ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The charge nurse for a medical-surgical unit is notified that a client with tuberculosis (TB) is being transported to the unit. Which actions for infection prevention are the most appropriate in this circumstance? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because wearing a respirator and gown when caring for a client with TB is essential to prevent the spread of the disease through respiratory droplets. This protective equipment helps to minimize the risk of healthcare workers inhaling the TB bacteria. Choice A is incorrect because stocking the client's supply cart does not directly address infection prevention for TB. Choice C is incorrect because having the client wear a mask is not as effective as the healthcare provider wearing personal protective equipment. Choice D is incorrect because hand hygiene should be performed both before and after caring for the client with TB to prevent the spread of infection.
Question 2 of 5
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m2. What is the nurse’s appropriate action?
Correct Answer: D
Rationale: The correct answer is D: Ask the patient about a personal or family history of type 2 diabetes. This is important because individuals with darker skin pigmentation and obesity are at higher risk for developing type 2 diabetes. By inquiring about the patient's personal or family history of type 2 diabetes, the nurse can gather important information to assess the patient's risk factors and potentially intervene early. Summary of other choices: A: Discussing the use of drying agents to minimize infection risk may not address the underlying health concern related to darker skin pigmentation and obesity. B: Instructing the patient about the use of mild soap to clean skinfolds is important for hygiene but does not address the potential risk of type 2 diabetes. C: Teaching the patient about treating fungal infections in the skinfolds may be relevant if there is a current infection but does not address the broader health implications of darker skin pigmentation and obesity.
Question 3 of 5
The health care provider prescribes topical 5-FU for a patient with actinic keratosis on the left cheek. The nurse should include which statement in the patient’s instructions?
Correct Answer: B
Rationale: The correct answer is B: Your cheek area will be eroded and it will take several weeks to heal. Rationale: 1. 5-FU is a topical chemotherapy agent used to treat actinic keratosis by causing erosion of the affected skin area. 2. Erosion of the skin is an expected side effect of 5-FU treatment and indicates that the medication is working to treat the actinic keratosis. 3. Healing after the erosion process can take several weeks as the skin regenerates. 4. This statement provides accurate information about the expected effects of 5-FU treatment on the patient's cheek area. Summary: - Option A is incorrect as 5-FU is not used to shrink the lesion for surgical excision but to treat actinic keratosis topically. - Option C is incorrect as nausea and anorexia are not common side effects of topical 5-FU treatment for actinic keratosis. - Option D is incorrect as
Question 4 of 5
A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Pimecrolimus (Elidel) is a topical immunomodulator used for atopic dermatitis. 2. Burning sensation is a common side effect, but wiping it off can decrease its efficacy. 3. Patient should be instructed to leave the medication on the skin and not wipe it off. 4. Choices A, C, and D demonstrate understanding of the medication's usage and side effects. 5. Choice B indicates a need for further teaching to prevent improper application.
Question 5 of 5
The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient about
Correct Answer: D
Rationale: The correct answer is D: dual-energy x-ray absorptiometry (DXA). This test is used to measure bone mineral density and can help diagnose osteoporosis, which is a common cause of height loss in older adults. Teaching the patient about DXA can help in early detection and management of osteoporosis. A: Discography studies are used to evaluate back pain, not height loss. B: Myelographic testing is used to detect spinal cord or nerve root compression, not height loss. C: MRI is useful for imaging soft tissues and organs, not for assessing bone density or height loss.