Integumentary Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is caring for the client with problems of anxiety and confusion in the critical phase of burn injury. Which interventions should the nurse implement? Select all that apply.

Correct Answer: A,C,D

Rationale: Reiterating statements of orientation to the client decreases confusion. Familiar objects reduce anxiety when clients are in unfamiliar surroundings. Employing a regular schedule for sleep-wake cycles assists in decreasing confusion and anxiety. Turning and repositioning improves circulation and aeration but does not affect confusion. Closing the door of the room may increase client anxiety. In the acute phase of burns, the client is too ill to write notes to family members.

Question 2 of 5

Which questions should the nurse ask to investigate the cause of the client's rash? Select all that apply.

A. Have you eaten foods that are different from your normal diet? B. Have you taken any new medications? C. Have you changed your laundry detergent? D. Have you been exposed to excessive sunlight? E. Have you been exercising in a gym? F. Have you gotten any new pets?

Correct Answer: A,B,C,D,F

Rationale: These factors are common triggers for rashes.

Question 3 of 5

Which nursing intervention is most appropriate to add to the care plan to reduce the client's anxiety?

A. Let the client suggest ways to carry out care. B. Discontinue nursing care measures at this time. C. Restrict care to nutrition and elimination only. D. Carry out nursing activities quickly and efficiently.

Correct Answer: A

Rationale: Involving the client in care decisions reduces anxiety by providing control.

Question 4 of 5

The nurse is caring for the client with psoriasis taking methotrexate. Which laboratory tests are most important for the nurse to monitor? Select all that apply.

A. Serum potassium level B. Liver function tests C. Serum glucose level D. Arterial blood gases E. White blood cells

Correct Answer: B,E

Rationale: The nurse should monitor liver function tests because methotrexate (Trexall) is metabolized by the liver, and a side effect is hepatotoxicity. The nurse should monitor WBCs because a side effect of methotrexate use is leukopenia. Methotrexate has no effect on serum potassium unless complications arise. Glucose monitoring is needed only if the client is diabetic. ABGs are not prescribed for routine monitoring.

Question 5 of 5

The nurse is caring for the client with problems of anxiety and confusion in the critical phase of burn injury. Which interventions should the nurse implement? Select all that apply.

A. Repeat orientation statements of person, place, and time. B. Turn and reposition the client at least every 2 hours. C. Place familiar objects from home near the client. D. Implement a schedule for regular sleep-wake cycles. E. Control distractions by keeping the room door closed. F. Encourage the client to write notes to family members.

Correct Answer: A,C,D

Rationale: Reiterating statements of orientation to the client decreases confusion. Familiar objects reduce anxiety when clients are in unfamiliar surroundings. Employing a regular schedule for sleep-wake cycles assists in decreasing confusion and anxiety. Turning and repositioning improves circulation and aeration but does not affect confusion. Closing the door of the room may increase client anxiety. In the acute phase of burns, the client is too ill to write notes to family members.

Integumentary Disorders NCLEX Questions | Nurselytic

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