Integumentary System NCLEX Questions | Nurselytic

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Integumentary System NCLEX Questions Questions

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Question 1 of 5

The client has had a squamous cell carcinoma removed from the lip. Which discharge instructions should the nurse provide?

Correct Answer: A

Rationale: Nonhealing lesions suggest recurrence, requiring HCP notification. Squamous cell carcinoma can metastasize, diet restrictions are unnecessary, and heat is inappropriate.

Question 2 of 5

Silver nitrate dressings are applied to burns on an adult. What should be included in the nursing care plan?

Correct Answer: B

Rationale: Silver nitrate dressings must be kept wet to maintain their antibacterial effectiveness and prevent tissue damage.

Question 3 of 5

Which of the following terms would the eye clinic nurse use to document that a client has nearsightedness?

Correct Answer: D

Rationale: Myopia is the medical term for nearsightedness, where distant objects appear blurry.

Question 4 of 5

The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client?

Correct Answer: A

Rationale: Massive fluid loss in 65% burns requires immediate fluid and electrolyte replacement to prevent shock. Contracture prevention, urine monitoring, and escharotomy are secondary after fluid resuscitation.

Question 5 of 5

The nurse is caring for the client with a large, open sternal wound resulting from a burn injury. The client is receiving enteral feeding, Oxepa (an anti-inflammatory, pulmonary 1.5 Cal/mL formula), at 25 mL/hour. Which laboratory value finding best indicates that the client is receiving inadequate nutrition?

Correct Answer: C

Rationale: Prealbumin is used to evaluate nutritional status. A low level of prealbumin indicates inadequate nutrition. Prealbumin has a half-life of 2 days and reflects changes in serum protein stores more rapidly than other indices. The phosphorus level decreases in malnutrition as well as other conditions, but this is not the best indicator of inadequate nutrition. Platelets are essential to blood clotting and may or may not be altered with inadequate nutrition. Potassium is the major cation within the cell and may be low due to renal failure or GI disorders.

Similar Questions

While the nurse is assessing the client hospitalized with recurrent lower-extremity cellulitis, the client states, 'I have athlete's foot; do you want to check it?' The nurse concludes that this information is significant for what reason?
The nurse in a dermatology clinic is taking the history of a client. Which questions should the nurse ask the client? Select all that apply.
Of the following information provided by the client to the nurse, which factor is most likely to cause a retinal detachment?
Which action is the nurse's immediate priority?
The ED nurse is caring for a client admitted with extensive, deep partial-thickness and full-thickness burns. Which interventions should the nurse implement? List in order of priority.

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