The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?

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NCLEX Questions on Integumentary System Questions

Question 1 of 5

The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?

Correct Answer: D

Rationale: Ensuring adequate peripheral circulation is critical before transfer to prevent complications like compartment syndrome, especially with full-thickness burns affecting extremities.

Question 2 of 5

Which client would most likely be at risk for the development of a carbuncle?

Correct Answer: D

Rationale: Diabetes mellitus increases infection risk, including carbuncles, due to impaired immune response.

Question 3 of 5

The nurse is assessing the client diagnosed with psoriasis. Which data would support that diagnosis?

Correct Answer: A

Rationale: Psoriasis is characterized by red plaques with silvery scales, distinguishing it from other conditions.

Question 4 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for a client with a stage IV pressure ulcer. Which action by the UAP warrants intervention by the nurse?

Correct Answer: D

Rationale: Multiple diapers can increase moisture and pressure, worsening a stage IV pressure ulcer.

Question 5 of 5

Based on a carbon monoxide blood level of 12%, which sign should the nurse anticipate in the client?

Correct Answer: B

Rationale: At a CO level of 10-20%, common symptoms include flushing, headache, and mild confusion.

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