ATI LPN
Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions
Question 1 of 5
A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates:
Correct Answer: C
Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid'red man' syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated.
Question 2 of 5
The client is diagnosed with Huntington's disease. While at a follow-up visit with the physician, the client breaks down and questions her ability to cope with the situation. What response by the nurse will be most beneficial to the client?
Correct Answer: A
Rationale: The client needs validation of her feelings as she faces a terminal illness with progressive loss of function. Restating the prognosis or redirecting to family coping does not provide immediate comfort.
Question 3 of 5
A female client has reported to the clinic for an initial gynecological examination. The client reports feeling nervous. When beginning the interview, which of the following questions would be most appropriate?
Correct Answer: D
Rationale: Starting with a general, less invasive question like "What concerns do you have?' helps ease the nervous client and builds rapport.
Question 4 of 5
The nurse is planning to teach a course about sexually transmitted infections. What information concerning genital warts should be included?
Correct Answer: A
Rationale: Handwashing reduces pathogen spread, including genital warts. Only specific HPV strains cause cervical cancer, and penile cancer risk is not high.
Question 5 of 5
A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client's plan of care?
Correct Answer: A
Rationale: Wet-to-damp dressings are changed every 4 to 6 hours to provide maximum debridement.