ATI LPN
Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions
Question 1 of 5
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 2 of 5
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.
Question 3 of 5
What is the initial intervention for relief of the pruritus of dermatitis venenata?
Correct Answer: B
Rationale: In dermatitis venenata (poison oak or ivy), the patient should wash the affected part immediately after contact with the offending allergen.
Question 4 of 5
The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan?
Correct Answer: C
Rationale: Avoiding direct sunlight will reduce the symptoms. Factors that cause facial flushing precipitate worsening. Tea, coffee, alcohol (especially wine), caffeine-containing foods, spicy foods, sunlight, and emotional stress cause flare-ups. Washing the face too frequently can lead to skin irritation and dry skin.
Question 5 of 5
Which intervention is most appropriate for a burn patient newly admitted to the emergency department?
Correct Answer: C
Rationale: Avoiding disturbing blisters and removing jewelry addresses immediate safety and care priorities in the ED. Wet dressings are not recommended; dry sterile dressings are preferred. Clothing removal is delayed until hospital admission, and determining the causative agent, while important, is secondary to initial stabilization.