A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client's plan of care?

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Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions

Question 1 of 5

A nurse cares for a client who has a deep wound that is being treated with a wet-to-damp dressing. Which intervention should the nurse include in this client's plan of care?

Correct Answer: A

Rationale: Wet-to-damp dressings are changed every 4 to 6 hours to provide maximum debridement.

Question 2 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 3 of 5

A patient reports chronic itching of the ankles and continuously scratches the area. Which assessment finding will the nurse expect?

Correct Answer: B

Rationale: Lichenification is likely to occur in areas where the patient scratches the skin frequently. Lichenification results in thickening of the skin with accentuated normal skin markings. Vitiligo is the complete absence of melanin in the skin. Keloids are hypertrophied scars. Yellowish-brown skin indicates jaundice. Vitiligo, keloids, and jaundice do not usually occur as a result of scratching the skin.

Question 4 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 5 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.

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