ATI RN
Questions on the Integumentary System Questions
Question 1 of 5
What is an appropriate intervention to promote debridement and removal of scales and crusts of skin lesions?
Correct Answer: A
Rationale: The correct answer is A: Warm oatmeal baths. Oatmeal has soothing properties and helps to soften scales and crusts, making it easier to remove them gently without causing further damage to the skin. The warm temperature of the bath also helps in loosening the scales. B: Warm saline dressings are more suitable for wound cleansing or promoting wound healing, not specifically for debridement of scales and crusts. C: Cool sodium bicarbonate baths may help with itching and inflammation but may not effectively promote the removal of scales and crusts. D: Cool magnesium sulfate dressings are more commonly used for wound healing and managing inflammation, not specifically for debridement of skin lesions.
Question 2 of 5
A postoperative patient develops cellulitis in the leg. Nursing treatments would include:
Correct Answer: A
Rationale: Rationale: 1. Keeping the affected leg elevated helps reduce swelling by promoting venous return. 2. Elevation helps decrease inflammation and discomfort in cellulitis. 3. It aids in preventing further spread of infection. 4. Encouraging ambulation (B) and applying ice (C) can worsen the condition by increasing inflammation and risk of spread. Moisturizing lotion (D) does not address the underlying infection or swelling.
Question 3 of 5
Treatment of psoriasis includes
Correct Answer: A
Rationale: The correct answer is A: topical therapy. Psoriasis is a chronic skin condition characterized by inflammation and rapid skin cell growth. Topical therapies like corticosteroids, vitamin D analogs, and retinoids are commonly used to reduce inflammation and slow down skin cell growth. This approach targets the affected skin directly, providing relief and improving symptoms. Systemic steroid therapy (choice B) is generally reserved for severe cases due to potential side effects. Surgical debridement (choice C) is not a standard treatment for psoriasis, as it involves removing damaged tissue. Removing the causative factor (choice D) can help in some cases, but psoriasis is a complex condition influenced by genetics, immune system dysfunction, and environmental factors, making it challenging to pinpoint a single cause.
Question 4 of 5
Bill Jones is a 24-year-old mechanic who sustained a 25% burn injury cleaning his engine with gasoline. Currently he is in his room with all the lights out. He has refused to see his girlfriend. He requires his mother to stay at the hospital and refuses to eat unless she feeds him. When asked any question, he replies negatively with vulgar language. On the basis of this data what is your nursing diagnosis of his problem?
Correct Answer: B
Rationale: Correct Answer: B - Inability to cope with alteration in body image Rationale: 1. Mechanic got burn injury, impacting his appearance. 2. Isolating himself, refusing to see girlfriend, needing mother's presence suggest body image concerns. 3. Refusing to eat, using vulgar language may indicate distress over changes in appearance. Summary of Incorrect Choices: A: Regression related to pain - Not regression behavior, rather coping with altered body image. C: Fear due to hospitalization - Not directly related to hospitalization fear, but more about body image concerns. D: Depression related to inability to work - Symptoms do not align with inability to work, but rather body image distress.
Question 5 of 5
You are teaching a patient about changing his own dressing at home. In addition to teaching the specific dressing routine, you would teach him to evaluate the appearance of the wound and notify his physician if
Correct Answer: B
Rationale: Correct Answer: B - a musty smell comes from the wound Rationale: 1. Musty smell indicates possible infection, which can be serious. 2. Infection can delay healing and lead to complications. 3. Notifying the physician promptly can help in timely treatment. Incorrect Choices: A: the wound looks the same as yesterday - Not a significant change requiring immediate attention. C: a small blister appears in a healed area - Common and may not be urgent. D: the healed area looks very dry and flaky - Likely a minor issue, not indicating infection.