The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?

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Pediatric Integumentary Questions Questions

Question 1 of 5

The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?

Correct Answer: A

Rationale: Circumferential burns can cause compartment syndrome, impairing circulation; assessing peripheral pulses is critical to detect vascular compromise early.

Question 2 of 5

The client suspected of having Stage I of Lyme disease is seen in the health care clinic and is told that the Lyme disease test is positive. The client asks the nurse about the treatment for the disease. The nurse responds to the client, anticipating which of the following to be part of the treatment plan?

Correct Answer: B

Rationale: Stage 1 Lyme disease is treated with a 2-4 week course of oral antibiotics (e.g., doxycycline) to prevent progression. IV therapy is for later stages, and UV light is unrelated.

Question 3 of 5

A clinic nurse provides instructions to a client who will be taking isotretinoin (Accutane) for severe cystic acne. Which statement by the client indicates the need for further instructions?

Correct Answer: D

Rationale: Isotretinoin, a vitamin A derivative, risks toxicity with additional vitamin A supplements; this statement shows misunderstanding. Other effects (triglycerides, dryness) are expected.

Question 4 of 5

A nurse is performing a skin assessment of a client who is immobile and notes the presence of partial thickness skin loss of the upper layer of the skin in the sacral area. The nurse documents these findings as a:

Correct Answer: B

Rationale: Stage 2 pressure ulcers involve partial-thickness loss of the epidermis/dermis, matching the description. Stage 1 is redness, stages 3-4 are deeper.

Question 5 of 5

The apocrine glands are located in the following areas EXCEPT

Correct Answer: B

Rationale: Apocrine glands are specialized sweat glands found in areas with hair follicles, such as the axillae, areolae, perianal region, and genitals. They are not typically found in the upper chest, making B the correct answer.

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