ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
A female client with herpes zoster is prescribed acyclovir (Zovirax), 200 mg P.O. every 4 hours while awake. The nurse should inform the client that this drug may cause:
Correct Answer: B
Rationale: The correct answer is B: Diarrhea. Acyclovir is an antiviral medication that can commonly cause gastrointestinal side effects, such as diarrhea. This occurs due to its effect on the digestive system. The other choices, headache (A), nausea (C), and fatigue (D), are less commonly associated with acyclovir. Headache may occur but is not a common side effect. Nausea is less frequent than diarrhea. Fatigue is not a typical side effect of acyclovir. Therefore, the correct answer is B as diarrhea is a more common side effect of acyclovir compared to the other options.
Question 2 of 5
The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the male client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?
Correct Answer: C
Rationale: The correct answer is C: Culture of the lesion. A culture of the lesion is the definitive diagnostic test for herpes zoster as it can identify the presence of the varicella-zoster virus. Blood tests may show antibodies but do not confirm the active infection. Skin biopsy is not typically necessary for diagnosis. Visual inspection alone is not sufficient to confirm herpes zoster as it can be similar to other skin conditions.
Question 3 of 5
A female client went to the emergency department states that she is having burning and intense itching on the skin. A further assessment made by the nurse notes that the client is having red and white patches in the mouth. Based on this, the nurse understand that the client is most likely is suffering from?
Correct Answer: C
Rationale: The correct answer is C: Candida albicans. The symptoms described - burning and intense itching on the skin with red and white patches in the mouth - are indicative of a yeast infection caused by Candida albicans. This fungal infection commonly presents with oral thrush (white patches in the mouth) and can also cause skin irritation. Herpes simplex (A) typically presents with painful blisters, not white patches in the mouth. Psoriasis (B) is characterized by red, scaly patches on the skin, not white patches in the mouth. Eczema (D) presents with dry, itchy, inflamed skin, but does not typically involve white patches in the mouth.
Question 4 of 5
A child is in the emergency department(ED) with a dog bite. After cleansing the wound and attending to the childs comfort, which action should the nurse perform next?
Correct Answer: D
Rationale: The correct answer is D: Report the bite to authorities. This is important to ensure proper follow-up care, prevention of rabies transmission, and identification of potentially dangerous dogs. Antibiotics may be needed but should be prescribed by a healthcare provider. Offering a toy may provide comfort but is not the priority. Discharge teaching can be done after addressing the immediate safety concerns. Reporting the bite to authorities is crucial for public health and safety.
Question 5 of 5
A nurse is teaching a community parent group about signs and symptoms of Lyme disease. Which statements does the nurse include?(Select all that apply.)
Correct Answer: D
Rationale: Step 1: Lyme disease is caused by the bacterium Borrelia burgdorferi transmitted through tick bites. Step 2: The incubation period for Lyme disease is typically 3-30 days after a tick bite. Step 3: Early symptoms include fever, fatigue, headache, and a characteristic bulls-eye rash. Step 4: The bulls-eye rash (erythema migrans) is a hallmark sign of early Lyme disease. Step 5: Inability to bear weight is not typically a symptom of Lyme disease. Step 6: Therefore, the correct statement includes the manifestation of Lyme disease 3-30 days after a tick bite (Choice D). Other choices are incorrect as they do not align with typical signs and symptoms of Lyme disease.