ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 of 5
An African-American male is discussing his dietary intake with the nurse. The nurse encourages the client to keep sodium intake below 1,500 mg per day. The client reports he does not have any known risk for the development of hypertension and feels this is too restrictive. How should the nurse respond?
Correct Answer: A
Rationale: After generations of conditioning, African-Americans frequently have higher sodium levels. The recommended sodium intake for African-Americans is slightly lower than for their Caucasian peers. Simply telling the client the recommendation is 'best' does not provide adequate information. The amount of salt ingested should be recorded, but this is not the best response.
Question 2 of 5
Following myringotomy for acute otitis media, which topic would be appropriate for teaching about home management by the nurse?
Correct Answer: B
Rationale: Air travel should not cause pressure buildup post-myringotomy due to tube equalization. Irrigations, swabs, and water exposure are contraindicated to prevent contamination.
Question 3 of 5
A client has been experiencing anovulatory dysfunctional uterine bleeding. The client is 25 years of age, and is concerned about maintaining her fertility. Based upon your knowledge, which management technique likely would be employed first?
Correct Answer: A
Rationale: Oral contraceptives regulate anovulatory bleeding while preserving fertility, making them the first-line treatment for this client.
Question 4 of 5
During skin inspection of a client, a nurse observes lesions with wavy borders that are widespread across the client's chest. Which descriptors should the nurse use to document these observations?
Correct Answer: C
Rationale: Diffuse is used to describe lesions that are widespread. Serpiginous describes lesions with wavy borders.
Question 5 of 5
A nurse prepares to discharge a client who has a wound and is prescribed home health care. Which information should the nurse include in the hand-off report to the home health nurse?
Correct Answer: A
Rationale: The hospital nurse should provide details about the wound, including size and appearance, in the hand-off report.