The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on ...

The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?
 
  a. Clean the infected areas with soap and water.
  b. Apply alcohol-based cleansers on the lesions.
  c. Avoid use of antibiotic ointments on the lesions.
  d. Use petroleum jelly (Vaseline) to soften crusty areas.

Question 2

A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?
 
  a. Prepare the patient for a biopsy.
  b. Teach about the use of corticosteroid creams.
  c. Explain how to apply tretinoin (Retin-A) to the face.
  d. Discuss the need for topical application of antibiotics.

Question 3

A nurse develops a teaching plan for a patient diagnosed with basal cell carcinoma (BCC). Which information should the nurse include in the teaching plan?
 
  a. Treatment plans include watchful waiting.
  b. Screening for metastasis will be important.
  c. Low dose systemic chemotherapy is used to treat BCC.
  d. Minimizing sun exposure will reduce risk for future BCC.

Question 4

A patient has the following risk factors for melanoma. Which risk factor should the nurse assign as the priority focus of patient teaching?
 
  a. The patient has multiple dysplastic nevi.
  b. The patient is fair-skinned and has blue eyes.
  c. The patient's mother died of a malignant melanoma.
  d. The patient uses a tanning booth throughout the winter.

Question 5

Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
 
  a. Use a sunscreen with a high SPF when exposed to the sun.
  b. Sun exposure may decrease the effectiveness of the medication.
  c. Photosensitivity may result in an artificial-looking tan appearance.
  d. Wear sunglasses to avoid eye damage while taking this medication.

Question 6

Which activities can the nurse working in the outpatient clinic delegate to a licensed practical/vocational nurse (LPN/LVN) (select all that apply)?
 
  a. Administer patch testing to a patient with allergic dermatitis.
  b. Interview a new patient about chronic health problems and allergies.
  c. Apply a sterile dressing after the health care provider excises a mole.
  d. Teach a patient about site care after a punch biopsy of an upper arm lesion.
  e. Explain potassium hydroxide testing to a patient with a superficial skin infection.

Question 7

Which information should the nurse include when teaching patients about decreasing the risk for sun damage to the skin?
 
  a. Use a sunscreen with an SPF of at least 8 to 10 for adequate protection.
  b. Water resistant sunscreens will provide good protection when swimming.
  c. Increase sun exposure by no more than 10 minutes a day to avoid skin damage.
  d. Try to stay out of the sun between the hours of 10 AM and 2 PM (regular time).

Question 8

When taking the health history of an older adult, the nurse discovers that the patient has worked in the landscaping business for 40 years.
 
  The nurse will plan to teach the patient about how to self-assess for which clinical manifestations (select all that apply)?
  a. Vitiligo
  b. Alopecia
  c. Intertrigo
  d. Erythema
  e. Actinic keratosis