Integumentary System NCLEX Questions Quizlet

Extract:

Question 1 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 2 of 5

Which of the following would be the most appropriate action for the nurse to take when applying eye patches to the client?

A. Occluding all sources of room light B. Ensuring that both patches exert tight pressure on the eyes C. Maintaining the client's eyelids in a closed position D. Making sure the client can see while the patches are in place

Correct Answer: C

Rationale: Keeping eyelids closed under patches prevents movement and further retinal damage.

Question 3 of 5

The nurse completes teaching the client with a second-degree burn about silver sulfadiazine. Which client statements should indicate to the nurse that the teaching was effective? Select all that apply.

A. I apply the cream only to the opened areas of the burned area. B. Silver sulfadiazine will prevent an infection of the burned area. C. I never should apply a dressing after applying silver sulfadiazine. D. I use a tongue blade to remove the old ointment before reapplying. E. The cream is dark colored and cannot be removed with water.

Correct Answer: A,B

Rationale: Silver sulfadiazine (Silvadene) is only applied to opened areas; this statement indicates client understanding of the instructions. Silver sulfadiazine is used to reduce/prevent bacterial growth and thus an infection; this statement indicates client understanding of the instructions. Dressings can be applied but are not necessary; this statement does not indicate client understanding. Removal of old ointment with a tongue blade can damage new granulation tissue; this statement does not indicate client understanding. The cream is white in color and water-soluble; if it darkens it should not be used; this statement does not indicate client understanding.

Question 4 of 5

When the client asks about the cause of shingles, the nurse answers correctly with which cause of the disease?

A. The reactivation of a dormant virus B. A vector insect such as a tick C. A toxin from a bacterial infection D. An antibody response to a drug allergen

Correct Answer: A

Rationale: Shingles results from reactivation of the varicella-zoster virus.

Question 5 of 5

When irrigating the client's eyes, which technique describes the best way to direct the flow of irrigating solution?

A. Directly onto the corneal surface B. Away from the inner canthus C. Within the anterior chamber D. Toward the nasolacrimal duct

Correct Answer: B

Rationale: Directing the flow away from the inner canthus (from outer to inner) prevents contamination of the unaffected eye.

Integumentary System NCLEX Questions Quizlet | Nurselytic

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