ATI LPN
Skin Integrity and Wound Care Questions Questions
Question 1 of 5
The nurse is preparing to administer subcutaneous Lovenox, a low molecular weight heparin. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Lovenox is administered in the anterolateral abdomen for optimal absorption and to avoid muscle tissue.
Question 2 of 5
The client is scheduled for right-eye cataract removal surgery in five (5) days. Which preoperative instruction should be discussed with the client?
Correct Answer: D
Rationale: Avoiding aspirin reduces bleeding risk during cataract surgery, a key preoperative instruction since it's typically an outpatient procedure.
Question 3 of 5
The client is scheduled for ear surgery. Which statement indicates the client needs more preoperative teaching concerning the surgery?
Correct Answer: D
Rationale: Shampooing the day after ear surgery risks water entering the ear, potentially causing infection or disrupting healing, indicating a need for more teaching.
Question 4 of 5
The client with cataracts who has had intraocular lens implants is being discharged from the day surgery department. Which discharge instructions should the nurse discuss with the client?
Correct Answer: C
Rationale: Protecting the eyes with shields or glasses is essential after intraocular surgery.
Question 5 of 5
The client diagnosed with Addison's disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Dehydration from heat exposure exacerbates Addison's, requiring rapid IV fluid resuscitation.