NCLEX-PN
Integumentary System NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is having silver nitrate dressings. Which lab values should the nurse monitor?
Correct Answer: D
Rationale: Silver nitrate can cause electrolyte imbalances, particularly hyponatremia and hypokalemia, requiring monitoring of serum electrolytes.
Question 2 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.
Question 3 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.
Question 4 of 5
The nurse knows that the client who underwent a stapedectomy understands the discharge instructions when the client identifies which activity to avoid for the next 6 months?
Correct Answer: B
Rationale: Pressure changes during flying can disrupt healing after a stapedectomy.
Question 5 of 5
The client who is debilitated and has developed multiple pressure ulcers complains to the nurse during a dressing change that he is 'tired of it all.' Which is the nurse’s best therapeutic response?
Correct Answer: B
Rationale: Reflecting the client’s feelings encourages discussion, addressing emotional distress. Protein focus, defensiveness, or advance directives dismiss the client’s emotions.