Integumentary (evolve)

While assessing the skin of a client, the nurse notices edema at the dorsum of the foot and ankle. Which pre-disposing condition does the nurse anticipate in the client? Neurotrauma Hypothyroidism Hyperthyroidism Congestive heart failure

Congestive heart failure

A client has bright-red erythematosus macules and papules on the skin. What could be the diagnosis? Drug eruption Atopic dermatitis Contact dermatitis Nonspecific eczematous dermatitis

Drug eruption

A client with vesiculopustular lesions with honey-colored crusts on the face visits a primary healthcare provider. Which bacterial condition is suspected? Cellulitis Impetigo Carbuncle Erysipelas

Impetigo

Which description describes a coalesced type of skin lesion configuration? Lesions are well defined with sharp borders. Lesions merge together and appear confluent. Lesions are ringlike around flat centers of skin. Lesions have wavy borders that resemble a snake.

Lesions merge together and appear confluent.

A nurse is assisting a primary healthcare provider with insertion of a central venous access catheter. Which equipment will the nurse plan to have in the room to help prepare the skin? Mask Gown Betadine Checklist Sterile gloves

Mask Gown Checklist Sterile gloves

A nurse is assessing a client during the first 24 hours after a burn injury. Which sign indicates to the nurse that fluid replacement therapy is adequate? Decreasing central venous pressure (CVP) readings Hematocrit level increasing from 50% to 55% Slowing of a previously rapid pulse Urinary output of 15 to 20 mL/hr

Slowing of a previously rapid pulse

Which organism infestation is diagnosed with the help of the mineral oil test? Lice Ticks Mites Fungus

Mites

A nurse is preparing to administer preoperative medication to a client scheduled for incision and drainage of a wound abscess. Which action is essential before the nurse administers the medication? Verify the consent. Have the client void. Check the vital signs. Remove the client's dentures.

Verify the consent.

A client has a deep soft tissue injury that is open and oozing blood. How should the nurse care for the wound? Replace the dressing when it is completely saturated. Leave the dressing until the primary healthcare provider makes rounds. Change the dressing each time the blood oozes through the outside layer. Automatically pack the wound with antimicrobial gauze each time the dressing is changed.

Change the dressing each time the blood oozes through the outside layer.

The hemoglobin levels of a 30-year-old female client are measured at 8 mg/dL (80 g/L). Which integumentary findings can be noticed in this client? Pallor Clubbing Café au lait spots Brittle nails Koilonychia

Pallor Brittle nails Koilonychia

The nurse is caring for a client with burns receiving opioid analgesics and who is sedated. Which medications should the nurse anticipate to be prescribed by the primary healthcare provider to overcome this side effect of the opioid analgesics? Morphine Pregabalin Lorazepam Midazolam Gabapentin

Pregabalin Gabapentin

The nurse is teaching a client self-management care in preventing and spreading methicillin-resistant Staphylococcus aureus (MRSA). Which statements made by the client indicate the need for further learning? "I can share athletic equipment." "I can participate in contact sports." "I should sit on upholstered furniture." "I should use antibacterial soaps for bathing." "I should wash all infected skin areas before covering those areas."

"I can share athletic equipment." "I can participate in contact sports." "I should sit on upholstered furniture."

A nurse evaluates the condition of a client with burns of the upper body. Which assessment findings indicate potential respiratory obstruction? Soot on legs Brassy cough Deep breathing Singed nasal hair Dark mucous membranes

Brassy cough Singed nasal hair Dark mucous membranes

A hospitalized client develops an infection at a catheter insertion site. The nurse uses the term iatrogenic when describing this infection. What is the rationale for the nurse's comment? Poor personal hygiene is the cause. Inadequate dietary intake is the cause. The client's developmental level is the cause. A procedure performed at the hospital is the cause.

A procedure performed at the hospital is the cause.

A nurse is assessing the skin of an older adult. Which findings will the nurse determine are expected? Scaly skin Tenting of skin Transparent skin Increased wrinkles Pigmented lesions

Tenting of skin Transparent skin Increased wrinkles Pigmented lesions

Which information may be obtained by palpation? Turgor Bruises Texture Lesions Moisture content Tissue integrity

Turgor Texture Lesions Moisture content

Which secondary skin lesion may include athlete's foot as an example? Scar Scale Ulcer Fissure

fissure

The primary healthcare provider prescribed imiquimod to a client with a skin infection. What could be the possible condition of the client? Shingles Erysipelas Plantar warts Verucca vulgaris

Plantar warts

The registered nurse is teaching a student nurse about the general principles to be followed while assessing skin lesions. Which statement made by the student nurse indicates the need for further teaching? "I should use the metric system while taking measurements." "I should assess systematically and proceed from head to toe." "I should use appropriate terminology and nomenclature when documenting." "I should perform a lesion-specific examination and then a general inspection."

"I should perform a lesion-specific examination and then a general inspection."

A registered nurse teaches a client about the self-care measures to be taken to prevent dry skin. Which statement made by the client indicates the nurse needs to follow up? "I will decrease intake of caffeine and alcohol." "I will avoid wearing tight outfits and tight belts." "I will use deodorant soap in place of alkaline soap." "I will wear splints at night to prevent scratching in deep sleep."

"I will use deodorant soap in place of alkaline soap."

After assessing the integumentary system of a client, the healthcare provider diagnoses the condition as telangiectasia. The nurse will anticipate which etiologies for this condition? . Liver failure Sun exposure Lowered estrogen levels Cardiorespiratory disease Abnormality of the adrenal gland

Liver failure Sun exposure

A primary healthcare provider tells a client that vitamin E is important for healthier skin. Which foods should the nurse recommend? Legumes and whole grains Seeds and peanut butter Oranges and grapefruits Carrots and sweet potatoes

Seeds and peanut butter

Which does the nurse understand related to negative pressure wound therapy? Using a suction pump Treating necrotizing infections Administering oxygen under high pressure Application of a low-voltage current to a wound area Reducing chronic ulcers by removing fluids from the wound

Using a suction pump Reducing chronic ulcers by removing fluids from the wound

A client newly diagnosed with scleroderma states, "Where did I get this from?" How should the nurse reply? "The exact cause is unknown, but it is thought to be a result of autoimmunity." "The exact cause is unknown, but it is thought to be a result of ocular motility." "The exact cause is unknown, but it is thought to be a result of increased amino acid metabolism." "The exact cause is unknown, but it is thought to be a result of defective sebaceous gland formation."

"The exact cause is unknown, but it is thought to be a result of autoimmunity."

Which nursing action is most important to promote the nutritional status of a client during the acute phase of treatment after extensive burns? Provide a diet high in sodium. Limit caloric intake to decrease the work of the body. Reduce protein intake to avoid overtaxing the kidneys. Administer the prescribed intravenous fluid with the added vitamin C.

Administer the prescribed intravenous fluid with the added vitamin C.

While assessing the skin of an older adult, the nurse finds redundant flesh around the eyes. Which changes in the skin are responsible for this condition? Decrease in muscle laxity Increase in capillary fragility Decrease of subcutaneous fat Decrease of extracellular water Increase in focal melanocytes in basal layer

Decrease in muscle laxity Decrease of subcutaneous fat

Which statement is true related to electrocoagulation therapy that a client is receiving? Electrocoagulation therapy scoops away damaged tissue. Electrocoagulation therapy uses a monopolar electrode. Electrocoagulation therapy has an increased possibility of scarring. Electrocoagulation therapy involves more superficial destruction.

Electrocoagulation therapy has an increased possibility of scarring.

A client has non-pitting edema over the tibia. What could be the most possible cause of the client's condition? Endocrine imbalance Inflammatory response Fluid and electrolyte imbalance Venous and cardiac insufficiency

Endocrine imbalance

Which drugs used for the treatment of plaque psoriasis will the nurse administer subcutaneously? . Alefacept Infliximab Etanercept Adalimumab Ustekinumab

Etanercept Adalimumab Ustekinumab

Which technology would the nurse use to reduce chronic ulcers by removing fluids from the wound? Electrical stimulation Topical growth factors Hyperbaric oxygen therapy Negative pressure wound therapy

Negative pressure wound therapy

While assessing the hair of a client with a complaint of hair loss, the nurse notices straightening combs on the scalp. Which condition does the nurse suspect in the client? Vitiligo Nevus of Ota Pseudofolliculitis Traction alopecia

Traction alopecia

While assessing the skin of a client, the primary healthcare provider identifies actinic keratosis. Which clinical findings support this conclusion? Erythematous, barely elevated plaques Elevated, dry, hyperkeratotic scaly papules Variegated colors of tan, brown, black within a single mole Thin, scaly, erythematosus plaque without invasion into the dermis

elevated, dry, hyperkeratotic scaly papules

A client has thin, dark-red vertical lines about 1 to 3 mm long in the nails. Which diseases are associated with this physiologic alteration in the client? . Psoriasis Trichinosis Cardiac failure Diabetes mellitus Bacterial endocarditis

trichinosis bacterial endocarditis