Which assessment finding calls for the most immediate further assessment or interventions?

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Fundamentals of Nursing Skin Integrity and Wound Care Practice Questions Questions

Question 1 of 5

Which assessment finding calls for the most immediate further assessment or interventions?

Correct Answer: B

Rationale: Bluish color (cyanosis) indicates potential oxygenation issues, requiring immediate assessment and intervention.

Question 2 of 5

A child is brought to the emergency department from a house fire. She has singed eyebrows and sounds hoarse. After applying oxygen, which action by the nurse takes priority?

Correct Answer: A

Rationale: All actions are appropriate for this child; however, airway patency is always the priority. This child has manifestations that cause the nurse to consider an inhalation injury.

Question 3 of 5

The nurse working with children knows which burn is the most common type of burn in the pediatric population?

Correct Answer: C

Rationale: Scald burns, caused by hot liquids or steam, are the most common in children due to their curiosity and lack of coordination (e.g., pulling hot water off stoves). 'Thermal' is a broad category, but scalds are specifically frequent.

Question 4 of 5

Which intervention should the nurse discuss with the client diagnosed with tinea pedis reporting intense itching?

Correct Answer: A

Rationale: Washing and drying feet twice daily prevents fungal growth. Itraconazole is for tinea unguium, OTC powders are adjunctive, and socks help but washing is the primary intervention.

Question 5 of 5

The client diagnosed with male pattern baldness is prescribed finasteride. When should the nurse evaluate for effectiveness of the medication?

Correct Answer: D

Rationale: Finasteride requires up to 1 year to assess hair regrowth (effective in 50% of cases). One month is too soon, comb findings and texture/color changes aren't reliable indicators.

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