A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?

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Fundamentals of Nursing Skin Integrity and Wound Care NCLEX Questions Questions

Question 1 of 5

A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?

Correct Answer: C

Rationale: Washing off the urushiol oil from poison ivy prevents the rash from developing.

Question 2 of 5

Which diagnostic test should the nurse expect to rule out osteoarthritis?

Correct Answer: C

Rationale: X-rays reveal joint space narrowing characteristic of OA.

Question 3 of 5

Which task is most appropriate for the nurse to delegate to UAP?

Correct Answer: D

Rationale: Transport tasks are appropriate for delegation to UAP.

Question 4 of 5

The nurse is caring for a client six (6) hours postoperative right total knee replacement. Which data should the nurse report to the surgeon?

Correct Answer: C

Rationale: Cool toes and pale nailbeds suggest possible circulatory compromise, warranting immediate reporting.

Question 5 of 5

Which intervention should the nurse implement for a client with a fractured hip in Buck's traction?

Correct Answer: C

Rationale: Checking skin condition prevents pressure ulcers, a common complication in Buck's traction.

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