NCLEX-PN
Integumentary System NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse completes teaching the client with a second-degree burn about silver sulfadiazine. Which client statements should indicate to the nurse that the teaching was effective? Select all that apply.
Correct Answer: A,B
Rationale: Silver sulfadiazine (Silvadene) is only applied to opened areas; this statement indicates client understanding of the instructions. Silver sulfadiazine is used to reduce/prevent bacterial growth and thus an infection; this statement indicates client understanding of the instructions. Dressings can be applied but are not necessary; this statement does not indicate client understanding. Removal of old ointment with a tongue blade can damage new granulation tissue; this statement does not indicate client understanding. The cream is white in color and water-soluble; if it darkens it should not be used; this statement does not indicate client understanding.
Question 2 of 5
Which client signs and symptoms indicate contact dermatitis to the nurse?
Correct Answer: A
Rationale: Erythema and oozing vesicles are hallmark signs of contact dermatitis. Pustules, varicosities, and telangiectasia suggest other conditions.
Question 3 of 5
Shortly before each debridement, which nursing intervention is essential?
Correct Answer: C
Rationale: Analgesics are essential to manage pain during debridement.
Question 4 of 5
Which organization can the nurse suggest as a community resource to the nursing assistant?
Correct Answer: C
Rationale: Lions Clubs International is known for providing vision care and eyeglasses to those in need.
Question 5 of 5
What is the scientific rationale for placing lift pads under an immobile client?
Correct Answer: D
Rationale: Lift pads reduce friction and shear during repositioning, preventing skin breakdown. Absorbent pads address incontinence, diaphoresis is unrelated, and staff safety is secondary.