A patient being seen for an elevated, darkened area of excess ...

[K@]

A patient being seen for an elevated, darkened area of excess scar tissue asks the nurse what caused it. How should the nurse respond?
 
  1. This scar was caused by the wearing away of the superficial epidermis, which left a moist, shallow depression.
  2. This scar was caused by excessive collagen formation during healing.
  3. This scar was caused by skin loss extending into the dermis or subcutaneous tissue.
  4. This scar was caused by wasting of the skin due to loss of collagen.

Question 2

A patient is seen for an erythematous generalized rash. Which questions should the nurse ask regarding the rash?
 
  Select all that apply.
  1. Have you recently eaten any new foods?
  2. What medications do you take?
  3. Have you changed your soap?
  4. Have you changed skin care lotions?
  5. How often do you walk outside?

[maya.nigrin17@yahoo.com]

Answer to Question 1

Correct Answer: 2
Erosion is the wearing away of the superficial epidermis, causing a moist, shallow depression. Because erosions do not extend into the dermis, they heal without scarring. A keloid is an elevated, irregular area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. An ulcer is a deep, irregularly shaped area of skin loss extending into the dermis or subcutaneous tissue. Atrophy is a translucent, dry-paper-like, sometimes wrinkled skin surface resulting from thinning or wasting of the skin due to loss of collagen and elastin.

Answer to Question 2

Correct Answer: 1,2,3,4
When assessing a patient with a new rash, the nurse should about precipitating factors such as medications, the use of new soaps and skin care products, and dietary changes. Asking whether the patient walks outside will not help the nurse identify the cause of the rash.

[K@]

Excellent

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