ATI LPN
Integumentary System Questions Quizlet Questions
Question 1 of 5
When reading the admission assessment for a patient, the nurse notes that the patient has an excoriated area on the skin of the right forearm. Which nursing action will be included in the plan of care?
Correct Answer: D
Rationale: Excoriated areas should be covered with a dressing to decrease the risk for infection. Application of moisturizer would not help the excoriation and might lead to infection. There is no evidence that the skin is atrophied. Scrubbing the excoriated area would cause further damage.
Question 2 of 5
A patients health assessment has resulted in a diagnosis of alopecia areata. What nursing diagnosis should the nurse most likely associate with this health problem?
Correct Answer: D
Rationale: Alopecia areata causes hair loss in smaller defined areas, commonly leading to a disturbed body image.
Question 3 of 5
The nurse is assisting the patient to select foods from the menu that will promote wound healing. Which statement indicates the nurse's knowledge of nutritional goals?
Correct Answer: B
Rationale: Nutritional therapy must be instituted immediately after burn injury to meet the high metabolic demands of the body. Oral diets should be high in calories and high in protein to meet the demands of the body.
Question 4 of 5
After completing data collection the nurse determines that an older patient is experiencing the death of melanocytes. What observation did the nurse use to make this determination?
Correct Answer: C
Rationale: Death of melanocytes leads to gray hair due to loss of pigment, and hair thins with inactive follicles.
Question 5 of 5
The orthopedic nurse should assess for signs and symptoms of Volkmann's contracture if a patient has fractured which of the following bones?
Correct Answer: B
Rationale: The most serious complication of a supracondylar fracture of the humerus is Volkmann's ischemic contracture, which results from antecubital swelling or damage to the brachial artery. This complication is specific to humeral fractures.