ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?
Correct Answer: D
Rationale: Avoiding aspirin reduces bleeding risk during cataract surgery, a key preoperative instruction since it's typically an outpatient procedure.
Question 2 of 5
The client with cataracts who has had intraocular lens implants is being discharged from the day surgery department. Which discharge instructions should the nurse discuss with the client?
Correct Answer: C
Rationale: Protecting the eyes with shields or glasses is essential after intraocular surgery.
Question 3 of 5
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Dehydration from heat exposure exacerbates Addison's, requiring rapid IV fluid resuscitation.
Question 4 of 5
Which question should the nurse ask when assessing the client for an endocrine dysfunction?
Correct Answer: B
Rationale: Unexplained weight loss can indicate endocrine disorders like hyperthyroidism or diabetes.
Question 5 of 5
The nurse is assessing the neurovascular status of a client who returned to the surgical nursing unit 4 hours ago after undergoing aortoiliac bypass graft. The affected leg is warm, and the nurse notes redness and edema. The pedal pulse is palpable and unchanged from admission. How should the nurse correctly interpret the client's neurovascular status?
Correct Answer: A
Rationale: Warmth, redness, and edema with a palpable pulse suggest normal post-surgical increased blood flow.