A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?

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NCLEX Questions on Integumentary System Questions

Question 1 of 5

A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?

Correct Answer: C

Rationale: Self-care activities like bathing and dressing foster feelings of self-worth linked to body image.

Question 2 of 5

The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

Correct Answer: A

Rationale: The treatment for impetigo includes softening of the crusts with warm saline soaks and then soap-and-water removal. Alcohol-based cleansers and use of petroleum jelly are not recommended for impetigo. Antibiotic ointments, such as mupirocin (Bactroban), may be applied to the lesions.

Question 3 of 5

The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?

Correct Answer: D

Rationale: Ensuring adequate peripheral circulation is critical before transfer to prevent complications like compartment syndrome, especially with full-thickness burns affecting extremities.

Question 4 of 5

The client diagnosed with stage IV infected pressure ulcers on the coccyx is scheduled for a fecal diversion operation. The nurse knows that client teaching has been effective when the client makes which statement?

Correct Answer: D

Rationale: Fecal diversion (colostomy) prevents stool contamination of the wound, aiding healing, as reflected in this statement.

Question 5 of 5

Which client would most likely be at risk for the development of a carbuncle?

Correct Answer: D

Rationale: Diabetes mellitus increases infection risk, including carbuncles, due to impaired immune response.

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