ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of myocardial ischemia, what condition should the nurse carefully assess the client for?
Correct Answer: B
Rationale: Cardiogenic shock increases ischemia risk, potentially causing ventricular dysrhythmias.
Question 2 of 5
The nurse is caring for a 26-year-old male patient who was burned 72 hours ago. He has partial-thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. What should the nurse do?
Correct Answer: C
Rationale: As the blood volume increases, the cardiac output increases to increase renal perfusion. The result includes diuresis. However, a great risk for the patient includes fluid overload because of the rapid movement of fluid back into the intravascular space.
Question 3 of 5
The three major glands of the skin are sudoriferous, ceruminous, and
Correct Answer: A
Rationale: Sudoriferous glands-sweat glands open into pores on the skin surface and excrete sweat. Ceruminous glands-secrete a waxlike substance called cerumen and are located in the external ear canal. Sebaceous glands-secrete their substance, sebum (an oily secretion), through the hair follicles distributed on the body.
Question 4 of 5
The mother of a 4-year-old child reports concerns about how to completely rid her home of lice. Which response indicates that the mother needs further instruction?
Correct Answer: C
Rationale: For items that cannot be cleaned, such as some stuffed animals, sealing them in plastic bags with the air expelled for 14 days can be effective. Linens should be washed and dried on the hottest cycle. Application of alcohol-based lotion requires reapplication after 1 week. Sharing hats or hairbrushes increases the likelihood of lice transmission.
Question 5 of 5
A client is brought to the emergency room following a burn injury. In assessment the nurse notes that the client's eyebrow and nasal hairs are singed. The nurse would identify this type of burn as:
Correct Answer: A
Rationale: Singed eyebrow and nasal hairs indicate exposure to heat and flames, characteristic of a thermal burn, often with inhalation injury risk.