NCLEX-PN
NCLEX Questions Integumentary System Questions
Extract:
Question 1 of 5
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is a topical anti-infective agent for prevention and treatment of wound infection in second- and third-degree burn clients. Bismuth subsalicylate (Kaopectate) is an antidiarrheal medication. Gold sodium thiomalate (Aurolate) is used to treat rheumatoid arthritis resistant to conventional therapy. Arsenic trioxide (Trisenox) is an antineoplastic.
Question 2 of 5
The nurse is caring for a client one (1) day postoperative for facial reconstruction. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Assessing for infection is critical post-facial reconstruction to prevent complications. ADL provision, voicing concerns, and nutrition are secondary.
Question 3 of 5
The client is scheduled for application of a cadaver homograph to a burn on the forearm. Which comment by the client demonstrates an accurate understanding of this procedure?
Correct Answer: B
Rationale: A cadaver skin graft is a type of temporary graft, also called a biological dressing, and it is used to protect the damaged skin and promote healing and epithelialization. A cadaver skin graft does not use the client's own skin, so there is no donor site. There is a risk of transmitting blood-borne infections with cadaver grafts. The graft is not permanent, so no further donor site selection is needed.
Question 4 of 5
After cleaning a client's prescription eyeglasses with soap and warm water or a commercial glass cleaner, which nursing action is best for drying the moist lenses?
Correct Answer: B
Rationale: A soft cloth prevents scratches and effectively dries the lenses.
Question 5 of 5
The nurse is planning care for a newly burned client. What is the priority nursing observation to be made during the first 48 hours after the burn?
Correct Answer: C
Rationale: Hourly urine measurement is critical in the first 48 hours to monitor fluid resuscitation effectiveness and prevent hypovolemic shock.