ATI LPN
Integumentary System Questions Questions
Question 1 of 5
The public health nurse is caring for a client diagnosed with leprosy (Hansen's disease). Which intervention should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D. It is crucial to educate the client about how leprosy is transmitted to prevent further spread. Hospital admission may not be necessary for all cases. Administering dapsone for only one month is insufficient for treating leprosy. Using moisturizing lotion does not address the transmission of the disease. Therefore, discussing transmission methods is the priority intervention.
Question 2 of 5
For a client diagnosed with lumbar strain, which nursing interventions should be included in the plan of care?
Correct Answer: A
Rationale: Step 1: Assessing pain on a 1-to-10 scale is crucial in managing lumbar strain as it helps determine the severity and effectiveness of interventions. Step 2: Pain assessment guides treatment adjustments and ensures optimal pain control for the client. Step 3: Administering pain medication PRN without proper assessment may lead to overmedication or under-treatment. Step 4: Providing a regular bedpan for elimination is not directly related to managing lumbar strain. Step 5: Assessing surgical dressing every four hours is not necessary for a client with lumbar strain unless there are specific indications.
Question 3 of 5
What information is most important when discussing ways to prevent osteoporosis with pregnant teenagers?
Correct Answer: A
Rationale: The correct answer is A because calcium is crucial for bone health and development, especially during pregnancy. Pregnant teenagers need adequate calcium intake to support both their own bone health and the baby's growth. Calcium supplements help ensure they meet the recommended daily intake. Choice B is incorrect as foods low in calcium and high in phosphorus can actually contribute to bone density loss. Choice C is incorrect as osteoporosis can develop earlier in life, not just around age 50. Choice D, while important for overall health, does not specifically address the need for calcium intake to prevent osteoporosis during pregnancy.
Question 4 of 5
The client admitted with a diagnosis of a fractured hip who is in Buck's traction is complaining of severe pain. Which intervention should the nurse implement?
Correct Answer: B
Rationale: The correct answer is B: Ensure the weights of the Buck's traction are off the floor and hang freely. This intervention is essential to maintain proper traction and alignment of the fractured hip, which can help alleviate pain. When the weights are not hanging freely, the traction may not be effective, causing increased pain and potential complications. Explanation of why the other choices are incorrect: A: Adjusting the PCA machine for a lower dose may temporarily relieve pain, but it does not address the underlying issue of ineffective traction. C: Raising the head and foot of the bed may provide comfort but does not directly address the issue of inadequate traction. D: Turning the client on the affected leg can worsen the fracture and cause more pain, contrary to the goal of relieving pain in a client with a fractured hip in Buck's traction.
Question 5 of 5
Two unlicensed assistive personnel (UAP) are using the transfer board to move the client from the bed to the wheelchair. Which action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. The nurse should take no action because using a transfer board to move a client from the bed to the wheelchair is an appropriate and safe procedure when performed correctly by UAPs. Using a transfer board helps in ensuring a smooth and safe transfer without causing harm to the client. Instructing the UAPs not to use a transfer board (choice B) would be incorrect as it is a useful tool for transferring clients safely. Using a bed scale sling to move the client (choice C) is not appropriate for transferring the client from the bed to the wheelchair. Requesting the UAPs to stop and come to the nurse's station (choice D) is unnecessary and interrupts the transfer process.