ATI LPN
Questions for Integumentary System Questions
Question 1 of 5
The nurse describes common complications that burn patients may experience. Which description best fits hypovolemia?
Correct Answer: D
Rationale: Hypovolemia occurs due to loss of fluid from the vascular space in burn patients.
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 I Lyme disease is treated with a 2-4 week course of oral antibiotics (e.g., doxycycline) to eradicate the infection.
Question 3 of 5
The nurse notes all these changes in the skin of a 95-year-old patient who is being admitted to an assisted-living facility. Which change will be of most concern to the nurse?
Correct Answer: A
Rationale: Petechiae are caused by pinpoint hemorrhages and are associated with a variety of serious disorders such as meningitis and coagulopathies. The nurse should contact the patient's health care provider about this finding for further diagnostic follow-up. The other skin changes are associated with aging. Although the other changes also will require ongoing monitoring or intervention by the nurse, they do not indicate a need for urgent action.
Question 4 of 5
A young student comes to the school nurse and shows the nurse a mosquito bite. As the nurse expects, the bite is elevated and has serous fluid contained in the dermis. How would the nurse classify this lesion?
Correct Answer: D
Rationale: A wheal is a primary skin lesion that is elevated and has fluid contained in the dermis. An example of a wheal would be an insect bite or hives.
Question 5 of 5
In patients with extensive burns, edema occurs in both burned and unburned areas because of:
Correct Answer: C
Rationale: Capillary permeability is altered in burns beyond the area of tissue damage, resulting in significant shift of proteins, fluid, and electrolytes resulting in edema(third spacing). Catecholamine-induced vasoconstriction does not produce edema. Decreased glomerular filtration may cause fluid retention, but it is not responsible for the extensive edema seen after burn injury. Loss of integument barrier does not cause edema.