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?

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NCLEX Questions on Integumentary System Questions

Question 1 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 2 of 5

To which member of the health-care team should the nurse refer a client with OA having trouble getting in and out of the bathtub?

Correct Answer: C

Rationale: Physical therapists assist with mobility issues, providing strategies to manage daily activities safely.

Question 3 of 5

Which action preserves a severed thumb for possible surgical reattachment?

Correct Answer: D

Rationale: Securing the thumb in a plastic bag on ice preserves tissue viability.

Question 4 of 5

The nurse is discharging a client who had a total hip replacement. Which statement indicates further teaching is needed?

Correct Answer: D

Rationale: Infection risk persists beyond three weeks post-THR, indicating a need for further education.

Question 5 of 5

A client sustained a fractured femur in a motor-vehicle accident. Which data require immediate intervention by the nurse?

Correct Answer: B

Rationale: Petechiae suggest fat embolism syndrome, a life-threatening complication requiring immediate action.

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