ATI LPN
Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions
Question 1 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 2 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 3 of 5
Which integumentary assessment data from an older patient admitted with bacterial pneumonia is of most concern for the nurse?
Correct Answer: A
Rationale: Because the patient will be receiving antibiotics to treat the pneumonia, the nurse should be most concerned about her history of allergic rashes. The nurse needs to do further assessment of possible causes of the allergic rashes and whether she has ever had allergic reactions to any drugs, especially antibiotics. The assessment data in the other response would be normal for an older patient.
Question 4 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 5 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.