ATI LPN
Integumentary System Multiple Choice Questions and Answers Questions
Question 1 of 5
The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment. A primary nursing diagnosis is:
Correct Answer: B
Rationale: The correct answer is B: body image disturbance. Skin grafting for burn wound treatment can greatly impact a patient's body image due to scarring and changes in appearance. This can lead to psychological distress and affect the patient's self-esteem and social interactions. Addressing body image disturbance is crucial for the patient's emotional well-being and overall recovery. Incorrect choices: A: altered nutrition, less than body requirements - While nutrition is important for wound healing, it is not the primary concern in this case. C: decreased cardiac output - This choice is not directly related to skin grafting and burn wound treatment. D: fluid volume deficit - Though fluid balance is important post-surgery, it is not the primary nursing diagnosis in this scenario.
Question 2 of 5
A nurse is preparing to discharge an emergency department patient who has been fitted with a sling to support her arm after a clavicle fracture. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D because using the arm for light activities within the range of motion helps prevent stiffness and muscle atrophy. It promotes blood circulation and aids in the healing process without putting excessive strain on the fracture site. Explanation: - Choice A: Elevating the arm above the shoulder could increase swelling and impede circulation, leading to complications. - Choice B: Immobilizing the elbow, wrist, and fingers can result in joint stiffness and muscle weakness, hindering recovery. - Choice C: Engaging in active range of motion with the affected arm can be too strenuous and may disrupt the healing process by causing further damage to the fracture site.
Question 3 of 5
A rehabilitation nurse is working with a patient who has had a below-the-knee amputation. The nurse knows the importance of the patient's active participation in self-care. In order to determine the patient's ability to be an active participant in self-care, the nurse should prioritize assessment of what variable?
Correct Answer: A
Rationale: The correct answer is A: The patient's attitude. This is because attitude plays a crucial role in determining a patient's willingness and motivation to actively participate in their self-care post-amputation. A positive attitude can lead to better adherence to rehabilitation plans and faster recovery. Assessing the patient's attitude allows the nurse to gauge their mindset, motivation, and emotional readiness, which are essential for successful rehabilitation. Summary: - B: The patient's learning style: While important for education and training, it is not as critical as attitude for active participation in self-care. - C: The patient's nutritional status: While important for overall health, it is not directly related to the patient's ability to actively participate in self-care. - D: The patient's presurgical level of function: While useful information, it does not determine the patient's current mindset and willingness to engage in self-care activities post-amputation.
Question 4 of 5
The nurse instructs a patient on care required after a punch biopsy. Which patient statement indicates that teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because changing the bandage daily helps prevent infection and promotes wound healing. This statement also demonstrates understanding of proper post-biopsy care. Choice A is incorrect as showering is typically allowed after a punch biopsy. Choice C is incorrect as some blood on the dressing is normal post-biopsy. Choice D is incorrect as it takes time for the biopsy site to heal, and it's not uncommon for it to take longer than a few days.
Question 5 of 5
A patient with 35% total body surface area burns is in the rehabilitative phase of care. Which approach should be used to reduce the risk of developing contractures?
Correct Answer: A
Rationale: The correct answer is A: Apply splints. Splints help maintain proper positioning of joints to prevent contractures in burn patients. Splints provide support and protect the joints during the healing process. They help to prevent shortening and tightening of muscles and tissues, reducing the risk of contractures. B: Physical therapy two hours a day is not the most effective approach for preventing contractures in burn patients. While physical therapy is important for rehabilitation, excessive duration may not necessarily prevent contractures. C: Passive range of motion exercises are beneficial for maintaining joint flexibility, but they may not provide enough support to prevent contractures in burn patients. D: Occupational therapy one hour every other day focuses on activities of daily living and may not directly address the prevention of contractures.