ATI LPN
Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions
Question 1 of 5
A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness deep burn. Based on this determination, which finding did the nurse note?
Correct Answer: B
Rationale: Partial-thickness deep burns (second-degree) extend into the dermis, often presenting as a dry surface due to deeper tissue damage without charring.
Question 2 of 5
When obtaining a health history related to the skin, which question will assess the patient's health perception-health maintenance pattern?
Correct Answer: B
Rationale: Included in the health perception-health maintenance pattern are self-care habits such as moisturizer and cosmetic use. Information about pain would be included in the cognitive-perceptual pattern. Changes in social activities related to the skin appearance would be documented in the role-relationship pattern. Data about recent skin changes would be included in the nutritional-metabolic pattern.
Question 3 of 5
A patient is diagnosed with atrial fibrillation and the physician orders Coumadin (warfarin). For what skin lesion should the nurse monitor this patient?
Correct Answer: B
Rationale: Ecchymosis refers to a round or irregular macular lesion, which is larger than petechiae. This occurs secondary to blood extravasation. It is important to watch for ecchymosis in a patient receiving any type of anticoagulant.
Question 4 of 5
The nurse is performing a comprehensive assessment of a patients skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way?
Correct Answer: C
Rationale: Inspection and palpation are techniques commonly used in examining the skin.
Question 5 of 5
The nurse understands that negative-pressure wound therapy may be used in the treatment of partial-thickness burn wounds to do which of the following?
Correct Answer: B
Rationale: Negative-pressure wound therapy can be used to treat grafts or partial-thickness burns by decompressing edematous interstitial spaces that enhance local perfusion, optimizing wound healing. This therapy also provides a moist wound-healing environment. The system is closed and may reduce the risk of infection but may not prevent infection. Patients are less mobile because the system needs an electrical source to function. Wound drainage is quantified by using the negative-pressure wound therapy system, but this is not a primary indication for the therapy.