NCLEX-PN
Integumentary System NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is assessing the client. Which findings should the nurse associate with herpes zoster?
Correct Answer: C
Rationale: The nurse should associate pain and pruritus (itching) with herpes zoster. Herpes zoster follows the path of peripheral sensory nerves; symptoms come from the nerve involvement. Serous drainage and pus indicate infection of vesicles. Nodular lesions are not associated, though burning may occur. Macule lesions may occur early, but petechiae are not associated.
Question 2 of 5
The nurse is planning teaching for the client who is using miconazole cream topically for tinea pedis. Which instruction should the nurse include?
Correct Answer: C
Rationale: Tinea pedis is athlete's foot. Miconazole (Lotrimin AF) should be massaged into the affected area. Occlusive dressings should be avoided to prevent systemic absorption. The area should be washed and dried before application. Miconazole should be continued for the full course of therapy.
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
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 5 of 5
The client is admitted with full-thickness and partial-thickness burns to more than 30% of the body. The nurse is concerned with the client’s nutritional status. Which intervention should the nurse implement?
Correct Answer: A
Rationale: Favorite foods increase caloric intake, critical for hypermetabolic burn patients. Low-fat diets are inappropriate, weekly weights are insufficient, and social worker referral is unrelated.