ATI LPN
Integumentary System Questions Questions
Question 1 of 5
Which psychosocial problem should be included in the plan of care for a female client diagnosed with Cushing's syndrome?
Correct Answer: B
Rationale: The correct answer is B: Body image disturbance. This is crucial for a female client with Cushing's syndrome due to physical changes like weight gain, facial fullness, and stretch marks. Addressing body image issues can improve self-esteem and overall well-being. A: Altered glucose metabolism is a physiological concern, not a psychosocial one. C: Risk for suicide is not directly associated with Cushing's syndrome. D: Impaired wound healing is also a physiological issue, not a psychosocial problem.
Question 2 of 5
The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?
Correct Answer: A
Rationale: Step 1: Polyuria is excessive urination, a common symptom of uncontrolled diabetes leading to chronic complications. Step 2: High blood glucose levels in unmanaged diabetes cause increased urination due to excess glucose in the blood. Step 3: Chronic high blood glucose can damage blood vessels, nerves, and organs over time, leading to complications. Step 4: Polyuria is a sign of poor blood glucose control, indicating a risk for chronic complications. Summary: Polyuria is the correct answer because it directly relates to unmanaged diabetes and the risk of chronic complications. Diaphoresis, pedal edema, and decreased respiratory rate are not directly linked to uncontrolled blood glucose and chronic complications in diabetes.
Question 3 of 5
What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
Correct Answer: A
Rationale: The correct answer is A: Use Burow's solution to help promote healing. Burow's solution contains aluminum acetate, which has astringent and anti-inflammatory properties that can help alleviate itching and promote healing of the skin. The nurse should dilute Burow's solution in water and use it during the therapeutic bath to provide relief to the patient with severe pruritus. Summary of other choices: B: Rubbing the skin briskly can further irritate the skin and worsen the pruritus. C: Limiting bathing to three times a week may not address the immediate need for relief from severe pruritus. D: Ensuring specific temperature and humidity levels in the bath area may not directly address the pruritus and healing needs of the patient.
Question 4 of 5
The nurse debriding a burn wound explains that the purpose of debridement is to:
Correct Answer: B
Rationale: Rationale: 1. Debridement removes dead tissue, reducing infection risk. 2. Clean wound promotes healing by enabling new tissue growth. 3. Prevents bacterial growth, which can delay healing process. 4. Supports a healthy environment for skin grafting if needed. Summary: A: Incorrect. Debridement doesn't directly affect graft effectiveness. C: Incorrect. Suppuration is not a desired outcome of wound treatment. D: Incorrect. Debridement aims to promote healing, not movement.
Question 5 of 5
For which patient would the nurse question an order for isotretinoin (Accutane)?
Correct Answer: B
Rationale: The correct answer is B because isotretinoin is contraindicated during pregnancy due to its teratogenic effects. A pregnant woman should not be prescribed isotretinoin as it can cause severe birth defects. Choices A, C, and D are incorrect because isotretinoin can be used in patients with epilepsy, on oral contraceptives, and hypertension, respectively, as long as appropriate precautions are taken. It is crucial to consider the potential harm to the fetus in pregnant women when prescribing isotretinoin.