A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later the wheezing is no longer heard. Which action should the nurse take?

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Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions

Question 1 of 5

A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later the wheezing is no longer heard. Which action should the nurse take?

Correct Answer: D

Rationale: Absence of wheezing may indicate airway obstruction, requiring emergency airway preparation.

Question 2 of 5

A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?

Correct Answer: D

Rationale: The patient should be taught that transient burning at the application site is an expected effect of pimecrolimus and that the medication should be left in place. The other statements by the patient are accurate and indicate that patient teaching has been effective.

Question 3 of 5

The nurse is caring for clients in a long-term care facility. Which is a modifiable risk factor for the development of pressure ulcers?

Correct Answer: A

Rationale: Constant perineal moisture is modifiable through hygiene practices, reducing the risk of skin breakdown.

Question 4 of 5

The client comes to the emergency department complaining of pain in the left lower leg following a puncture wound from a nail in a board. The left lower leg is reddened with streaks, edematous, and hot to the touch, and the client has a temperature of 100.8°F. Which condition would the nurse suspect the client is experiencing?

Correct Answer: A

Rationale: Redness, streaks, edema, heat, and fever suggest cellulitis, a bacterial infection post-puncture wound.

Question 5 of 5

The nurse is assessing a young mother who came to the clinic complaining of sores on her skin. Which assessment data would support that the client has chickenpox?

Correct Answer: A

Rationale: Chickenpox presents with crops of vesicular lesions with a reddened base that may progress to pustules, unlike the other conditions described.

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