ATI LPN
Integumentary System Questions Questions
Question 1 of 5
What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
Correct Answer: A
Rationale: The correct answer is A: Use Burow's solution to help promote healing. Burow's solution contains aluminum acetate, which has astringent and anti-inflammatory properties that can help alleviate itching and promote healing of the skin. The nurse should dilute Burow's solution in water and use it during the therapeutic bath to provide relief to the patient with severe pruritus. Summary of other choices: B: Rubbing the skin briskly can further irritate the skin and worsen the pruritus. C: Limiting bathing to three times a week may not address the immediate need for relief from severe pruritus. D: Ensuring specific temperature and humidity levels in the bath area may not directly address the pruritus and healing needs of the patient.
Question 2 of 5
For which patient would the nurse question an order for isotretinoin (Accutane)?
Correct Answer: B
Rationale: The correct answer is B because isotretinoin is contraindicated during pregnancy due to its teratogenic effects. A pregnant woman should not be prescribed isotretinoin as it can cause severe birth defects. Choices A, C, and D are incorrect because isotretinoin can be used in patients with epilepsy, on oral contraceptives, and hypertension, respectively, as long as appropriate precautions are taken. It is crucial to consider the potential harm to the fetus in pregnant women when prescribing isotretinoin.
Question 3 of 5
The nurse is educating patients about dietary selections that will promote wound healing. Which menu option is most beneficial?
Correct Answer: D
Rationale: The correct answer is D because lean beef provides protein for tissue repair, citrus fruits offer vitamin C for collagen synthesis, and leafy green vegetables provide vitamins and minerals essential for wound healing. Choice A lacks the necessary vitamins and minerals from fruits and vegetables. Choice B provides empty calories and lacks essential nutrients. Choice C is better than B but lacks the protein from lean beef necessary for tissue repair.
Question 4 of 5
On assessment of a child, the nurse notes the presence of white patches on the child's tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):
Correct Answer: A
Rationale: The correct answer is A because in candidiasis (thrush), the white patches are adherent to the tongue even when scraped with a tongue blade due to the presence of fungal overgrowth. This characteristic distinguishes candidiasis from other conditions. Choices B, C, and D are incorrect because candidiasis does not cause continuous bleeding, a red circle in the center of the lesion, or occur exclusively on the tongue. These features are not consistent with the typical presentation of candidiasis.
Question 5 of 5
The client is diagnosed with stage 1 of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?
Correct Answer: D
Rationale: The correct answer is D: skin rash. In stage 1 of Lyme disease, the hallmark characteristic is a skin rash called erythema migrans. This rash typically appears at the site of the tick bite and expands over time, resembling a bull's eye. This rash is unique to Lyme disease and is essential for early diagnosis and treatment. Choice A (dizziness and headaches) is incorrect as these symptoms are more commonly associated with other conditions and are not specific to Lyme disease. Choice B (enlarged and inflamed joints) is incorrect as joint symptoms usually appear in later stages of Lyme disease. Choice C (arthralgias) is also incorrect as joint pain is a symptom seen in later stages and is not specific to stage 1.