ATI RN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse is teaching a client with cellulitis about ways to promote healing and avoid future infections. Which client statements indicate that the teaching has been effective?Select the one that does not apply
Correct Answer: C
Rationale: Rationale: Choice C is correct because a temperature of 99.5°F or higher can indicate an infection, and prompt medical attention is crucial. Choice A is incorrect as antibiotic soap can disrupt normal skin flora. Choice B is incorrect as some moisture is needed for wound healing. Choice D is incorrect as swimming in lakes can introduce bacteria to the wound.
Question 2 of 5
The nurse is working in a primary care setting. Which clients should the nurse identify as being at high risk for influenza or its complications?Select the one that does not apply
Correct Answer: D
Rationale: In this scenario, option D, a 35-year-old man with a severe allergy to eggs, is the correct choice that does not apply as being at high risk for influenza or its complications. The rationale behind this is that the flu vaccine is traditionally grown in eggs, so people with severe egg allergies are advised against getting the standard flu shot. This makes the individual in option D less likely to be at risk for influenza complications compared to the other options. For options A, B, and C, they are at higher risk for influenza or its complications due to their specific circumstances. - Option A: Pregnant women are more susceptible to infections like influenza due to changes in their immune system during pregnancy. - Option B: Older adults, like the 65-year-old woman, have weaker immune systems, making them more vulnerable to severe flu symptoms. - Option C: Individuals with cystic fibrosis, like the 3-year-old in this case, often have compromised respiratory systems, which can lead to more severe complications if they contract the flu. Understanding these risk factors is crucial in nursing practice to provide targeted care and preventive measures for vulnerable populations. Nurses must be aware of these nuances in patient populations to tailor their interventions effectively and promote better health outcomes.
Question 3 of 5
The nurse is teaching the mother of an infant with otitis media to manage the associated fever and pain. Which instruction by the nurse is correct?
Correct Answer: C
Rationale: Correct Answer: C - Administer acetaminophen. Rationale: 1. Acetaminophen is an appropriate medication for reducing fever and relieving pain in infants with otitis media. 2. Swaddling the baby in blankets may increase body temperature and discomfort. 3. Feeding solid foods is not recommended during illness, as infants may have difficulty swallowing or digesting. 4. Bathing the baby with cool water may cause chills and discomfort, worsening the condition. In summary, administering acetaminophen is the correct choice as it addresses both fever and pain effectively, while the other options may exacerbate the infant's condition.
Question 4 of 5
An older adult client asks the nurse what can be done to decrease the risk of developing pneumonia. Which responses by the nurse are most appropriate? Select all that apply.
Correct Answer: B
Rationale: Rationale: Option B is correct because smoking weakens the lungs and increases the risk of pneumonia. Eliminating this habit can decrease the risk. Option A is incorrect because there is limited evidence supporting the effectiveness of L. casei immunitas cultures in preventing pneumonia. Option C is incorrect because while the pneumonia vaccination is important, it is not the most appropriate response to directly address the client's inquiry about reducing the risk. Option D is incorrect because moderate alcohol consumption is not a significant risk factor for pneumonia.
Question 5 of 5
What is the primary rationale for maintaining adequate hydration in clients with pneumonia?
Correct Answer: D
Rationale: The correct answer is D because adequate hydration helps keep the airway clear by making secretions easier to expectorate. Proper hydration thins mucus secretions, making it easier for clients with pneumonia to cough up and clear their airways, reducing the risk of respiratory complications. Maintaining hydration does not primarily affect urine output (A), blood pressure (B), or mucus membrane moisture (C) in clients with pneumonia.