ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
A child presents to the emergency department with cutaneous manifestations of an allergic response. Which nursing diagnosis takes priority?
Correct Answer: D
Rationale: Usually, actual nursing diagnoses take priority over risk for diagnoses, but in this case, risk for impaired airway is the priority. The childs airway can quickly become compromised due to laryngeal edema.
Question 2 of 5
Which client should the nurse use caution with when applying mafenide acetate to a burned area?
Correct Answer: B
Rationale: Mafenide acetate (Sulfamylon) impairs renal buffering, increasing bicarbonate excretion and requiring pulmonary compensation. In COPD, this compensation may fail, leading to metabolic acidosis, necessitating caution. Normal creatinine, good oxygenation, and diabetes do not pose specific risks.
Question 3 of 5
The female client calls the clinic to report a painful sunburn. Which information should the nurse discuss with the client?
Correct Answer: A
Rationale: Aloe soothes minor burns like sunburn. Calamine is for itching (e.g., poison ivy), Echinacea is for infections, and baking soda is for insect bites, not sunburn.
Question 4 of 5
The client diagnosed with psoriasis has been prescribed secukinumab. Which clinical manifestations would alert the nurse to a potential adverse reaction?
Correct Answer: A
Rationale: Secukinumab's adverse effects include sinusitis and urticaria (welts). Weakness/dizziness, constipation, and calf swelling (possible clot) aren't linked to this drug.
Question 5 of 5
Which of the following statements are true regarding Kaposi's sarcoma?
Correct Answer: A
Rationale: Kaposi's sarcoma was historically more common among Ashkenazi Jews and is associated with HHV8, not HHV6.