Upon review of the medical history prior to surgery, the nurse notes that the client has a history of alcoholism. The nurse makes a point to bring this to the surgeon's attention when informed consent is being provided. The rationale for this action would be:

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NCLEX Questions on Integumentary System Questions

Question 1 of 5

Upon review of the medical history prior to surgery, the nurse notes that the client has a history of alcoholism. The nurse makes a point to bring this to the surgeon's attention when informed consent is being provided. The rationale for this action would be:

Correct Answer: D

Rationale: Clients need to be assessed for surgical risk factors preoperatively for planning. A history of alcoholism may indicate liver damage, which could affect how the client metabolizes medications, potentially requiring more anesthesia.

Question 2 of 5

A 30-year-old woman reports increasing difficulty during the days preceding the onset of her menstrual cycle. Which of the following might assist in the management of her condition?

Correct Answer: C

Rationale: Reducing caffeine decreases irritability, and guided imagery promotes relaxation, aiding premenstrual syndrome management. Sugars and carbs worsen symptoms.

Question 3 of 5

While assessing a client's lower extremities, a nurse notices that one leg is pale and cooler to the touch. Which assessment should the nurse perform next?

Correct Answer: B

Rationale: Localized, decreased skin temperature and pallor indicate interference with vascular flow to the region. The nurse should assess bilateral pedal pulses to screen for vascular sufficiency. Without adequate blood flow, the client's limb could be threatened.

Question 4 of 5

After teaching a client who has psoriasis, a nurse assesses the client's understanding. Which statement indicates the client needs additional teaching?

Correct Answer: B

Rationale: Psoriasis is not a contagious disorder, so the client does not need to cover lesions to prevent spreading it.

Question 5 of 5

A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?

Correct Answer: C

Rationale: Self-care activities like bathing and dressing foster feelings of self-worth linked to body image.

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