It is documented that a patient has superficial partial-thickness burns over both anterior lower arms. What should the nurse expect when assessing this patient?

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Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions

Question 1 of 5

It is documented that a patient has superficial partial-thickness burns over both anterior lower arms. What should the nurse expect when assessing this patient?

Correct Answer: D

Rationale: Superficial partial-thickness burns involve the epidermis and part of the dermis, typically presenting with blisters, mild edema, and blanching due to preserved capillary refill.

Question 2 of 5

The nurse suspects that a patient is experiencing a recurrent herpes simplex virus infection. Which assessment finding is most characteristic of this condition?

Correct Answer: D

Rationale: Fluid-filled vesicles are the hallmark of recurrent herpes simplex, appearing at the site of previous infection.

Question 3 of 5

If a man burns his total left arm and half of the front of his chest, what percentage of his body is burned?

Correct Answer: B

Rationale: Using the Rule of Nines: left arm = 9%, half of anterior chest = 9% (full chest = 18%), total = 18%.

Question 4 of 5

A female client sees a dermatologist for a skin problem. Later, the nurse reviews the client's chart and notes that the chief complaint was intertrigo. This term refers to which condition?

Correct Answer: B

Rationale: Intertrigo is inflammation caused by friction and moisture between opposing skin surfaces, often in skin folds.

Question 5 of 5

A female client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reading the culture report understands that which of the following organisms is not part of the normal flora of the skin?

Correct Answer: B

Rationale: E. coli is typically found in the gut, not on the skin, unlike the other organisms which are common skin flora.

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