ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P waves; instead, there are fibrillatory waves before each QRS complex. How should the nurse correctly interpret the client's heart rhythm?
Correct Answer: A
Rationale: Fibrillatory waves with QRS complexes indicate atrial fibrillation.
Question 2 of 5
A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. Why would the nurse use a Woods lamp?
Correct Answer: D
Rationale: Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen. The use of the diagnostic Woods lamp causes the infected hairs to turn a brilliant blue green.
Question 3 of 5
A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction would be most helpful in managing the pruritus?
Correct Answer: A
Rationale: Wet dressings and using Burow's solution help promote the healing process. Cold compresses may be applied to decrease circulation to the area (vasoconstriction). Short nails prevent skin damage, but not pruritus.
Question 4 of 5
An 84-year-old patient has had a low-grade fever for 2 days. This morning, the patient complains of burning, tingling hip pain that shoots down the leg. The nurse observes a small group of vesicles on the leg. These findings are consistent with which disorder?
Correct Answer: B
Rationale: Herpes zoster (shingles) begins with vague symptoms of chills and low-grade fever and possibly some gastrointestinal disturbance. Discomfort along the nerve pathway is common. Small groups of vesicles appear on the skin, usually following the nerve pathways.
Question 5 of 5
The nurse differentiates the various types of dermatitis. Which characteristic best describes atopic dermatitis?
Correct Answer: D
Rationale: Atopic dermatitis involves mast cell histamine release, leading to allergic-type skin reactions.