ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The client's urine output continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate as it would worsen fluid loss in a burn client needing increased fluids.
Question 2 of 5
A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?
Correct Answer: C
Rationale: The eyes should be shielded from UV light (UVL) during and after PUVA therapy to prevent the development of cataracts. The patient should be taught about the effects of UVL on unaffected skin, but lead-lined drapes, use of antiseptic soap, and petroleum jelly are not used to prevent skin damage.
Question 3 of 5
The nurse writes the nursing diagnosis 'impaired skin integrity related to open burn wounds.' Which intervention would be appropriate for this nursing diagnosis?
Correct Answer: B
Rationale: Cleaning wounds daily directly addresses impaired skin integrity by preventing infection and promoting healing.
Question 4 of 5
The middle-aged client has had two (2) lesions diagnosed as basal cell carcinoma removed. Which discharge instruction should the nurse include?
Correct Answer: D
Rationale: Post-surgical site care prevents infection and promotes healing, a key discharge instruction.
Question 5 of 5
The client is diagnosed with herpes simplex 2 and prescribed the antiviral medication valacyclovir (Valtrex). Which instructions should the nurse teach?
Correct Answer: C
Rationale: Valacyclovir suppresses herpes simplex 2 symptoms but does not cure the viral infection.