ATI LPN
Chapter 4 Skin and the Integumentary System Review Questions Questions
Question 1 of 5
Which client should the nurse use caution with when applying mafenide acetate to a burned area?
Correct Answer: B
Rationale: Mafenide acetate (Sulfamylon) impairs renal buffering, increasing bicarbonate excretion and requiring pulmonary compensation. In COPD, this compensation may fail, leading to metabolic acidosis, necessitating caution. Normal creatinine, good oxygenation, and diabetes do not pose specific risks.
Question 2 of 5
The client diagnosed with psoriasis has been prescribed secukinumab. Which clinical manifestations would alert the nurse to a potential adverse reaction?
Correct Answer: A
Rationale: Secukinumab's adverse effects include sinusitis and urticaria (welts). Weakness/dizziness, constipation, and calf swelling (possible clot) aren't linked to this drug.
Question 3 of 5
Which of the following statements are true regarding Kaposi's sarcoma?
Correct Answer: A
Rationale: Kaposi's sarcoma was historically more common among Ashkenazi Jews and is associated with HHV8, not HHV6.
Question 4 of 5
Diagnosis of psoriasis is made on:
Correct Answer: D
Rationale: Psoriasis is primarily diagnosed based on clinical findings.
Question 5 of 5
The admitting department alerts the nurse on a medical-surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client's diagnosis?
Correct Answer: B
Rationale: In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room.