ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
During the acute phase of a burn, the nurse in-charge should assess which of the following?
Correct Answer: A
Rationale: Correct Answer: A: Circulatory status Rationale: 1. Assessment of circulatory status is crucial in the acute phase of a burn to monitor for potential shock. 2. Circulatory status helps determine tissue perfusion and oxygenation. 3. Impaired circulation can lead to further complications and affect overall recovery. Summary of Incorrect Choices: B: Pain level - Important but not the priority in the acute phase. Pain management can be addressed after ensuring circulatory stability. C: Nutritional status - Important for overall healing but not the immediate concern in the acute phase. D: Psychological state - Important for long-term recovery but not the priority in the acute phase when physical stability is crucial.
Question 2 of 5
A client is being admitted for the treatment of acute cellulitis of the thigh. The client asks the admitting nurse to explain what cellulitis means. The nurse bases the response on the understanding that the characteristics of cellulitis include:
Correct Answer: C
Rationale: The correct answer is C because cellulitis is a bacterial skin infection that involves the subcutaneous tissue and dermis. When bacteria enter through a break in the skin, it causes redness, swelling, warmth, and pain in the affected area. Choice A is incorrect as cellulitis is not caused by a fungal infection. Choice B is incorrect as cellulitis is not a viral rash. Choice D is incorrect as cellulitis is not a superficial abrasion but rather a deeper skin infection. Therefore, the characteristics of cellulitis align with choice C as it accurately describes the nature of the condition.
Question 3 of 5
A child has been diagnosed with scabies and the parents are taught about the use of 5% permethrin lotion(Elimite). Which statement by the parents indicates the need for further instruction?
Correct Answer: B
Rationale: The correct answer is B. Leaving the lotion on until the next day and giving a bath is incorrect as per the treatment guidelines for scabies. The rationale is that permethrin lotion should be applied on dry skin and left on for 8-14 hours before washing off. This allows the medication to work effectively. Giving a bath right after applying the lotion can wash off the medication prematurely, reducing its efficacy. A: This statement is correct as it describes the correct application of Elimite from the nape of the neck to the toes, except on the genitals. C: This statement is correct as scabies treatment often requires a second application one week after the first to ensure all mites are eradicated. D: This statement is correct as it is recommended to give a warm soapy bath before applying the lotion to clean the skin.
Question 4 of 5
The nurse working in a community pediatric clinic knows that which are examples of secondary skin lesions?(Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Ulcers. Secondary skin lesions are modifications or changes that result from primary skin lesions or external factors. Ulcers are a type of secondary skin lesion that involves loss of skin tissue, often due to underlying conditions like infections or vascular issues. Crusts (A), scales (B), and scars (C) are examples of primary skin lesions, not secondary. Crusts are dried blood or exudate on the skin surface, scales are flakes of skin, and scars are areas of fibrous tissue formed during the healing process. Ulcers are the only correct example of a secondary skin lesion in this context.
Question 5 of 5
The client is prescribed silver sulfadiazine for a partial-thickness burn to the back. Which information should the nurse discuss concerning this medication?
Correct Answer: A
Rationale: The correct answer is A. Silver sulfadiazine can cause kidney damage due to its effect on renal function. Encouraging the client to drink 3,000 mL of water helps prevent kidney damage by promoting adequate hydration and maintaining kidney function. B: While protein is important for wound healing, it is not directly related to the medication. C: Testing urine for ketones is not necessary unless the client is at risk for diabetic ketoacidosis, which is not related to silver sulfadiazine. D: Changing the dressing twice a day is important for wound care but not specifically related to the medication's side effects.