ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
The nurse is providing care for a patient who has had a below-the-knee amputation. The nurse enters the patient's room and finds him resting in bed with his residual limb supported on pillow. What is the nurse's most appropriate action?
Correct Answer: B
Rationale: The residual limb should not be placed on a pillow, because a flexion contracture of the hip may result. There is no acute need to contact the patient's surgeon. Encouraging exercise or transferring the patient does not address the risk of flexion contracture.
Question 2 of 5
A patient is ending the first year of recovery after having burns to both legs. Which observation indicates that the patient needs to be encouraged to wear the pressure garment?
Correct Answer: C
Rationale: Pressure garments reduce scarring; scattered scarring suggests inadequate use, indicating a need for encouragement to wear them.
Question 3 of 5
A patient with a sacral stage III pressure ulcer has an elevated temperature. What diagnostic test would help determine if this patient is developing osteomyelitis?
Correct Answer: B
Rationale: Bone biopsy is the gold standard to diagnose osteomyelitis by directly sampling bone for infection, especially in a stage III ulcer context.
Question 4 of 5
Which specific touch receptor picks up deep pressure and vibrations?
Correct Answer: B
Rationale: Pacinian corpuscles are located in the dermis and detect deep pressure and vibrations.
Question 5 of 5
A male client comes to the physician's office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun's damaging rays. Which instruction would best prevent skin damage?
Correct Answer: C
Rationale: UV rays penetrate clouds, so applying sunscreen even on overcast days is essential to prevent skin damage.