A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patients skin should the nurse assess first?

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NCLEX Skin Integrity Questions Questions

Question 1 of 5

A nurse is caring for four patients on a general pediatric unit. The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four. Which patients skin should the nurse assess first?

Correct Answer: D

Rationale: Immobility is a major risk factor for impaired skin integrity. The nurse should first assess the child in traction, as this child is the least mobile.

Question 2 of 5

The HCP ordered lindane to be administered to the client from an extended care facility who is diagnosed with scabies. Which intervention should the nurse implement?

Correct Answer: B

Rationale: For scabies, bathe the client, apply lindane lotion from neck down (avoiding face/meatus), and remove after 8-12 hours. Scalp application is for lice, scraping isn't done, and shampooing is incorrect for scabies.

Question 3 of 5

The client has been applying a topical hydrocortisone cream to dry, rough skin for more than 2 years. Which data should the nurse assess in the client?

Correct Answer: C

Rationale: Prolonged topical steroid use causes skin atrophy (thinning, striae, purpura). Systemic effects like adrenal insufficiency or Cushing's features (buffalo hump, moon face) are unlikely, and glucose isn't directly affected.

Question 4 of 5

Which type of capillary hemangioma is described by the following: these are found on the trunk of middle-aged and elderly subjects. They are bright red aggregates of dilated capillaries, which can be emptied by pressing on them with the tip of a pencil. They are of no significance

Correct Answer: C

Rationale: Campbell de Morgan spots are insignificant vascular lesions found on the trunk.

Question 5 of 5

There is no cure for eczema so treatment aims to:

Correct Answer: B

Rationale: The main goal of eczema treatment is to control or ease symptoms since there is no cure.

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