A nurse is caring for a patient who has suffered an unstable thoracolumbar fracture. Which of the following is the priority during nursing care?

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Chapter 4 Skin and the Integumentary System Review Questions Questions

Question 1 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.

Question 2 of 5

An older patient is experiencing dry skin that is itchy and burns. Which age-related change should the nurse consider is causing this patient's symptoms?

Correct Answer: A

Rationale: Xerosis, or dry skin, is a common age-related change that causes itching and burning sensations.

Question 3 of 5

A patient with deep partial-thickness wounds is receiving enzymatic debridement. What assessment made by the nurse would indicate that wound care treatment has been successful?

Correct Answer: B

Rationale: Enzymatic debridement aims to remove necrotic tissue; separation of eschar indicates successful breakdown and removal of dead tissue.

Question 4 of 5

A patient is prescribed phototherapy as treatment for psoriasis. Which patient statement indicates that teaching about this treatment has been effective?

Correct Answer: C

Rationale: Effective teaching includes understanding that phototherapy should be paused if skin becomes severely red or blistered to prevent burns or worsening.

Question 5 of 5

The layer of the skin that contains cells undergoing mitosis is the:

Correct Answer: C

Rationale: The stratum basale is the deepest layer of the epidermis where mitosis occurs, producing new skin cells.

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