ATI LPN
Questions on the Integumentary System Questions
Question 1 of 5
The nurse is caring for a patient with a chemical burn injury. The priority nursing intervention is to:
Correct Answer: A
Rationale: The correct answer is A: remove the patient's clothes and flush the area with water. This is the priority intervention because it helps to stop the burning process by removing the source of the chemical and diluting it with water. Flushing the area with water helps to prevent further damage to the skin and underlying tissues. Removing the patient's clothes is important to prevent further exposure to the chemical. Choice B (apply saline compresses) is not the priority because simply applying compresses does not address the need to remove the source of the chemical and dilute it. Choice C (contact a poison control center) is not the priority as immediate action is needed to stop the burning process. Choice D (remove all jewelry) is important but not the priority compared to removing the patient's clothes and flushing the area with water.
Question 2 of 5
Six weeks after an above-the-knee amputation (AKA), a patient returns to the outpatient office for a routine postoperative checkup. During the nurse's assessment, the patient reports symptoms of phantom pain. What should the nurse tell the patient to do to reduce the discomfort of the phantom pain?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Phantom pain is a common phenomenon post-amputation due to the brain still perceiving pain signals from the missing limb. 2. Opioid analgesics help manage phantom pain by blocking pain signals in the brain, providing relief. 3. Applying hot compresses (A) may not effectively address phantom pain, as it is neuropathic in nature. 4. Avoiding activity (B) does not address the underlying cause of phantom pain and may lead to physical deconditioning. 5. Elevating the level of the amputation site (D) does not directly target or alleviate phantom pain. Summary: Taking opioid analgesics as ordered (C) is the most appropriate intervention for managing phantom pain post-amputation, as it directly addresses the neuropathic nature of the pain and provides effective relief.
Question 3 of 5
A patient is being treated for a fractured hip and the nurse is aware of the need to implement interventions to prevent muscle wasting and other complications of immobility. What intervention best addresses the patient's need for exercise?
Correct Answer: C
Rationale: The correct answer is C: Encouraging frequent use of the overbed trapeze. This intervention helps the patient to move and reposition themselves independently, promoting muscle strength and preventing muscle wasting. Leg lifts (A) may not be suitable for a patient with a fractured hip. Massage (B) can improve circulation but does not provide the necessary muscle-strengthening exercise. Log rolling (D) may be too intense for a patient with a fractured hip. Encouraging the use of the trapeze allows for safe and controlled movement, promoting mobility and preventing complications of immobility.
Question 4 of 5
An older patient has areas of psoriasis on the arms and legs. What should the nurse expect to be prescribed for this patient?
Correct Answer: A
Rationale: The correct answer is A: Topical steroids. Topical steroids are commonly prescribed for psoriasis to reduce inflammation and itching. They help to control the symptoms and improve the appearance of the skin. Other choices are incorrect: B (Topical Benadryl) is an antihistamine and not typically used for psoriasis. C (Lidocaine patches) are used for pain relief, not for treating psoriasis. D (Systemic antibiotics) are not indicated for psoriasis unless there is a secondary bacterial infection.
Question 5 of 5
A patient recovering from 25% total body surface area burns has a low-grade fever. What should the nurse do to reduce this patient's risk of developing an infection?
Correct Answer: C
Rationale: The correct answer is C: Use sterile technique for all dressing changes. Sterile technique reduces the risk of introducing harmful microorganisms into the burn wound, thus decreasing the likelihood of infection. By maintaining a sterile environment during dressing changes, the nurse can help protect the patient's vulnerable skin and promote healing. A: Following contact precautions is important for preventing the spread of infection, but it does not directly address the risk of infection in the burn wound. B: Implementing protective isolation is unnecessary in this case as the patient's low-grade fever does not indicate the need for isolation. D: Administering prophylactic antibiotics is not recommended in this scenario as it can contribute to antibiotic resistance and is not necessary unless there is a confirmed infection present.