The nurse is caring for a 32-year-old with circumferential full-thickness burns to the right arm and trunk. Which nursing intervention has the highest priority in the plan of care?

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Integumentary System Exam Questions Questions

Question 1 of 5

The nurse is caring for a 32-year-old with circumferential full-thickness burns to the right arm and trunk. Which nursing intervention has the highest priority in the plan of care?

Correct Answer: A

Rationale: The correct answer is A: Assess radial pulses several times a day. This is the highest priority because the patient has circumferential full-thickness burns, which can cause compartment syndrome and compromise circulation. Assessing radial pulses helps monitor blood flow to the affected areas. B is incorrect as it's not directly related to the patient's condition. C can potentially cause harm due to the risk of further damaging the burned skin. D is incorrect as removing blisters can increase the risk of infection and delay healing.

Question 2 of 5

A client with a stage IV pressure ulcer is to receive g of zinc sulfate by mouth. Each tablet contains mg. How many tablets should the nurse administer? Record your answer using a whole number. _2__ tablets (0.22g to mg= 0.22x1000= 220 mg. Order 220/Dose 110 = 2 tablets)

Correct Answer: B

Rationale: The correct answer is B. First, convert 0.22g to mg (0.22 x 1000 = 220 mg). Each tablet contains 110 mg of zinc sulfate. Divide the total dose (220 mg) by the dose per tablet (110 mg) to get the number of tablets needed (220/110 = 2 tablets). Therefore, the nurse should administer 2 tablets to the client. Summary of other choices: A: This choice is incorrect because it does not follow the correct calculation process to determine the number of tablets needed based on the dose per tablet. C: This choice is incorrect as it does not consider the conversion of grams to milligrams and the dose per tablet. D: This choice is incorrect as it does not involve the correct division of the total dose by the dose per tablet to calculate the number of tablets required.

Question 3 of 5

A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be avoided. Which response by the nurse is appropriate?

Correct Answer: C

Rationale: The correct answer is C: Scratching results in skin breaks that can lead to infection. Scratching atopic dermatitis can damage the skin barrier, leading to open wounds that are susceptible to infection. B is incorrect because scratching does not spread dermatitis to other areas. A is incorrect as dermatitis is not contagious through scratching. D is incorrect as scratching does not directly lead to skin cancer. It is important to educate the mother on the importance of preventing infection by avoiding scratching.

Question 4 of 5

Identify the chemical symbol for potassium

Correct Answer: A

Rationale: The correct answer is A: K+. The chemical symbol for potassium is K, not K+. The superscript "+", indicating a positive charge, is not part of the chemical symbol. Choice B, Mg2+, represents magnesium with a 2+ charge. Choice C, Na+, represents sodium with a 1+ charge. Choice D, H+, represents a hydrogen ion. Potassium's chemical symbol is K based on its Latin name "kalium."

Question 5 of 5

What are the different types of skin appendages?

Correct Answer: D

Rationale: The correct answer is D: All of the above. Skin appendages include hair, nails, sweat glands, sebaceous glands, apocrine glands, and ceruminous glands. Hair, nails, and glands (sweat, sebaceous, apocrine, ceruminous) are all considered skin appendages as they originate from the epidermis or dermis. These structures serve various functions such as thermoregulation, protection, sensation, and secretion. Therefore, option D is the correct answer as it encompasses all the different types of skin appendages. Options A, B, and C are incorrect as they do not include all the types of skin appendages listed in the question.

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