Which intervention will decrease the occurrence of pressure ulcers when caring for a client with quadriplegia?

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Questions About the Integumentary System Questions

Question 1 of 5

Which intervention will decrease the occurrence of pressure ulcers when caring for a client with quadriplegia?

Correct Answer: B

Rationale: The correct answer is B: Frequent repositioning of the client. Repositioning helps to relieve pressure on vulnerable areas, reducing the risk of pressure ulcers. Regularly changing the client's position ensures that no single area is consistently bearing weight, promoting circulation and skin integrity. Avoiding leg massages (A) can be detrimental as massages can improve circulation. Increasing fiber content in food (C) and encouraging weight-bearing exercises (D) may be beneficial for overall health but do not directly address pressure ulcer prevention in quadriplegic clients.

Question 2 of 5

Which layer of the skin is made up of dead keratinized cells?

Correct Answer: A

Rationale: The correct answer is A: Epidermis. The epidermis is the outermost layer of the skin, composed mainly of dead keratinized cells called keratinocytes. These cells provide protection and waterproofing to the skin. The dermis (choice B) is the layer beneath the epidermis, containing blood vessels, nerves, and connective tissues. The hypodermis (choice C) is the deepest layer of the skin, containing fat cells and connecting the skin to underlying tissues. Choice D is incorrect as the epidermis is indeed the layer of the skin made up of dead keratinized cells.

Question 3 of 5

What is the role of the integumentary system in homeostasis?

Correct Answer: D

Rationale: The correct answer is D because the integumentary system plays multiple roles in maintaining homeostasis. 1. A: It regulates body temperature by sweating or shivering, maintains fluid balance through sweat production, and helps regulate blood pressure through vasodilation or vasoconstriction. 2. B: It acts as a physical barrier to prevent infections and protects against harmful environmental factors. 3. C: The integumentary system is involved in the production of vitamin D when exposed to sunlight. Therefore, all of the choices (A, B, C) are correct, making D the correct answer. Other choices are incorrect as they do not encompass the comprehensive functions of the integumentary system in homeostasis.

Question 4 of 5

The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet?

Correct Answer: B

Rationale: The correct answer is B because it includes lean protein (baked chicken breast) and vegetables (broccoli, tomatoes). Lean protein helps lower cholesterol levels, while vegetables provide fiber and antioxidants, which are beneficial for heart health. A: Steak and French fries are high in saturated fat and unhealthy fats, which can raise cholesterol levels. C: Fried catfish and cornbread are high in unhealthy fats and carbohydrates, which can worsen lipid panel results. D: Spaghetti with meat sauce and garlic bread are high in refined carbohydrates and unhealthy fats, which can negatively impact cholesterol levels. In summary, choice B is the best option as it includes a balanced meal with heart-healthy components, while the other choices contain items that can potentially worsen the client's lipid panel results.

Question 5 of 5

A client has been bedridden for several days after major abdominal surgery. What action does the nurse delegate to the UAP for deep vein thrombosis (DVT) prevention?

Correct Answer: A

Rationale: The correct answer is A: Apply compression stockings. This is the appropriate action for DVT prevention in a bedridden client post-surgery as compression stockings help improve blood flow and reduce the risk of blood clots. Ambulation (B) is not suitable for a bedridden client. Encouraging coughing and deep breathing (C) is important for lung health but not directly related to DVT prevention. Offering fluids frequently (D) is important for overall health but does not specifically address DVT prevention.

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