Integumentary System Adaptive Quizzing

Which assessment finding made by the nurse would contribute to the diagnosis depicted in the image?

Used rubber stockings regularly

A nurse is caring for a client with full-thickness burns of the anterior trunk and thigh. The nurse is monitoring fluid balance during the first 2 to 3 days after the burn. Which area is most important for the nurse to assess for fluid balance in this client?

Urinary output every hour

The nurse is providing postoperative care for a client who had choledocholithotomy. The nurse discovers upon assessment that the skin around the client's T-tube is raw and excoriated. Which action is best for the nurse to take?

Use a skin barrier around the tube's exit site.

The nurse instructs a client about the safety measures and precautions when taking care of a pressure ulcer. During a follow-up visit, the nurse finds increased tissue necrosis with damaged capillary beds. Which action of the client does the nurse expect is the reason for the client's condition? Select all that apply.

Massaging the reddened skin areas Using donut-shaped pillows for pressure relief

Twelve hours after sustaining full-thickness burns to the chest and thighs a client who is on nothing-by-mouth status (NPO) is reporting severe thirst. The client's urinary output has been 60 mL/hr for the past 10 hours. No bowel sounds are heard. What should the nurse do?

Moisten the client's lips with a wet 4 × 4 gauze.

Which clinical manifestation is associated with the skin disorder present in the client?

Nodular lesion topped with a crust or central area of ulceration

A nurse assesses a client and finds the following (see image). What does the nurse infer from this image?

Onychomycosis

The registered nurse is teaching a nursing student about interventions that reduce the risk of pressure ulcers in a client. Which statements made by the nursing student indicate effective learning? Select all that apply.

"I will elevate the head of the client's bed to no more than 30 degrees." "I will ensure that the client is turned and repositioned at least every two hours." "I will ensure that the client's fluid intake is 2000 to 3000 mL/day."

After assessing the skin of a client, the primary healthcare provider concludes it is allergic contact dermatitis. Which clinical manifestation made by the primary healthcare provider helped reach that conclusion?

Appearance of red papules and plaques

The registered nurse is teaching a student nurse about nursing roles while caring for a client with skin conditions. Which task could be delegated to a licensed practical nurse in this situation?

Applying dressings and administering medications

Which wound care is given to a client with severe burn injuries during the acute phase?

Assess the wound daily and adjust the dressing

A client with psoriasis is prescribed corticosteroids. What should be taught to the client for a positive outcome? Select all that apply.

"Apply the drug directly to the skin." "Apply the drug using warm or moist dressings."

The student nurse provides follow-up care instructions to a client who recently underwent a biopsy procedure. Which statement of the student nurse requires correction?

"Avoid using tap water to remove dried blood."

The registered nurse is teaching a female client about the precautions to be taken while administering isotretinoin. Which statement made by the client indicates a need for further teaching?

"I can donate blood within 2 weeks after treatment ends."

A client is found to have groups of isolated erythematous pustules on the scalp. Which statement made by the client is associated with the skin infection present in the client?

"I have no discomfort."

The nurse is teaching a client about sleeping positions to follow to prevent pressure ulcers. Which statement made by the client indicates effective learning? Select all that apply.

"I should use pressure-relieving pads." "I should place pillows between two bony surfaces." "I should keep my heels off the bed surface using a bed pillow under the ankles."

The registered nurse is teaching a student nurse about the interventions to be followed by a client to prevent the spread of infection. Which statement made by the student nurse indicates the need for further learning?

"I will advise the client to squeeze the pustules."

The nurse instructs self-management tips on the safety and quality care for skin cleaning to a client with a pressure ulcer. Which statement of the client shows ineffective learning?

"I will apply powders and talc on the perineum."

A nurse is teaching the client about dietary control of gout. Which information from the client indicates successful learning?

"I will avoid eating shellfish."

The nurse is assessing four different clients with common benign conditions of the skin. Which client does the nurse anticipate to have nevi?

Client C

Which teaching done by the nurse would be suitable for the condition of the client inferred in the image?

"Keep track of any pigmented lesions."

Which teaching of the nurse is suitable for the safe and effective care of a client with the condition shown in the image?

"Use a splint to minimize the condition."

The nurse is providing education about care of the residual limb to a client who had a below-the-elbow amputation. Which information will the nurse include in the teaching session?

"Wash and dry the residual limb at least once a day."

Which topical drugs are typically used to treat a client with acne vulgaris? Select all that apply.

Clindamycin Erythromycin

A nurse is using the rule of nines to estimate burn injury in a client. The client has burns on the front chest, front abdomen, both sides of both upper extremities, and entire head. Calculate the percentage of body surface burned. Record your answer as a whole number.

45

A nurse is assessing a client with second-degree burns. The shaded areas in the illustration indicate the parts of the body where the client sustained burns. Calculate the percentage of the body that was burned using the rule of nines. Record your answer using one decimal place.

13.5

The nurse uses the rule of nines to estimate the percentage of the burn surface area on a client who has burns covering the entire surface of both arms, the posterior trunk, the genitals, and the entire left leg. What is the percentage of burn injury for this client? Record your answer as a whole number.

55

A client with epilepsy reports diffused redness and large blisters on the buccal mucosa. What could be the possible reason for the client's condition?

Administration of barbiturates

While assessing the skin of a client, the nurse notices that the skin does not return to the normal position immediately after a gentle pinch. What can be appropriately attributed to this condition? Select all that apply.

Aging Cachexia Dehydration

A client rescued from a burning building has partial- and full-thickness burns over 40% of the body. Which initial physiologic change will the nurse expect?

An increase in serum potassium

Which drug would be most suitable for the treatment of the condition represented in the figure?

Benzyl benzoate

What does the nurse observe in the image?

Cellulitis

A client is suffering from the skin condition depicted in the image. Which drug does the nurse expect to see in the client's prescription?

Cetuximab

Which teaching will be most effective to reduce the risk of complications in this client?

Check skin for unusual growths

A primary healthcare provider is treating the red-color wound of a client caused by pressure ulcers. Which dressings are beneficial for wound recovery? Select all that apply.

Hydrocolloid dressings Transparent film dressings Telfa dressings with antibiotic ointment

What does the nurse infer from this image?

Diffuse nail pigmentation

A nurse is teaching a safety class about burns. Which examples will the nurse use to describe occupational hazards for burn injuries? Select all that apply.

Tar Power lines Fertilizers

A client is diagnosed with a dysfunction of the eccrine gland. Which physiologic abnormality might occur in the client? Select all that apply.

Drying of surface cells Decreased efficiency to cool the body Decreased excretion of waste products through the skin

What does the nurse infer from this image?

Dysplastic nevus

Which drugs used for the treatment of plaque psoriasis will the nurse administer subcutaneously? Select all that apply.

Etanercept Adalimumab Ustekinumab

A female client reports excessive hair growth on the face and chest. The nurse suspects ovarian dysfunction. Which findings support this assessment? Select all that apply.

Deepened voice Enlarged clitoris

A nurse notices an isolated erythematous pustule with hair growing from the center of the lesion in the buttock of a client. Which diagnosis can the nurse anticipate being observed in the client's electronic medical record?

Folliculitis

A client sustains full-thickness and deep partial-thickness burns. The client asks, "What is the difference between my full-thickness and deep partial-thickness burns?" Which information will the nurse share with the client?

Full-thickness burns extend into the subcutaneous tissue; deep partial-thickness burns extend through the epidermis and involve only part of the dermis.

A nurse is caring for a group of clients who are being considered for treatment with a negative pressure wound treatment device. Which condition will cause the nurse to discuss this prescription with the primary healthcare provider?

Hip wound with slight bleeding

Which functions does the nurse associate with the epidermis? Select all that apply.

Inhibits proliferation of microorganisms Allows the photoconversion of 7-dehydrocholesterol to vitamin D

The primary healthcare provider instructs the nurse to place a client with burns in the supine position with the affected arm over the head to reduce the risk of contractures. Which part of the client is affected due to burns?

Lateral trunk

A client is suffering from the contagious skin infection depicted in the image. Which drug does the nurse expect to be in the client's prescription?

Lindane

A client who had a bone infection is hospitalized for surgical repair of a fracture. The client has developed a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which medication does the nurse anticipate to be prescribed by the primary healthcare provider?

Linezolid

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? Select all that apply .

Liver failure Sun exposure

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? Select all that apply.

Mask Gown Checklist Sterile gloves

Which benign tumor forms on the surface of the client's epithelium?

Papilloma

The laboratory report of a client reveals that the platelet count is 60,000/µL (60 x 10 9/L). Which integumentary changes can be anticipated in this client? Select all that apply.

Petechiae Ecchymosis Hematoma

Which area is most common for the occurrence of the carcinoma represented in this image?

Place where moles are evident

A client with scleroderma is scheduled to begin a regimen of daily exercises. Which goal will the nurse add to the care plan for these exercises?

Preserve muscle strength

A client underwent surgery and developed a wound without tissue loss. While caring for the client, the nurse detects abscess formation. Which assessments made by the nurse support the observation? Select all that apply.

Purulent drainage from the incision site Localized fluctuance beneath the wound when palpated

A nurse is assessing a client with a diagnosis of psoriasis. Which clinical findings should the nurse expect to observe? Select all that apply.

Scaly lesions Reddened papules

The nurse is assessing a 35-year-old client who has sharply demarcated silvery scaling plaques on reddish colored skin on over 10% of the body. Which parameters monitored by the nurse help in reducing the risk of complications? Select all that apply.

Serum uric acid Serum triglyceride Serum cholesterol

What are the clinical manifestations of actinic keratosis in a client? Select all that apply.

Small papules with dry skin Wrinkled, weather-beaten skin

A client with a smoking habit visited the primary healthcare provider with a complaint of lesions on the mouth and lips. Which complication does the nurse expect in the client?

Squamous cell carcinoma

The nurse identifies silvery scales on a client's elbows and knees. The nurse reviews the client's history. Which finding will help the nurse identify the origin of this rash?

Stress in recent months

Which type of debridement is most often used to quickly remove large amounts of a client's nonviable tissue?

Surgical debridement

Which pathophysiologic course of skin cancer is most appropriate for what is depicted in the image?

The larger tumors are more prone to metastasis.

When reestablishing a Jackson-Pratt drain after emptying its contents, the nurse squeezes the collection container and recaps the drain. What is the rationale for the nurse's action?

To restore suction

Which information may be obtained by palpation? Select all that apply.

Turgor Texture Lesions Moisture content

A client is admitted with severe burns, is obese, and has pre-existing respiratory problems. Which complication should the nurse anticipate?

Venous thromboembolism

A nurse is providing counseling to a client with the diagnosis of systemic lupus erythematosus (SLE). Which recommendations are essential for the nurse to include? Select all that apply.

Wear a large-brimmed hat." "Take your temperature daily." "Balance periods of rest and activity."