ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is caring for a burn-injured patient who weighs 154 pounds, and the burn injury covers 50% of his body surface area. The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous(IV) fluid for the first 24 hours. The nurse plans to administer what amount of fluid in the first 24 hours?
Correct Answer: C
Rationale: 154 pounds/2.2= 70 kg; 4 × 70 kg × 50= 14,000 mL, or 14 liters.
Question 2 of 5
The nurse is assisting in the presentation of the skin for a group of senior citizens in the community center. Which normal change associated with aging should the nurse include?
Correct Answer: A
Rationale: In aging, fibroblasts die, reducing dermal repair capacity, while fat decreases and glands become less active.
Question 3 of 5
A nurse is planning the care of an older adult patient who will soon be discharged home after treatment for a fractured hip. In an effort to prevent future fractures, what should the nurse encourage?
Correct Answer: A
Rationale: Health promotion measures after an older adult's hip fracture include weight-bearing exercise, promotion of a healthy diet, falls prevention, and bone density testing. Corticosteroids have the potential to reduce bone density and increase the risk for fractures.
Question 4 of 5
A patient is concerned about hair loss. What should the nurse explain about the relationship between hair and the skin?
Correct Answer: C
Rationale: Hair follicles originate in the dermis and grow outward through the epidermis, making this the correct explanation.
Question 5 of 5
Possible viral skin infection is documented in a patient's medical record. Which infections should the nurse consider as causing the patient's skin problem?
Correct Answer: A
Rationale: Rubella is a viral infection that can cause a skin rash.