The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which action should the nurse take?

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Chapter 4 Skin and the Integumentary System Review Questions Questions

Question 1 of 5

The nurse is reviewing an electrocardiogram rhythm strip. The P waves and QRS complexes are regular. The PR interval is 0.16 seconds, and QRS complexes measure 0.06 seconds. The overall heart rate is 64 beats/minute. Which action should the nurse take?

Correct Answer: D

Rationale: This is a normal sinus rhythm (PR 0.12-0.20 s, QRS <0.12 s, rate 60-100); monitoring is sufficient.

Question 2 of 5

What should the nurse examine in assessing a patient for tinea corporis?

Correct Answer: D

Rationale: Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no hair.

Question 3 of 5

The nurse is bathing a patient with poison ivy. Which action is most appropriate?

Correct Answer: D

Rationale: Patting the skin dry will decrease irritation and will not break vesicles. Heat (both water and room temperatures) will exacerbate itching. Vesicles should not be covered with dressings.

Question 4 of 5

The home health nurse gives instructions to a patient in avoiding recurrence of athlete's foot. Which single instruction is most effective?

Correct Answer: C

Rationale: The combination of using clean towels and washing and drying feet daily addresses hygiene, a key factor in preventing fungal recurrence. While cotton socks and ventilated shoes help, hygiene is most comprehensive. Antibacterial medication is ineffective against fungal infections like tinea pedis.

Question 5 of 5

A nurse assesses the client's burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?

Correct Answer: A

Rationale: Partial-thickness superficial burns (first-degree) involve the epidermis, resulting in a wet, shiny, weeping surface due to inflammation and fluid leakage.

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