ATI integumentary practice

a nurse in a provider's office is assessing a client who has a severe sunburn. which of the following classifications should the nurse use to classify this burn? a. superficial thickness b. superficial partial thickness c. deep partial thickness d. full thickness

a

a nurse is assessing a client who has sustained deep partial thickness and full thickness burns over 40% of the body 24 hours ago. which of the following are findings common during this phase? (select all the apply) a. temp 36. 1c (97f) b. bradycardia c. hyperkalemia d. hyponatremia e. decreased hematocrit

a, c, d

a nurse is planning care for an adult client who sustained severe burn injuries. which of the following interventions should the nurse include in the plan of care? (select all that apply) a. limit visitors in the client's room b. encourage fresh vegetables in the diet c. increase protein intake d. instruct the client to consume 2000 calories a day e. restrict fresh flowers in the room

a,c,e

a nurse is caring for a client who has contact dermatitis and has been prescribed diphenhydramine. for which of the following adverse affects should the nurse monitor? a. elevated blood glucose b. anorexia c. increased salivation d. insomnia

b

a nurse is educating a client about the use of calcipotriene topical medication for the treatment of psoriasis. which of the following lab values should the nurse monitor? a. potassium b. calcium c. sodium d. chloride

b

a nurse is teaching a client who has a history of psoriasis about photochemotherapy and ultraviolet light (PUVA treatments). which of the following instructions should the nurse include in the teaching? a. apply vitamin a cream before each treatment b. administer a psoralen medication before the treatment c. use this treatment every evening d. remove the scales gently following each treatment

b

a nurse is caring for a client who has a suspected viral skin lesion. which of the following lab values should the nurse expect to review to confirm this diagnosis? a. KOH b. diascopy c. tzanck smear d. biopsy

c

a nurse is caring for a client who has sustained burns over 35% of total body surface area. thee client's voice has become hoarse, a brassy cough has developed, and the client is drooling. the nurse should identify these findings and indications that the client has which of the following? a. pulmonary edema b. bacterial pneumonia c. inhalation injury d. carbon monoxide poisoning

c

a nurse is instructing a client on home care after a culture for a bacterial infection and cellulitis. which of the following information should the nurse include? a. bathe daily with moisturizing soap b. apply antibacterial topical medication to the crusted exudate c. apply warm compresses to the affected area d. cover affected area with snug fitting clothing

c

a nurse is preparing to administer fentanyl to a client who sustained deep partial thickness and full thickness burns over 60% of the body 24 hours ago. the nurse should plan to use which of the following routes to administer this medication? a. subcutaneous b. oral c. intravenous d. transdermal

c

a nurse is providing discharge instructions to a client who had a biopsy with sutures. the nurse should identify that which of the following client statements indicates an understanding of the teaching? a. I can expect redness around the site for 5-7 days b. I will most likely have a fever for the first few days c. I should apply an antibiotic ointment to this area d. I will make a return appointment in 3 days for removal of my sutures

c

a nurse is providing teaching to a client about a new prescription for clotrimazole topical cream. which of the following statements should the nurse include? a. it reduces the discomfort of a herpetic infection, but does not cure the infection b. this is a cream to treat bacterial infection c. apply the medication for up to 2 weeks after the fungal infection is gone. d. apply the cream to lesions while they are moist

c

a nurse is providing teaching to the guardian of a child who has contact dermatitis. which of the following information should the nurse include? a. use fabric softener dryer sheets when drying the child's clothes b. apply a warm, dry compress to the rash area c. place the child in a bath with colloidal oatmeal d. leave the child's hand uncovered during the night

c

a nurse is providing information about a new prescription for a corticosteroid cream to a client who has mild psoriasis. which of the following instructions should the nurse include? a. apply an occlusive dressing after application b. apply 3-4 times a day c. wear gloves after application to lesions on the hands d. avoid applying in skin folds e. use medication continuously over a period of several months

c and d do not use long term, take vacations

a nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. which of the following actions should the nurse take? (select all that apply) a. scrape the site with a wooden tongue depressor b. use a razor to cut the scabbed area to obtain the specimen c. use a cotton tipped application to obtain fluid from the lesion d. place specimen in KOH solution tube e. place specimen in ice after obtaining sample

c and e