ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The client with a long arm cast is complaining of unrelenting severe pain and feeling as if the fingers are asleep. Which complication should the nurse suspect the client is experiencing?
Correct Answer: B
Rationale: Severe pain and numbness in a casted extremity suggest compartment syndrome, a medical emergency.
Question 2 of 5
The client has had an enucleation of the left eye. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Referral for an ocular prosthesis addresses cosmetic and psychological needs post-enucleation, a standard intervention.
Question 3 of 5
The client with a retinal detachment has just undergone a gas tamponade repair. Which discharge instruction should the nurse include in the teaching?
Correct Answer: A
Rationale: Face-down positioning post-gas tamponade keeps the gas bubble against the retina, critical for reattachment and healing.
Question 4 of 5
The 26-year-old male client in the PACU has a heart rate of 110 and a rising temperature, and complains of muscle stiffness. Which interventions should the nurse implement? Select all apply.
Correct Answer: B
Rationale: Muscle stiffness and rising temperature suggest malignant hyperthermia, treatable with cooling measures and dantrolene.
Question 5 of 5
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
Correct Answer: B
Rationale: Desmopressin (DDAVP) for DI should be stored properly but taken as prescribed, not just mornings; this suggests misunderstanding.