ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction would be most helpful in managing the pruritus?
Correct Answer: A
Rationale: Wet dressings and using Burow's solution help promote the healing process. Cold compresses may be applied to decrease circulation to the area (vasoconstriction). Short nails prevent skin damage, but not pruritus.
Question 2 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes atopic dermatitis?
Correct Answer: D
Rationale: Atopic dermatitis involves mast cell histamine release, leading to allergic-type skin reactions.
Question 3 of 5
A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky's sign. Based on this documentation, which of the following would the nurse expect to note?
Correct Answer: D
Rationale: Nikolsky's sign in pemphigus indicates fragile skin where the epidermis separates easily with slight friction.
Question 4 of 5
The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?
Correct Answer: D
Rationale: Keeping patch test sites dry ensures accurate results; readings typically occur at 48 hours and 96 hours, not 2 weeks.
Question 5 of 5
When reading the admission assessment for a patient, the nurse notes that the patient has an excoriated area on the skin of the right forearm. Which nursing action will be included in the plan of care?
Correct Answer: D
Rationale: Excoriated areas should be covered with a dressing to decrease the risk for infection. Application of moisturizer would not help the excoriation and might lead to infection. There is no evidence that the skin is atrophied. Scrubbing the excoriated area would cause further damage.