NCLEX-PN
Integumentary System NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is applying mafenide acetate (Sulfamylon), a sulfa antibiotic cream, to a client’s lower extremity burn. Which assessment data would require immediate attention by the nurse?
Correct Answer: C
Rationale: ABGs showing low HCO3 (20) and pH 7.34 suggest metabolic acidosis, a serious mafenide side effect requiring immediate attention. Pain is expected, electrolytes are normal, and ROM is positive.
Question 2 of 5
The nurse is assessing the client diagnosed with scabies. Which assessment technique would be most appropriate?
Correct Answer: C
Rationale: Magnifying glass and penlight visualize scabies burrows and mites. Palpation is unnecessary, vinegar is irrelevant, and Doppler is for vascular assessment.
Question 3 of 5
The nurse is caring for the client who is diagnosed with a carbuncle. Which home measures should the nurse discuss? Select all that apply.
Correct Answer: B,C,E
Rationale: Treatments for an infected lesion should include strict hand washing to prevent cross-contamination. Covering mattress and pillows with plastic covers and washing all linens, towels, and clothing after each use will prevent cross-contamination. Leaving the lesion open to air is not advised; a dressing is needed. Applying ice or removing throw rugs does not pertain to carbuncle treatment.
Question 4 of 5
When the nurse reviews the client's health history, which symptom is directly related to the development of cataracts?
Correct Answer: A
Rationale: Cataracts cause a gradual loss of vision due to lens opacity.
Question 5 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.