ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The nurse is watching the cardiac monitor and notices that the rhythm suddenly changes. There are no P waves, the QRS complexes are wide, and the ventricular rate is regular but more than 140 beats/minute. The nurse determines that the client is experiencing which dysrhythmia?
Correct Answer: C
Rationale: The correct answer is C: Ventricular tachycardia. In this dysrhythmia, there are no P waves, wide QRS complexes, and a regular ventricular rate exceeding 140 bpm. This indicates an abnormal rhythm originating in the ventricles, leading to a fast and potentially life-threatening heart rate. Sinus tachycardia (A) would show normal P waves with a fast but regular rhythm. Ventricular fibrillation (B) would present as chaotic, irregular electrical activity with no identifiable QRS complexes. Premature ventricular contractions (D) would show irregular ventricular beats occurring earlier than expected. Therefore, based on the specific characteristics described, the correct choice is ventricular tachycardia.
Question 2 of 5
What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
Correct Answer: A
Rationale: The correct answer is A: Use Burow's solution to help promote healing. Burow's solution contains aluminum acetate, which has astringent and anti-inflammatory properties that can help alleviate itching and promote healing of the skin. The nurse should dilute Burow's solution in water and use it during the therapeutic bath to provide relief to the patient with severe pruritus. Summary of other choices: B: Rubbing the skin briskly can further irritate the skin and worsen the pruritus. C: Limiting bathing to three times a week may not address the immediate need for relief from severe pruritus. D: Ensuring specific temperature and humidity levels in the bath area may not directly address the pruritus and healing needs of the patient.
Question 3 of 5
The nurse debriding a burn wound explains that the purpose of debridement is to:
Correct Answer: B
Rationale: Rationale: 1. Debridement removes dead tissue, reducing infection risk. 2. Clean wound promotes healing by enabling new tissue growth. 3. Prevents bacterial growth, which can delay healing process. 4. Supports a healthy environment for skin grafting if needed. Summary: A: Incorrect. Debridement doesn't directly affect graft effectiveness. C: Incorrect. Suppuration is not a desired outcome of wound treatment. D: Incorrect. Debridement aims to promote healing, not movement.
Question 4 of 5
For which patient would the nurse question an order for isotretinoin (Accutane)?
Correct Answer: B
Rationale: The correct answer is B because isotretinoin is contraindicated during pregnancy due to its teratogenic effects. A pregnant woman should not be prescribed isotretinoin as it can cause severe birth defects. Choices A, C, and D are incorrect because isotretinoin can be used in patients with epilepsy, on oral contraceptives, and hypertension, respectively, as long as appropriate precautions are taken. It is crucial to consider the potential harm to the fetus in pregnant women when prescribing isotretinoin.
Question 5 of 5
The nurse is educating patients about dietary selections that will promote wound healing. Which menu option is most beneficial?
Correct Answer: D
Rationale: The correct answer is D because lean beef provides protein for tissue repair, citrus fruits offer vitamin C for collagen synthesis, and leafy green vegetables provide vitamins and minerals essential for wound healing. Choice A lacks the necessary vitamins and minerals from fruits and vegetables. Choice B provides empty calories and lacks essential nutrients. Choice C is better than B but lacks the protein from lean beef necessary for tissue repair.