A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:

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Integumentary System Quiz Questions Questions

Question 1 of 5

A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:

Correct Answer: A

Rationale: A heterograft (xenograft) uses skin from another species, typically pig skin, as a temporary covering.

Question 2 of 5

A nurse in a dermatology clinic is reading the electronic health record of a new patient. The nurse notes that the patient has a history of a primary skin lesion. What is an example of a primary skin lesion?

Correct Answer: C

Rationale: A pustule is an example of a primary skin lesion. Primary skin lesions are original lesions arising from previously normal skin.

Question 3 of 5

A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching. The nurse knows that this is indicative of what strength reaction?

Correct Answer: B

Rationale: Fine blisters, papules, and severe itching indicate a moderately positive reaction.

Question 4 of 5

A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep. The nurse should consult with the provider to further assess the patient for:

Correct Answer: B

Rationale: Burn-injured patients experience psychologically devastating injuries in addition to physical injuries. Burn patients that demonstrate changes in behavior, anxiety, insomnia, regression, and acting out should be evaluated for posttraumatic stress disorder. Acute delirium is more likely to occur during the acute phase of injury. Suicidal ideations should always be addressed if the patient expresses or shows signs of suicidal thoughts. Burn-injured patients may have an underlying mental health disorder that requires treatment, such as bipolar disorder or schizophrenia.

Question 5 of 5

While inspecting the skin of a patient's arm the nurse notes lesions that are clustered together. How should the nurse document this finding?

Correct Answer: C

Rationale: Grouped lesions are clustered together, unlike linear, discrete, or confluent patterns.

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