ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Post a turning schedule at the client's bedside. Turning the bedridden adult regularly helps redistribute pressure and prevents pressure ulcers. This intervention promotes blood flow and prevents tissue damage. Choice B is incorrect as lotion application does not address the root cause of pressure ulcers. Choice C is incorrect as increasing fluid intake alone does not prevent pressure ulcers. Choice D is incorrect as ring cushions may provide temporary relief but do not address the need for regular repositioning to prevent pressure ulcers.
Question 2 of 5
A parent calls the pediatric clinic asking for advice on treating lice. The child has already been treated once with lindane(Qwell). Which advice from the nurse is the most appropriate?
Correct Answer: C
Rationale: The correct answer is C because malathion(Ovide) is a recommended alternative treatment for lice when lindane(Qwell) has already been used. Malathion works differently and may be more effective in this case. Choice A is incorrect as lice do not typically survive off the human scalp for long. Choice B is incorrect because using the same treatment multiple times may not be effective. Choice D is incorrect as oral medications are not typically recommended for lice treatment.
Question 3 of 5
The student studying pediatric integumentary problems learns that which are functions of the skin?(Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D: Regulates temperature set point. The skin helps regulate body temperature by dilating or constricting blood vessels and through sweating. This is essential for maintaining homeostasis. A: Assists in water retention - This is incorrect. The skin does not play a significant role in water retention; that is mainly controlled by the kidneys. B: Initiates tactile sensations - While the skin does initiate tactile sensations, it is not listed as a function in this question. C: Provides physical barrier - While the skin does provide a physical barrier, it is not the main function related to the regulation of temperature set point.
Question 4 of 5
The HCP prescribed morphine 2 to 5 mg intramuscular (IM) every 2 hours for the client diagnosed with full-thickness burns to the chest and abdominal area reporting pain of 10 on a 1-10 scale. Which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Request a patient-controlled analgesia (PCA) pump for the client. This option is appropriate because the client is experiencing severe pain (level 10) due to full-thickness burns, which require consistent pain management. PCA allows the client to self-administer pain medication within safe limits, ensuring adequate pain control. It provides better pain relief compared to intermittent dosing like IM injections every 2 hours. Option A is incorrect because administering 5 mg of morphine immediately may not provide sustained pain relief and could lead to overmedication. Option B is not the best choice as it delays immediate pain relief and does not address the need for continuous pain management. Option D is also not ideal as assessing for complications should not delay pain relief and is not as effective as providing continuous pain control with a PCA pump.
Question 5 of 5
The client diagnosed with a stage 4 pressure ulcer is being treated with enzymatic debriding agent and occlusive dressing. The nurse notices a foul odor. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B because the foul odor is expected when using enzymatic debriding agents, indicating the breakdown of necrotic tissue. The nurse should explain this to the client to alleviate concerns. Choice A is not necessary as the nurse can handle the situation independently. Choice C is irrelevant to addressing the foul odor. Choice D is not indicated as antibiotics are not typically used for managing a foul odor related to enzymatic debridement.