ATI LPN
Integumentary System Questions Questions
Question 1 of 4
The female client tells the clinic nurse she is going on a seven(7)-day cruise and is worried about getting motion sickness. Which information should the nurse discuss with the client?
Correct Answer: B
Rationale: The correct answer is B because recommending an over-the-counter scopolamine patch is an appropriate intervention for preventing motion sickness during a cruise. Scopolamine is a common medication used to alleviate symptoms of motion sickness by affecting the vestibular system. It is often recommended for individuals going on cruises or experiencing other forms of motion sickness. Choice A is incorrect because making an appointment with the healthcare provider may not be necessary for a common issue like motion sickness and could delay the client's access to immediate relief. Choice C is incorrect as discouraging the client from taking the trip does not address the client's concern about motion sickness and is not a practical solution. Choice D is incorrect as instructing the client to lie down does not address motion sickness and may not be effective in preventing or alleviating symptoms.
Question 2 of 4
Which psychosocial problem should be included in the plan of care for a female client diagnosed with Cushing's syndrome?
Correct Answer: B
Rationale: The correct answer is B: Body image disturbance. This is crucial for a female client with Cushing's syndrome due to physical changes like weight gain, facial fullness, and stretch marks. Addressing body image issues can improve self-esteem and overall well-being. A: Altered glucose metabolism is a physiological concern, not a psychosocial one. C: Risk for suicide is not directly associated with Cushing's syndrome. D: Impaired wound healing is also a physiological issue, not a psychosocial problem.
Question 3 of 4
The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats/minute. The nurse determines that the client is experiencing which dysrhythmia?
Correct Answer: C
Rationale: The correct answer is C: Ventricular tachycardia. In this dysrhythmia, there are no P waves, wide QRS complexes, and a regular ventricular rate exceeding 140 bpm. This indicates an abnormal rhythm originating in the ventricles, leading to a fast and potentially life-threatening heart rate. Sinus tachycardia (A) would show normal P waves with a fast but regular rhythm. Ventricular fibrillation (B) would present as chaotic, irregular electrical activity with no identifiable QRS complexes. Premature ventricular contractions (D) would show irregular ventricular beats occurring earlier than expected. Therefore, based on the specific characteristics described, the correct choice is ventricular tachycardia.
Question 4 of 4
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?
Correct Answer: A
Rationale: Step 1: Polyuria is excessive urination, a common symptom of uncontrolled diabetes leading to chronic complications. Step 2: High blood glucose levels in unmanaged diabetes cause increased urination due to excess glucose in the blood. Step 3: Chronic high blood glucose can damage blood vessels, nerves, and organs over time, leading to complications. Step 4: Polyuria is a sign of poor blood glucose control, indicating a risk for chronic complications. Summary: Polyuria is the correct answer because it directly relates to unmanaged diabetes and the risk of chronic complications. Diaphoresis, pedal edema, and decreased respiratory rate are not directly linked to uncontrolled blood glucose and chronic complications in diabetes.