A 20 year-old is brought in by ambulance to the emergency department after being involved in a motorcycle accident. The patient has an open fracture of his tibia. The wound is highly contaminated and there is extensive soft-tissue damage. How would this patient's fracture likely be graded?

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NCLEX Style Questions on Skin Integrity and Wound Care Questions

Question 1 of 5

A 20 year-old is brought in by ambulance to the emergency department after being involved in a motorcycle accident. The patient has an open fracture of his tibia. The wound is highly contaminated and there is extensive soft-tissue damage. How would this patient's fracture likely be graded?

Correct Answer: C

Rationale: Open fractures are graded according to the following criteria. Grade I is a clean wound less than 1 cm long. Grade II is a larger wound without extensive soft-tissue damage. Grade III is highly contaminated, has extensive soft-tissue damage, and is the most severe. There is no grade IV fracture.

Question 2 of 5

The nurse is caring for a patient with 45% total body surface area thermal burns. Which laboratory value change would be expected?

Correct Answer: C

Rationale: Thermal burns cause cell damage, releasing potassium into the bloodstream (hyperkalemia), a common finding due to tissue destruction.

Question 3 of 5

During an assessment the nurse notes skin changes on the patient's elbows and knees. Which findings support that these changes are plaque psoriasis?

Correct Answer: B

Rationale: Plaque psoriasis typically presents as thick red plaques with silvery scales, especially on extensor surfaces like elbows and knees, distinguishing it from other descriptions.

Question 4 of 5

The structure(s) of the integumentary system involved in protection is (are)

Correct Answer: D

Rationale: The integumentary system includes hair, skin, and nails, all of which contribute to protection. Hair protects against UV radiation and debris, skin acts as a barrier, and nails protect finger and toe tips.

Question 5 of 5

Which of the following body areas would have a relatively large amount of Meissner's corpuscles?

Correct Answer: C

Rationale: Meissner's corpuscles, which detect light touch, are abundant in sensitive areas like the lips.

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