ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
A client develops hyperthermia related to a diagnosis of Pneumonia. Which of the following nursing interventions would be effective in the treatment of hyperthermia?
Correct Answer: B
Rationale: Hyperthemia is an expected consequence of the infectious disease process. Fever can produce mild, short-term effects or, when prolonged, can cause life-threatening effects. The nurse should administer antipyretic medications as indicated for elevated temperatures and enforce frequent rest periods because rest increases energy reserve, which is depleted by an increased metabolic, heart, and respiratory rate. Ice packs and tepid baths can be used with caution, but the most effective combined intervention includes antipyretics and rest. Increasing room temperature and restricting fluids are not appropriate.
Question 2 of 5
When explaining a tonometer test results of $28 "mathrm{~mm} "mathrm{Hg}$ to a client, the nurse would use which explanation to be most accurate?
Correct Answer: D
Rationale: The tonometer measures intraocular pressure in the anterior chamber. A reading of 28 mm Hg is above normal (12-20 mm Hg), indicating potential glaucoma that could lead to retinal damage if untreated.
Question 3 of 5
The nurse is teaching a client how to perform a testicular self-examination. What information should be provided to the client?
Correct Answer: A
Rationale: Any lump, painful or not, warrants reporting. Normal tenderness and size differences are not significant unless extreme, and timing is flexible.
Question 4 of 5
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which question should the nurse ask to elicit useful information about the possible condition?
Correct Answer: A
Rationale: The condition chronic paronychia is common in people with frequent intermittent exposure to water, such as homemakers, bartenders, and laundry workers. The other questions would not provide information specifically related to this assessment finding.
Question 5 of 5
A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?
Correct Answer: A
Rationale: The client in long-term care with furuncles and folliculitis is at high risk for MRSA.