10mm in diameter. papules are common lesions of warts and elevated moles. A nurse is caring for a client whose wounds are covered with a heterograft dressing. In response to the client's questions about the dressing, the nurse explains that it is obtained from which of the following sources? A.) Cadaver skin B.) Pig skin C.) Amniotic membranes D.) Beef collagen ✔✔Pig skin A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? A.) Zoster vaccine B.) Acyclovir C.) Amoxicillin D.) Infliximab ✔✔Acyclovir -anti-viral to inhibit replication of the virus that causes herpes zoster A nurse is providing teaching to a client who is wheelchair bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include? A.) Move between the bed and the wheelchair once every 2 hours B.) Make sure that your caregiver massages your skin daily C.) Use a rubber ring when sitting at the bedside D.) Shift your weight in the wheelchair every 15 minutes ✔✔Shift your weight in the wheelchair every 15 minutes
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