ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse has given the client instructions about crutch safety. Which statement indicates that the client understands the instructions?
Correct Answer: C
Rationale: The original multiple-answer question is restructured. The correct answer, derived from options 1, 2, and 4, is that the client should have spare crutches and tips available, but here 'I need to remove any scatter rugs at home' (from the original set) is adapted as a safety measure to prevent slipping, aligning with crutch safety principles.
Question 2 of 5
The client is scheduled for ear surgery. Which statement indicates the client needs more preoperative teaching concerning the surgery?
Correct Answer: D
Rationale: Shampooing the day after ear surgery risks water entering the ear, potentially causing infection or disrupting healing, indicating a need for more teaching.
Question 3 of 5
The client with cataracts who has had intraocular lens implants is being discharged from the day surgery department. Which discharge instructions should the nurse discuss with the client?
Correct Answer: C
Rationale: Protecting the eyes with shields or glasses is essential after intraocular surgery.
Question 4 of 5
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Dehydration from heat exposure exacerbates Addison's, requiring rapid IV fluid resuscitation.
Question 5 of 5
Which question should the nurse ask when assessing the client for an endocrine dysfunction?
Correct Answer: B
Rationale: Unexplained weight loss can indicate endocrine disorders like hyperthyroidism or diabetes.