Integumentary

A nurse is caring for an older adult who was admitted to the hospital to be treated for dehydration. While the nurse is providing discharge teaching, the client says, "What should I do about my dry skin? It is so itchy." What is the best response by the nurse?

"Use a moisturizer on the skin daily to help reduce itching."

During a firs aid class, a student asks what should be done if a person's clothes catch on fire. The nurse explains that after the flames are extinguished it is most important to:

Assess the person's breathing

A client who is receiving combination chemotherapy for stage 11 Hodgkin disease is at risk for stomatitis. The nurse's is teaching plan should include instruction to:

Clean the mouth with a soft toothbrush or gentle spray

A client is receiving patient-controlled analgesia (PCA) after surgery. The nurse determines that with this type of therapy the:

Client is able to self-administer pain-relieving drugs as necessary

A nurse is caring of a client with scabies. Which information about scabies should the nurse consider when planning care for this client?

Highly contagious

A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers. What should the nurse expect to identify when assessing this client?

Inadequate wound healing

The nurse is teaching campfire safety to a group of community members and includes information about what to do if a person catches on fire. The nurse teaches that the most effective method for putting out the flames is to:

Log-roll the victim over the flames

A client is admitted with extensive bone and soft-tissue injuries to the leg. Sterile dressings are applied. Two days later, when removing the dressings, the nurse finds that one of the dressings has adhered to tissue in several places. To loosen the dressings, the nurse should:

Moisten the dressing with sterile saline

A client develops a maculopapular rash on the upper extremities and audible wheezing during the administration of intravenous vancomycin (Vancocin). To ensure the client's safety, which action would the nurse carrry out first?

Stop the infussion

A home health nurse teaches a family member to cleanse a client's wound and apply a sterile dressing. Which action by the family member during a return demonstration indicates the need for additional teaching?

Using a back-and-forth motion while cleaning the wound