ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The client is reporting an inability to sleep because of pruritus secondary to a skin irritation on the lower extremities. Which information should the nurse discuss with the client?
Correct Answer: A
Rationale: Hydroxyzine relieves itching and promotes sleep. Antibacterial ointment doesn't address pruritus, soaking may worsen irritation, and occlusive dressings don't help itching.
Question 2 of 5
Most cases of psoriasis first present before the age of:
Correct Answer: C
Rationale: Most cases of psoriasis first present before the age of 15 years.
Question 3 of 5
The nurse is caring for four clients on a medical-surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client's abnormalities?
Correct Answer: A
Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000-10,000 mm^3.) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician.
Question 4 of 5
The client who lives alone indicates concerns about their ability to perform the necessary dressing changes after discharge. Which action by the nurse is indicated at this time?
Correct Answer: D
Rationale: The client will likely need home health care, which requires a physician's order. The nurse should initiate the referral process by discussing with the physician. The client has indicated a lack of assistance, so relying on friends or neighbors is not viable.
Question 5 of 5
A competent elderly client has a living will. The living will expressed the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive. Which of the following actions by the nursing staff is most appropriate?
Correct Answer: C
Rationale: The client is competent, so their wishes take priority. The document should be placed on the chart and the physician notified. Family disagreement does not invalidate the document.