Which is important for the nurse to assess when inspecting the skin of a patient?

Wear gloves only if the skin appears broken or inflamed.

Ask the patient about personal skin care.

Avoid potentially embarrassing questions about rashes or scars.

Have artificial, preferably fluorescent, lighting for proper illumination of the skin.

Answer and Explanation

The Correct Answer is B

A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.

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Correct Answer is C

Explanation

A. Herpes zoster virus usually is permanently disabling to healthy adults. Herpes zoster (shingles) can cause significant pain and discomfort, but it is not typically permanently disabling to healthy adults.
B. The pain experienced by most patients is typically described as "dull and aching." The pain associated with herpes zoster is usually described as sharp, burning, or stabbing rather than dull and aching.
C. There is usually a rash that occurs in the thoracic region. The rash associated with herpes zoster often appears in a dermatomal distribution, commonly in the thoracic region, following a nerve pathway on one side of the body.
D. Analgesics are often prescribed for pain; however, steroids are usually avoided because of the immune system suppression. While analgesics are commonly prescribed for pain management in herpes zoster, steroids may be used in certain cases to reduce inflammation, particularly if there is nerve involvement. The use of steroids should be carefully considered based on the patient’s overall health and immune status.

A. Is commonly known as a cold sore B. Usually affects the labia in women C. Is characterized by a vesicle at the corner of the mouth, lips, or nose D. Is often associated with lesions in the genital area

Correct Answer is D

Explanation

A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.

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Which is important for the nurse to assess when inspecting the skin of a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient with herpes zoster virus is asking the nurse about this condition. Which knowledge does the nurse use to base patient teaching on?

Correct Answer is C

Explanation

What is herpes simplex type 2?

Correct Answer is D

Explanation

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When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?

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