ATI RN
Integumentary System Multiple Choice Questions and Answers PDF Questions
Question 1 of 5
A client with a superficial partial-thickness burn should be informed that the wound should heal within ___ days.
Correct Answer: B
Rationale: The correct answer is B) 14 to 21 days. When a client sustains a superficial partial-thickness burn, the outer layer of the skin (epidermis) and a portion of the underlying layer (dermis) are damaged. This type of burn typically heals within 2 to 3 weeks, which corresponds to the timeframe of 14 to 21 days. During this period, the skin undergoes the process of re-epithelialization, where new skin cells regenerate to cover the wound. Option A) 7 to 10 days is incorrect because this timeframe is too short for the healing of a superficial partial-thickness burn, as it requires more time for proper re-epithelialization to occur. Option C) 21 to 28 days is incorrect because this timeframe is more indicative of a deep partial-thickness burn or a burn that extends further into the dermis, which would take longer to heal compared to a superficial partial-thickness burn. Option D) 28 to 35 days is incorrect as this timeframe is more characteristic of a deep partial or full-thickness burn, which involve damage to deeper layers of the skin and would require a longer healing period than a superficial partial-thickness burn. In an educational context, understanding the expected healing time for different types of burns is crucial for healthcare professionals to provide accurate information to clients, manage expectations, and plan appropriate wound care interventions. This knowledge ensures that clients receive the necessary support and education throughout the healing process, promoting optimal outcomes and patient satisfaction.
Question 2 of 5
A patient is a 78-year-old woman who has had chronic respiratory disease for 30 years. She weighs 212 lb (96.4 kg) and is 5 ft, 1 in (152.5 cm) tall. She has recently completed corticosteroid and antibiotic treatment for an exacerbation of her respiratory disease. Identify specific predisposing factors for bacterial skin infection in this patient.
Correct Answer: D
Rationale: In this case, the correct answer is D) All the above. The patient's obesity, recent antibiotic use, and chronic illness are specific predisposing factors for bacterial skin infection. Obesity can lead to skin folds and moisture, creating an environment conducive to bacterial growth. Recent antibiotic use can disrupt the normal flora of the skin, making it more susceptible to colonization by pathogenic bacteria. Chronic illness, especially respiratory diseases like in this patient's case, can weaken the immune system, reducing the body's ability to fight off infections. Option A, obesity, is a common predisposing factor for bacterial skin infections due to the reasons mentioned above. Option B, recent antibiotic use, can alter the skin's microbiome and increase the risk of opportunistic infections. Option C, chronic illness, can compromise the immune system, making the patient more susceptible to infections. Educationally, it is important to understand these predisposing factors as healthcare providers to assess patients holistically and provide appropriate preventive measures and treatments. Addressing these factors can help reduce the risk of skin infections and improve overall patient outcomes.
Question 3 of 5
A patient with psoriasis is being treated with psoralen plus UVA light (PUVA) phototherapy. During the course of therapy, for what duration should the nurse teach the patient to wear protective eyewear that blocks all UV rays?
Correct Answer: D
Rationale: The correct answer is D) For 24 hours following treatment when outdoors or when indoors near a bright window. This is the appropriate duration for the patient to wear protective eyewear after receiving PUVA therapy. PUVA involves the use of psoralen, a light-sensitizing medication, followed by exposure to UVA light. UV rays can cause damage to the eyes, particularly the retina, and prolonged exposure can lead to serious eye problems. Option A is incorrect because wearing protective eyewear continuously for 6 hours could lead to unnecessary discomfort and inconvenience for the patient. Option B is incorrect because waiting for the pupils to constrict on exposure to light is not a reliable method for determining the duration of wearing protective eyewear. Option C is incorrect as wearing protective eyewear for only 12 hours following treatment may not provide adequate protection against UV rays. In an educational context, it is crucial for nurses to understand the importance of patient education regarding protective measures during phototherapy. Teaching patients the correct duration for wearing protective eyewear can help prevent potential eye damage and ensure the success of their treatment. Emphasizing the significance of following these guidelines can contribute to the overall safety and effectiveness of the therapeutic intervention.
Question 4 of 5
Priority Decision: A patient is receiving chemotherapy. She calls the physician’s office and says she is experiencing itching in her groin and under her breasts. What is the first nursing assessment that would be done before the nurse makes an appointment for the patient with the physician to determine the treatment?
Correct Answer: B
Rationale: The correct answer is B) What the areas look like. This is the first nursing assessment that should be done before making an appointment with the physician because assessing the appearance of the affected areas will provide crucial information about the nature and severity of the itching. This visual assessment will help the nurse determine if there are any visible signs of infection, inflammation, or other skin issues that may require immediate attention. Option A) Her height and weight is unrelated to the immediate assessment needed for the itching in the groin and under the breasts. Option C) If chemotherapy was completed is also irrelevant to the assessment of the current itching symptoms. Option D) Culture and sensitivity of the areas would be a secondary assessment and not the priority in this situation. In an educational context, it is essential for nurses to prioritize assessments based on the patient's presenting symptoms to provide timely and appropriate care. Understanding the significance of visual assessments in dermatological issues is crucial for nurses caring for patients undergoing chemotherapy, as they are at higher risk for skin-related side effects.
Question 5 of 5
Steps to prevent a pressure ulcer may include:
Correct Answer: D
Rationale: The correct answer is D) Avoiding pressure on the heels of a bed-bound patient. This is a crucial step in preventing pressure ulcers, also known as bedsores. Pressure ulcers occur due to prolonged pressure on specific areas of the body, leading to tissue damage. By avoiding pressure on the heels, blood circulation is maintained, reducing the risk of tissue breakdown. Option A) Not disturbing the patient is incorrect because while minimizing movement can be beneficial in some cases, it is not a specific preventive measure for pressure ulcers. In fact, proper repositioning is essential to prevent pressure ulcers. Option B) Changing the position of a bed-bound patient every 4 to 6 hours is a recommended preventive measure for pressure ulcers. However, it is not specific to the heels and may not be frequent enough to prevent heel ulcers specifically. Option C) Vigorously rubbing the skin with alcohol is not recommended as it can irritate the skin and cause damage, increasing the risk of pressure ulcers rather than preventing them. Educational Context: Understanding the steps to prevent pressure ulcers is crucial for healthcare professionals, caregivers, and anyone involved in the care of bed-bound patients. Proper positioning, relieving pressure points, maintaining skin integrity, and ensuring adequate nutrition and hydration are all key components in preventing pressure ulcers. Emphasizing the importance of these preventive measures can significantly improve patient outcomes and quality of care.