ATI LPN
Integumentary System Questions Questions
Question 1 of 5
A client has been taking prednisone (Deltasone) 20 mg once a day to treat severe seborrheic dermatitis. Which of the following assessment findings is of most concern?
Correct Answer: A
Rationale: The correct answer is A: Complaints of epigastric pain. Prednisone can cause gastrointestinal side effects such as stomach irritation, ulcers, or gastritis, which may present as epigastric pain. This is concerning as it can lead to serious complications like gastrointestinal bleeding. Increased appetite (B) and mild weight gain (C) are common side effects of prednisone and are not as concerning as epigastric pain. Improved skin condition (D) is actually a positive outcome of prednisone therapy for seborrheic dermatitis and indicates treatment effectiveness.
Question 2 of 5
The student studying pediatric integumentary problems learns that which are functions of the skin?(Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Regulates temperature set point. The skin helps regulate body temperature by dilating or constricting blood vessels and through sweating. This is essential for maintaining homeostasis. A: Assists in water retention - This is incorrect. The skin does not play a significant role in water retention; that is mainly controlled by the kidneys. B: Initiates tactile sensations - While the skin does initiate tactile sensations, it is not listed as a function in this question. C: Provides physical barrier - While the skin does provide a physical barrier, it is not the main function related to the regulation of temperature set point.
Question 3 of 5
The HCP prescribed morphine 2 to 5 mg intramuscular (IM) every 2 hours for the client diagnosed with full-thickness burns to the chest and abdominal area reporting pain of 10 on a 1-10 scale. Which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Request a patient-controlled analgesia (PCA) pump for the client. This option is appropriate because the client is experiencing severe pain (level 10) due to full-thickness burns, which require consistent pain management. PCA allows the client to self-administer pain medication within safe limits, ensuring adequate pain control. It provides better pain relief compared to intermittent dosing like IM injections every 2 hours. Option A is incorrect because administering 5 mg of morphine immediately may not provide sustained pain relief and could lead to overmedication. Option B is not the best choice as it delays immediate pain relief and does not address the need for continuous pain management. Option D is also not ideal as assessing for complications should not delay pain relief and is not as effective as providing continuous pain control with a PCA pump.
Question 4 of 5
The client diagnosed with a stage 4 pressure ulcer is being treated with enzymatic debriding agent and occlusive dressing. The nurse notices a foul odor. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B because the foul odor is expected when using enzymatic debriding agents, indicating the breakdown of necrotic tissue. The nurse should explain this to the client to alleviate concerns. Choice A is not necessary as the nurse can handle the situation independently. Choice C is irrelevant to addressing the foul odor. Choice D is not indicated as antibiotics are not typically used for managing a foul odor related to enzymatic debridement.
Question 5 of 5
Which of the following are the complications of a sebaceous cyst?
Correct Answer: A
Rationale: The correct answer is A: Infection. Sebaceous cysts can become infected due to bacteria entering the cyst, causing inflammation, redness, and pain. Infection can lead to abscess formation and require medical intervention. Keratin horn formation (B) is a rare occurrence associated with epidermoid cysts, not sebaceous cysts. Calcification (C) is not a common complication of sebaceous cysts. Ulceration (D) may occur if the cyst is traumatized but is not a typical complication.