ATI LPN
Chapter 6 Skin and the Integumentary System Practice Questions Quizlet Questions
Question 1 of 5
Which intervention is most appropriate for a burn patient newly admitted to the emergency department?
Correct Answer: C
Rationale: Avoiding disturbing blisters and removing jewelry addresses immediate safety and care priorities in the ED. Wet dressings are not recommended; dry sterile dressings are preferred. Clothing removal is delayed until hospital admission, and determining the causative agent, while important, is secondary to initial stabilization.
Question 2 of 5
The client who sustained an inhalation injury arrives in the emergency department. On assessment of the client, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing:
Correct Answer: C
Rationale: Confusion and combativeness are signs of hypoxia due to impaired oxygen delivery from inhalation injury.
Question 3 of 5
When obtaining a health history related to the skin, which question will assess the patient's health perception-health maintenance pattern?
Correct Answer: B
Rationale: Included in the health perception-health maintenance pattern are self-care habits such as moisturizer and cosmetic use. Information about pain would be included in the cognitive-perceptual pattern. Changes in social activities related to the skin appearance would be documented in the role-relationship pattern. Data about recent skin changes would be included in the nutritional-metabolic pattern.
Question 4 of 5
A patient is diagnosed with atrial fibrillation and the physician orders Coumadin (warfarin). For what skin lesion should the nurse monitor this patient?
Correct Answer: B
Rationale: Ecchymosis refers to a round or irregular macular lesion, which is larger than petechiae. This occurs secondary to blood extravasation. It is important to watch for ecchymosis in a patient receiving any type of anticoagulant.
Question 5 of 5
The nurse is performing a comprehensive assessment of a patients skin surfaces and intends to assess moisture, temperature, and texture. The nurse should perform this component of assessment in what way?
Correct Answer: C
Rationale: Inspection and palpation are techniques commonly used in examining the skin.