STUVIA 2024/2025
Chapter 25 Care of Patient with Skin Problems
Lift hips off the chair at least every hour - ✔The nurse is teaching a patient with loss of
sensation and movement in the lower extremities secondary to spinal cord injury about
protecting skin integrity. Which daily prevention strategy does the nurse include in the
patient's teaching plan?
Beta-blocking agents - ✔Which category of medications can aggravate psoriasis?
"Check for local tissue reaction." - ✔A patient with psoriasis is prescribed topical
corticosteroids. Which nursing instruction regarding medication usage would be
beneficial to this patient?
Cryosurgery - ✔Which surgical therapy involves the isolated lesion's cell destruction
by local application of liquid nitrogen?
Stevens-Johnson syndrome - ✔Which drug-induced skin reaction is characterized by
vesicles, erosions, and crusts?
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Melanoma - ✔Which skin cancer mostly occurs at the site of moles and birthmarks?
"I will stop using the medications when the symptoms subside." - ✔The nurse is
teaching a patient with psoriasis about topical steroid therapy. Which statement made
by the patient indicates the need for further teaching?
Negative nitrogen balance - ✔What condition can greatly increase the risk of
accelerated tissue destruction in a patient with pressure injuries?
Sepsis
Kidney failure - ✔Which are common complications of pressure injuries? Select all that
apply.
Presence of itching
Time of disease onset
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, STUVIA 2024/2025
Description of disease progression - ✔The nurse is assessing a lesion in a patient with
psoriasis. Which information should the nurse obtain from this patient? Select all that
apply.
Serum albumin - ✔The nurse is evaluating the effectiveness of interventions for
pressure injury management. Which diagnostic test result with an increased level
indicates patient progress and effective health care team collaboration?
Actinic keratosis - ✔During the follow-up visit, a patient reports the spontaneous
disappearance and reappearance of small maculae with dry, yellow adherent scales on
the skin. Which type of skin cancer does the nurse suspect in this patient?
Changes the dressing frequently - ✔A patient has an odorous purulent wound. How
does the nurse best support this patient?
Perform a total skin self-examination monthly with a partner. - ✔A patient has had a
melanoma lesion removed. For secondary prevention, what is important for the nurse
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to teach the patient?
Every 2 hours, reposition a patient who has had a stroke and is incontinent. - ✔Which
nursing interventions can the nurse working in a long-term care facility delegate to a
nursing assistant?
"Do you have a history of skin trauma?"
"Do you have a history of hypertension?"
"Do you have a family history of psoriasis?" - ✔Which questions should the nurse ask
a patient suspected of having psoriasis? Select all that apply.
Wide excision - ✔Which surgical technique helps to remove full-thickness skin in the
area of a lesion?
"Check for local tissue reactions."
"Apply the drug to each lesion and leave it on for shorter periods."
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