ATI LPN
Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions
Question 1 of 4
The client has undergone a bilateral stapedectomy. Which action by the client warrants immediate intervention by the nurse?
Correct Answer: A
Rationale: Ambulating without assistance after surgery can lead to falls and complications; therefore, immediate intervention is necessary.
Question 2 of 4
The client is three (3) days postoperative unilateral adrenalectomy. Which discharge instruction should the nurse teach?
Correct Answer: D
Rationale: Infection monitoring is critical post-surgery; lifelong steroids are only needed after bilateral adrenalectomy.
Question 3 of 4
A client is wearing a continuous cardiac monitor, which begins to sound its alarm. The nurse sees no electrocardiographic complexes on the screen. Which is the priority nursing action?
Correct Answer: C
Rationale: No complexes may indicate lead disconnection; checking the client and leads is the first step.
Question 4 of 4
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication?
Correct Answer: C
Rationale: Once blood glucose drops below 250-300 mg/dL in DKA treatment, IV fluids with dextrose are added to prevent hypoglycemia while continuing insulin to correct acidosis. 50% dextrose is for acute hypoglycemia, NPH insulin is not used IV, and phenytoin is unrelated.