ATI RN
Integumentary System Questions Questions
Question 1 of 5
What are the most appropriate dressings to use to promote comfort for a patient with an inflamed, pruritic dermatitis?
Correct Answer: A
Rationale: The correct answer is A: Cool tap water dressings. Cool tap water helps to soothe inflamed and pruritic skin by reducing itching and inflammation. It also provides a cooling effect, which can help alleviate discomfort. B: Cool acetic acid dressings may be too harsh and irritating for inflamed skin. C: Warm sterile saline dressings may further irritate the skin and exacerbate inflammation. D: Warm potassium permanganate dressings can be too strong and may cause further irritation and drying of the skin.
Question 2 of 5
For a patient with a mild dermatitis rash, a physician would encourage:
Correct Answer: D
Rationale: Step-by-step rationale for why choice D is correct: 1. Mild dermatitis rash indicates inflammation. 2. Steroidal cream helps reduce inflammation. 3. Steroidal cream is suitable for mild cases to alleviate symptoms. 4. Antiseptic soap (Choice A) may further irritate the skin. 5. Antifungal ointment (Choice B) is not necessary for dermatitis. 6. Talcum powder (Choice C) may not address inflammation.
Question 3 of 5
The objective of management of psoriasis is to
Correct Answer: D
Rationale: The correct answer is D: inhibit epidermal proliferation. Psoriasis is a chronic autoimmune condition characterized by rapid skin cell growth. Managing psoriasis involves inhibiting the excessive production of skin cells to reduce symptoms. Preventing infection (A), maintaining fluid and electrolyte balance (B), and reducing pain (C) are important considerations in overall patient care but do not address the root cause of psoriasis, which is the abnormal proliferation of skin cells. Therefore, the primary goal of management is to target epidermal proliferation to effectively control the disease.
Question 4 of 5
In teaching ambulance personnel to assist the depth of burn injury, they should understand that a fresh partial-thickness wound
Correct Answer: B
Rationale: The correct answer is B because a fresh partial-thickness wound may have hairs in the wound that do not pull out easily due to the injury affecting the hair follicles. This is important for ambulance personnel to understand as it helps in assessing the depth of the burn injury accurately. Choice A is incorrect as coagulated blood vessels are more characteristic of full-thickness wounds. Choice C is incorrect because partial-thickness wounds are typically painful. Choice D is incorrect as a brown and leathery appearance is more indicative of a full-thickness burn.
Question 5 of 5
As you change Carol’s dressing, she asks why the wound looks so red around the edges, what are the black spots, and why the drainage is green. Your answer to her would be that the wound
Correct Answer: D
Rationale: The correct answer is D: the wound is infected. Redness around the edges, black spots, and green drainage are classic signs of infection. Redness indicates inflammation, black spots may be dead tissue, and green drainage suggests presence of bacteria. Infection delays healing and can lead to complications. It is crucial to identify and treat infections promptly to prevent further issues. Choices A, B, and C are incorrect because healing wounds typically show pinkish, not red, color; grafting readiness depends on other factors, not infection signs; and changing dressing method won't address the underlying infection issue.