NCLEX-PN
Med Surg Integumentary NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse writes the client problem of 'acute pain and itching secondary to bacterial skin lesions.' Which interventions should be included in the care plan? Select all that apply.
Correct Answer: B,C,E
Rationale: Cool environment, mild soap, and lotion reduce itching and pain in bacterial lesions. Low humidity worsens dryness, and constant coverage may trap moisture, promoting infection.
Question 2 of 5
The nurse writes the client problem of 'acute pain and itching secondary to bacterial skin lesions.' Which interventions should be included in the care plan? Select all that apply.
Correct Answer: B,C,E
Rationale: Cool environment, mild soap, and lotion reduce itching and pain in bacterial lesions. Low humidity worsens dryness, and constant coverage may trap moisture, promoting infection.
Question 3 of 5
Three days ago the client received circumferential, partial, and full-thickness burns to 30% total body surface area of the chest and abdomen. The nurse monitors the client for restricted breathing due to Which physiological response?
Correct Answer: A
Rationale: A layer of eschar or devitalized tissue commonly forms over partial- and full-thickness burns, which, when circumferential and when combined with increased fluid retention, can restrict circulation and lung expansion. Loss of tissue containing elastin and collagen does occur in partial- and full-thickness burns but would not be a source of constriction that would prevent lung expansion. Ischemia and hypoxia may be experienced in the alveoli due to inhalation burns; however, restricted breathing (a mechanical process) is more of a risk due to circumferential eschar formation. Although fluid overload is a possibility, it is not likely to restrict breathing unless it is combined with eschar formation.
Question 4 of 5
The client with the condition illustrated is prescribed adapalene topical daily to the affected areas. Which information should the nurse exclude when planning client education?
Correct Answer: C
Rationale: The nurse should exclude exposing the back to the sun after adapalene (Differin) is applied. This increases the risk for sunburn. Adapalene should also not be applied to sunburned areas. The client has acne vulgaris. Adapalene should be applied once daily in the evening with a thin film.
Question 5 of 5
The client is diagnosed with disseminated herpes zoster secondary to AIDS. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,C,E
Rationale: Contact isolation, pain assessment, and assigning immune nurses prevent transmission and manage disseminated zoster. Corticosteroids are contraindicated, and visitor bans are excessive.