Nursing Exam Review on Skin Conditions and Treatments

These flashcards cover key concepts related to skin conditions, treatments, and general nursing actions as reviewed in the lecture.

What is the first action taken after a snake bite?

Move the victim to a safe area and encourage rest.

What should you do immediately after brushing against hagonoy plant?

Shower immediately, lathering and rinsing the skin several times.

What type of condition is cellulitis?

A skin infection involving the dermis and underlying hypodermis.

What are signs of improving psoriasis?

Thinner papules and fewer silvery-white scaly patches.

What is the definitive diagnostic test for Herpes Zoster?

Positive viral culture results.

What are key facts about malignant melanoma?

Highly metastatic, often a changed nevus, common in sun-exposed areas.

What are the classic signs of Basal Cell Carcinoma?

Pearly papule with central crater and waxy border on sun-exposed skin.

What statement needs further teaching about Silver Sulfadiazine?

It will cause stinging every time it is applied.

What adverse effect of Mafenide Acetate should be monitored?

Hyperventilation.

What is a critical lab result for patients using Silver Sulfadiazine?

WBC count of 3,000/mm³.

What is a finding of severe frostbite?

White, waxy skin insensitive to touch.

What are skin cancer prevention measures?

Apply sunscreen early, wear protective clothing, do monthly skin checks.

How is a Stage II pressure injury described?

Partial-thickness skin loss involving the dermis.

Who should not care for a client with disseminated shingles?

A nurse who has never been vaccinated or never had chickenpox.

What is the best site for topical corticosteroid to minimize absorption?

Back.

What is an early sign of salicylic acid toxicity?

Tinnitus.

What is an important baseline lab before isotretinoin?

Serum triglyceride level.

What is a common side effect of Azelaic Acid?

Itching and burning of the skin.

What supplement should be avoided with isotretinoin?

Vitamin A supplements.

When should chemical sunscreen be applied?

At least 30 minutes before sun exposure.

What is the priority with a dislodged internal radiation implant?

Use long-handled forceps and place in lead container.

What are the core principles of radiation safety?

Time, distance, and shielding.

What is the priority intervention for chemotherapy-induced neutropenia?

Strict hand hygiene.

What is a specific marker for multiple myeloma?

Bence-Jones protein in urine.

What is the best prevention of renal failure in multiple myeloma?

Encourage 3–4 liters fluid intake daily.

What is an oncologic emergency lab finding with bone metastasis?

Elevated serum calcium.

What is the first action for vesicant extravasation?

Stop the infusion immediately.

On what basis is chemotherapy dosing determined?

Current height and weight for BSA.

What is a key lab finding in Tumor Lysis Syndrome?

Increased serum uric acid.

What is the major toxicity of Bleomycin?

Pulmonary toxicity.

What is an important teaching point for Cyclophosphamide?

Increase fluids to 2,000–3,000 mL/day.

What is the main finding in SIADH?

Hyponatremia with fluid retention.

What is an early sign of Superior Vena Cava Syndrome?

Facial and periorbital edema.

What is a late sign of hypercalcemia?

ECG changes.

What does urinating through the vagina after bladder radiation suggest?

Vesicovaginal fistula.

What is a safe intervention for a bedrest client with a cervical implant?

Encourage incentive spirometer use.

What precaution should be taken with a platelet count of 20,000?

Use a soft-bristled toothbrush or sponge.

What statement needs more teaching about nadir?

I will take aspirin if I get a headache.

What lab should be monitored with Busulfan therapy?

Serum uric acid.

What is the initial sign of Hodgkin’s disease?

Firm, painless enlarged lymph nodes.

What lab indicates multiple myeloma progression?

Serum creatinine 2.2 mg/dL.

What does bloody NG drainage after gastrectomy mean?

Expected for the first 24 hours; continue monitoring.

What is the first priority in HHS?

Rapid IV infusion of Normal Saline.

What are findings of DKA?

pH 7.25, Kussmaul respirations, glucose 450 mg/dL.

What is the next action when DKA glucose reaches 240 mg/dL?

Switch IV fluids to one containing dextrose.

What does halo nasal drainage after hypophysectomy indicate?

CSF leak.

What are life-threatening findings in Addisonian crisis?

Hypotension and hyperkalemia.

What is the initial action for myxedema coma?

Maintain airway and monitor respirations.

What are signs of thyroid storm?

Fever, tachycardia, agitation, tremors.

What is the highest priority after thyroidectomy?

Audible stridor during inspiration.