Integumentary Disorders

90 Questions | Total Attempts: 463

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Integumentary Disorders

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Questions and Answers
  • 1. 
    Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that suggests necrotizing fasciitis is:
    • A. 

      Erythema.

    • B. 

      Leukocytosis.

    • C. 

      Pressurelike pain.

    • D. 

      Swelling.

  • 2. 
    A client sees a dermatologist for a skin problem. Later, the nurse reviews the client's chart and notes that the chief complaint was intertrigo. This term refers to which condition?
    • A. 

      Spontaneously occurring wheals

    • B. 

      A fungus that enters the skin's surface, causing infection

    • C. 

      Inflammation of a hair follicle

    • D. 

      Irritation of opposing skin surfaces caused by friction

  • 3. 
    A client has a circular rash on her leg, accompanied by malaise, fever, headache, and joint aches. Laboratory studies and physical examination findings confirm that she has Lyme disease. Her physician orders tetracycline hydrochloride (Sumycin), 500 mg P.O. q.i.d. Which instruction about taking tetracycline should the nurse give the client?
    • A. 

      Take the drug on an empty stomach.

    • B. 

      Take the drug with food or milk.

    • C. 

      Take the drug with an antacid that contains magnesuim to reduce irritability.

    • D. 

      Take the drug with an iron supplement.

  • 4. 
    When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?
    • A. 

      Placing mitts on the client's hands

    • B. 

      Administering systemic antibiotics as ordered

    • C. 

      Applying topical antibiotics as ordered

    • D. 

      Continuing to administer antibiotics for 21 days as ordered

  • 5. 
    A client who was bitten by a wild animal is admitted to an acute care facility for treatment of rabies. Which type of isolation does this client require?
    • A. 

      Strict

    • B. 

      Contact

    • C. 

      Respiratory

    • D. 

      Enteric

  • 6. 
    Which initial intervention should a nurse perform for a client with external bleeding?
    • A. 

      Elevation of the extremity

    • B. 

      Pressure point control

    • C. 

      Direct pressure

    • D. 

      Application of a tourniquet

  • 7. 
    A nurse is planning the care for a client with a pressure ulcer. Which statements should the nurse include in the client's nursing care plan? Select all that apply.
    • A. 

      Use pressure-reduction devices.

    • B. 

      Increase carbohydrates in the diet.

    • C. 

      Reposition every 1 to 2 hours.

    • D. 

      Teach the family how to care for the wound.

    • E. 

      Clean the area around the ulcer with mild soap.

  • 8. 
    A client is diagnosed with gonorrhea. When teaching the client about this disease, the nurse should include which instruction?
    • A. 

      Avoid sexual intercourse until you've completed treatment, which takes 14 to 21 days.

    • B. 

      Wash your hands thoroughly to avoid transferring the infection to your eyes.

    • C. 

      If you have intercourse before treatment ends, tell sexual partners of your status and have them wash well after intercourse.

    • D. 

      If you don't get treatment, you may develop meningitis and suffer widespread central nervous system (CNS) damage.

  • 9. 
    A nurse plans to apply dexamethasone cream to a client's dermatitis over the anterior chest. How should the nurse apply this topical agent?
    • A. 

      With a circular motion, to enhance absorption

    • B. 

      With an upward motion, to increase blood supply to the affected area

    • C. 

      In long, even, outward, and downward strokes in the direction of hair growth

    • D. 

      In long, even, outward, and upward strokes in the direction opposite hair growth

  • 10. 
    A client presents in the emergency department with complaints of cough, headache, and generalized aches and pains. Upon assessment, the nurse documents a temperature of 102.5° F (39.2° C) and redness on the arms, legs, and upper chest. She also notes that the client takes eight different medications each day. What nursing diagnosis is the priority for this client?
    • A. 

      Impaired physical mobility

    • B. 

      Impaired tissue integrity

    • C. 

      Impaired thermoregulation

    • D. 

      Ineffective therapeutic regimen management

  • 11. 
    The physician orders "acyclovir (Zovirax), 200 mg P.O., every 4 hours while awake" for a client with herpes zoster. The nurse should inform the client that this drug may cause:
    • A. 

      Palpitations.

    • B. 

      Dizziness.

    • C. 

      Diarrhea.

    • D. 

      A metallic taste.

  • 12. 
    A nurse is preparing a care plan for a client burned over 36% of his body 2 days previously. Which clinical manifestation indicates that the client has progressed into the intermediate phase of burn care?
    • A. 

      The client's serum sodium levels are elevated.

    • B. 

      The client exhibits metabolic alkalosis.

    • C. 

      The client's urinary output has fallen below 30 ml/hour.

    • D. 

      The client's complete blood count readings reflect a reduced hematocrit.

  • 13. 
    After sustaining a stroke, a client is transferred to the rehabilitation unit. The medical-surgical nurse reviews the client's residual neurological deficits with the rehabilitation nurse. Which neurological deficit places the client at risk for skin breakdown?
    • A. 

      Right-sided visual deficit and dysarthria

    • B. 

      Incontinence and right-sided hemiparesis

    • C. 

      Dysarthria and left-sided visual deficit

    • D. 

      Constipation and lower extremity weakness

  • 14. 
    A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing. To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?
    • A. 

      Related to potential interactions between the topical corticosteroid and other ordered drugs

    • B. 

      Related to vasodilatory effects of the topical corticosteroid

    • C. 

      Related to percutaneous absorption of the topical corticosteroid

    • D. 

      Related to topical corticosteroid application to the face, neck, and intertriginous sites

  • 15. 
    A client with a severe staphylococcal infection is receiving the aminoglycoside gentamicin sulfate (Garamycin) by the I.V. route. The nurse should assess the client for which adverse reaction?
    • A. 

      Aplastic anemia

    • B. 

      Ototoxicity

    • C. 

      Cardiac arrhythmias

    • D. 

      Seizures

  • 16. 
    A day-care worker comes to the clinic for mild itching and rash of both hands. The nurse suspects contact dermatitis. The diagnosis is confirmed if the rash appears:
    • A. 

      Erythematous with raised papules.

    • B. 

      Dry and scaly with flaking skin.

    • C. 

      Inflamed with weeping and crusting lesions.

    • D. 

      Excoriated with multiple fissures.

  • 17. 
    A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. This wound is healing by:
    • A. 

      First intention.

    • B. 

      Second intention.

    • C. 

      Third intention.

    • D. 

      Fourth intention.

  • 18. 
    A client is brought to the emergency department with partial-thickness and full-thickness burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned?
    • A. 

      18%

    • B. 

      27%

    • C. 

      30%

    • D. 

      36%

  • 19. 
    Sudoriferous glands secrete which type of substance?
    • A. 

      Sweat

    • B. 

      Oil

    • C. 

      Hormones

    • D. 

      Cerumen

  • 20. 
    A nurse is performing an admission assessment on a client entering a long-term care facility. She notices a broken area of skin that extends into the dermis on the client's coccyx. How should the nurse document this wound?
    • A. 

      Stage I pressure ulcer

    • B. 

      Stage II pressure ulcer

    • C. 

      Stage III pressure ulcer

    • D. 

      Stage IV pressure ulcer

  • 21. 
    A nurse is evaluating a stage II pressure ulcer on a client. Which wound assessment findings should prompt the nurse to request a referral from the wound care nurse?
    • A. 

      A wound measuring 9 cm × 5 cm × 0.5 cm with granulation tissue

    • B. 

      A wound measuring 1 cm × 2 cm × 0.5 cm with a red, moist wound bed

    • C. 

      A wound measuring 2 cm × 2 cm × 0.5 cm with tan leathery appearance

    • D. 

      A wound measuring 2 cm × 2 cm × 0.5 cm with granulation tissue

  • 22. 
    In a client with burns on the legs, which nursing intervention helps prevent contractures?
    • A. 

      Applying knee splints

    • B. 

      Elevating the foot of the bed

    • C. 

      Hyperextending the client's palms

    • D. 

      Performing shoulder range-of-motion exercises

  • 23. 
    A nurse provides preoperative education to a client scheduled to undergo elective surgery. The nurse includes instructions about proper skin care. Which client statement indicates the need for further education?
    • A. 

      I should begin to use an antibacterial soap a few days before my surgical procedure.

    • B. 

      On the morning of the surgery, I can shave my surgical area at home to save time.

    • C. 

      On the morning of surgery, I won't use lotions or cosmetics.

    • D. 

      I'll shower before coming to the hospital on the day of the surgery.

  • 24. 
    A nurse is conducting a detailed skin assessment on an 80-year-old client. Which finding requires further investigation?
    • A. 

      Yellow, waxy deposits on the lower eyelids

    • B. 

      Bright red moles on the hands

    • C. 

      Several areas of dry, scaly skin

    • D. 

      Small, waxy nodule with pearly borders

  • 25. 
    A nurse is caring for a client who requires a wheelchair. Which piece of equipment impedes circulation to the area it's meant to protect?
    • A. 

      Specialty mattress

    • B. 

      Ring or donut

    • C. 

      Gel flotation pad

    • D. 

      Water bed

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