Integumentary System NCLEX Questions

Extract:

Question 1 of 5

The client is diagnosed with a viral infection and the HCP has prescribed an antiviral medication to be administered by weight. The client weighs 220 pounds and the order reads 10 mg per kilogram per day to be administered in equally divided doses every six (6) hours. How many milligrams will be administered in one dose?

Correct Answer: 250

Rationale: 220 lbs ÷ 2.2 = 100 kg; 10 mg/kg/day = 1000 mg/day; 1000 mg ÷ 4 doses = 250 mg/dose.

Question 2 of 5

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?

A. Cellulitis is commonly caused by a similar fungal infection. B. Both infections should resolve with topical fungicide therapy. C. Painful neuralgia can occur after the cellulitis infection has resolved. D. The skin disruption with tinea pedis may be the cause of the cellulitis.

Correct Answer: D

Rationale: Cellulitis is an infection with diffuse inflammation occurring in the tissue just under the skin. Chronic athlete's foot causes minute breaks in the skin, allowing bacteria on the skin to enter the tissue and cause the infectious process. Cellulitis is caused by a bacterial infection, not fungal. Cellulitis requires antibiotics, not fungicides. Neuralgia is associated with herpes zoster, not cellulitis.

Question 3 of 5

The nurse is speaking with clients during a wellness fair. What information should the nurse provide to prevent or minimize burn injury? Select all that apply.

A. Wear flame-retardant clothing, especially near flames. B. Use 'stop, drop, and roll' maneuvers if clothing is on fire. C. Burn candles that are placed only in glass containers. D. Put out a cooking fire by throwing salt on the fire. E. Install smoke detectors, including one by the furnace.

Correct Answer: A,B,E

Rationale: The nurse should discuss flame-retardant clothing. 'Stop, drop, and roll' maneuvers should be used to minimize burn. Smoke detectors should be included throughout the home, including one near the furnace. It does not matter what type of container holds the burning candle. For a small fire on the stove, covering the flame with a lid is recommended.

Question 4 of 5

The experienced nurse is observing the new nurse administer medications. Which actions by the new nurse require the experienced nurse to intervene? Select all that apply.

A. Applies tretinoin to an open wound on the face of the client with acne B. Withholds isotretinoin until the client's pregnancy status is known C. Withholds fluorouracil because the client's papules of actinic keratosis are worse D. Waits two hours after the client bathes and uses lotion to apply tacrolimus E. Tells the client taking acitretin for psoriasis to prevent pregnancy for a year

Correct Answer: A,C,E

Rationale: Tretinoin (Retin-
A) should not be applied to open wounds; the experienced nurse should intervene. Actinic keratosis treatment using fluorouracil (Carac) causes the affected area to become worse before getting better; the medication should not be withheld. When taking acitretin (Soriatane), the client should not become pregnant for three years following treatment. Withholding isotretinoin until pregnancy status is known is appropriate. Waiting two hours to apply tacrolimus after lotion is correct.

Question 5 of 5

Of the following information provided by the client to the nurse, which factor is most likely to cause a retinal detachment?

A. The client is younger than age 40. B. The client fell and struck the head. C. The client has multiple allergies. D. The client is being treated for glaucoma.

Correct Answer: B

Rationale: Trauma, such as a head injury, is a common cause of retinal detachment.

Integumentary System NCLEX Questions | Nurselytic

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