A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action?

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Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions

Question 1 of 5

A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action?

Correct Answer: C

Rationale: No complexes may indicate lead disconnection; checking the client and leads is the first step.

Question 2 of 5

What is the initial intervention for relief of the pruritus of dermatitis venenata?

Correct Answer: B

Rationale: In dermatitis venenata (poison oak or ivy), the patient should wash the affected part immediately after contact with the offending allergen.

Question 3 of 5

The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Avoiding direct sunlight will reduce the symptoms. Factors that cause facial flushing precipitate worsening. Tea, coffee, alcohol (especially wine), caffeine-containing foods, spicy foods, sunlight, and emotional stress cause flare-ups. Washing the face too frequently can lead to skin irritation and dry skin.

Question 4 of 5

Which intervention is most appropriate for a burn patient newly admitted to the emergency department?

Correct Answer: C

Rationale: Avoiding disturbing blisters and removing jewelry addresses immediate safety and care priorities in the ED. Wet dressings are not recommended; dry sterile dressings are preferred. Clothing removal is delayed until hospital admission, and determining the causative agent, while important, is secondary to initial stabilization.

Question 5 of 5

A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness deep burn. Based on this determination, which finding did the nurse note?

Correct Answer: B

Rationale: Partial-thickness deep burns (second-degree) extend into the dermis, often presenting as a dry surface due to deeper tissue damage without charring.

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