The nurse in a dermatology clinic is taking the history of a client. Which question should the dermatology nurse ask the client?

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Integumentary System Multiple Choice Questions and Answers Questions

Question 1 of 5

The nurse in a dermatology clinic is taking the history of a client. Which question should the dermatology nurse ask the client?

Correct Answer: A

Rationale: The correct answer is A because asking when the client first noticed the skin problem helps determine the onset and progression of the condition. This information is crucial for diagnosis and treatment planning. Choice B is incorrect as it focuses on external factors rather than the client's symptoms. Choice C is irrelevant unless the client presents with specific sensory issues. Choice D is unrelated to the client's skin concern and does not aid in assessing the skin problem.

Question 2 of 5

The nurse manager is planning the clinical assignments for the day. Which staff member cannot be assigned to care for a client with herpes zoster?

Correct Answer: C

Rationale: The correct answer is C: The nurse who never had chickenpox. Herpes zoster, also known as shingles, is caused by the reactivation of the varicella-zoster virus, which causes chickenpox. Once someone has had chickenpox, the virus remains dormant in the body and can reactivate later in life as shingles. Therefore, the nurse who never had chickenpox may be at risk of contracting the virus from the client with herpes zoster. A, B, and D are incorrect choices because having had roseola, mumps, or German measles does not increase the risk of contracting herpes zoster. These conditions are caused by different viruses and do not confer immunity against varicella-zoster virus.

Question 3 of 5

Which sign/symptom should the nurse expect in a client with OA?

Correct Answer: B

Rationale: The correct answer is B: Joint stiffness. Osteoarthritis (OA) is characterized by joint stiffness, especially after periods of inactivity. This occurs due to the breakdown of cartilage in the joints. Severe bone deformity (A) is more commonly associated with conditions like rheumatoid arthritis. Waddling gait (C) is seen in conditions affecting the hip joint. Swan-neck fingers (D) are a characteristic sign of conditions like rheumatoid arthritis, not typically seen in OA. Therefore, joint stiffness is the most expected sign/symptom in a client with OA.

Question 4 of 5

How many tablets of 500-mg calcium supplement will the client need to take daily to achieve three grams?

Correct Answer: D

Rationale: To achieve three grams of calcium, the client needs to take 3000 mg daily. Since each tablet is 500 mg, the client needs to take 3000 mg ÷ 500 mg = 6 tablets daily. Therefore, the correct answer is D. Choice A (3 tablets) is incorrect because 3 tablets would only provide 1500 mg, which is insufficient. Choice B (4 tablets) is incorrect because 4 tablets would provide 2000 mg, still below the required 3000 mg. Choice C (5 tablets) is incorrect as it would provide 2500 mg, also falling short of the necessary 3000 mg.

Question 5 of 5

The nurse is preparing the care plan for a client with a fractured lower extremity. Which outcome is most appropriate for the client?

Correct Answer: A

Rationale: The correct answer is A because maintaining function of the leg is a crucial outcome for a client with a fractured lower extremity. This outcome focuses on preserving mobility and independence, promoting healing and preventing complications. Ambulating with assistance (B) is a short-term goal, while turning every two hours (C) is related to preventing pressure ulcers. Having no infection (D) is important but not the primary goal for a fractured lower extremity. In summary, option A addresses the primary concern for the client's overall well-being and recovery.

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