The male client diagnosed with acquired immunodeficiency syndrome (AIDS) states that he has developed a purple-brown spot on his calf. Which action should the nurse do first?

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Skin Integrity Practice Questions Questions

Question 1 of 5

The male client diagnosed with acquired immunodeficiency syndrome (AIDS) states that he has developed a purple-brown spot on his calf. Which action should the nurse do first?

Correct Answer: B

Rationale: Assessing the lesion first provides data to determine if it could be Kaposi's sarcoma, common in AIDS.

Question 2 of 5

The home health nurse is visiting an elderly client who shows the nurse an area of rough skin with a greasy feel and multiple papules. Which information should the nurse provide the client?

Correct Answer: C

Rationale: Rough, greasy skin with papules could indicate seborrheic keratosis or a more serious condition, warranting discussion with an HCP.

Question 3 of 5

The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?

Correct Answer: D

Rationale: Stage II pressure ulcers involve partial-thickness loss of the dermis.

Question 4 of 5

Which action by UAP warrants immediate intervention?

Correct Answer: A

Rationale: Clients post-laminectomy may have swallowing difficulties; they require specific dietary considerations.

Question 5 of 5

Which intervention is a secondary nursing intervention for osteoporosis?

Correct Answer: A

Rationale: Bone density tests screen for osteoporosis, identifying those at risk.

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