ATI LPN
Fundamentals of Nursing Skin Integrity Questions Questions
Question 1 of 5
The nurse notes small (less than 0.5 cm), raised areas that contain serous fluid on a patient's arm. What term should the nurse use to document this finding?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The surgical nurse is admitting a patient from postanesthetic recovery following the patient's below-the-knee amputation. The nurse recognizes the patient's high risk for postoperative hemorrhage and should keep which of the following at the bedside?
Correct Answer: A
Rationale: Immediate postoperative bleeding may develop slowly or may take the form of massive hemorrhage resulting from a loosened suture. A large tourniquet should be in plain sight at the patient's bedside so that, if severe bleeding occurs, it can be applied to the residual limb to control the hemorrhage. PRBCs cannot be kept at the bedside. Vitamin K and protamine sulfate are antidotes to warfarin and heparin, but are not administered to treat active postsurgical bleeding.
Question 3 of 5
The nurse is caring for a patient with a major burn on the right arm. Which function of the skin is most affected by this injury?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
A patient has full-thickness burns over 30% of total body surface area. Which intervention will least likely provide comfort initially to this patient?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A patient is diagnosed with herpes simplex viral encephalitis. Which medication should the nurse prepare to administer to this patient?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.