A client who is receiving chemotherapy is admitted with widespread herpes simplex lesions of the oral mucosa and lips. The admission assessment data includes a marked recent decrease in oral intake, level 9-10 burning oral pain (0-10 pain scale), and statements by the client indicating emotional distress about the appearance of the lesions. Based on this information, which of these nursing diagnoses is of highest priority?

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Integumentary System CPT Questions and Answers Questions

Question 1 of 5

A client who is receiving chemotherapy is admitted with widespread herpes simplex lesions of the oral mucosa and lips. The admission assessment data includes a marked recent decrease in oral intake, level 9-10 burning oral pain (0-10 pain scale), and statements by the client indicating emotional distress about the appearance of the lesions. Based on this information, which of these nursing diagnoses is of highest priority?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A client is admitted to the floor and has symptoms of nausea, vomiting, and diarrhea as well as immobility due to a fractured femur. Which of the following are risk factors for pressure ulcers in this client?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client is being discharged from the hospital and states that they are planning to get a body piercing in the navel within the next month. The client asks the nurse if she knows the healing time associated with such a procedure. The nurse investigates the answer and answers the client’s question by stating which of the following?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client has experienced a fourth degree burn. What depth of skin and tissue involvement is present with a fourth degree burn?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What characteristic is commonly seen with dysplastic nevus syndrome?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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