ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client's test results. Which finding would the nurse interpret as increasing the client's risk of developing acute tubular necrosis?
Correct Answer: A
Rationale: Myoglobinuria from muscle damage in electrical injuries can obstruct renal tubules, leading to acute tubular necrosis.
Question 2 of 5
A nurse practitioner working in a dermatology clinic finds an open lesion on a patient who is being assessed. What should the nurse do next?
Correct Answer: B
Rationale: If acute open wounds or lesions are found on inspection of the skin, a comprehensive assessment should be made and documented.
Question 3 of 5
Silver is used as an ingredient in many burn dressings because it:
Correct Answer: B
Rationale: Silver is an ingredient in many dressings because it helps prevent infection against a wide spectrum of common pathogens. Silver does not stimulate tissue granulation; nor does it provide pain relief or stimulate wound healing processes.
Question 4 of 5
A patient is experiencing a fever. What structure should the nurse expect to provide an effective cooling mechanism for the body?
Correct Answer: B
Rationale: Eccrine glands secrete sweat onto the skin surface, which evaporates to cool the body effectively, though it may lead to dehydration if water isn't replaced.
Question 5 of 5
A nurse is caring for a patient who has suffered an unstable thoracolumbar fracture. Which of the following is the priority during nursing care?
Correct Answer: B
Rationale: Patients with an unstable fracture must have their spine in alignment at all times in order to prevent neurologic damage. This is a greater threat, and higher priority, than promoting function and preventing infection, even though these are both valid considerations. Increased ICP is not a high risk.