ATI LPN
Skin Integrity Nursing Questions Questions
Question 1 of 5
The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect to note in the client?
Correct Answer: B
Rationale: Gout is caused by hyperuricemia; a uric acid level of 9.0 mg/dL is elevated (normal range is 3.5-7.2 mg/dL for men, slightly lower for women), consistent with the diagnosis.
Question 2 of 5
The client with a retinal detachment has just undergone a gas tamponade repair. Which discharge instruction should the nurse include in the teaching?
Correct Answer: A
Rationale: Face-down positioning post-gas tamponade keeps the gas bubble against the retina, critical for reattachment and healing.
Question 3 of 5
The 26-year-old male client in the PACU has a heart rate of 110 and a rising temperature, and complains of muscle stiffness. Which interventions should the nurse implement? Select all apply.
Correct Answer: B
Rationale: Muscle stiffness and rising temperature suggest malignant hyperthermia, treatable with cooling measures and dantrolene.
Question 4 of 5
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
Correct Answer: B
Rationale: Desmopressin (DDAVP) for DI should be stored properly but taken as prescribed, not just mornings; this suggests misunderstanding.
Question 5 of 5
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of myocardial ischemia, what condition should the nurse carefully assess the client for?
Correct Answer: B
Rationale: Cardiogenic shock increases ischemia risk, potentially causing ventricular dysrhythmias.