ATI Med-Surg - Dermatological

A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statements by the client indicates an understanding of the teaching? - "I will be on a special shower table." - "The water temperature will be very cool to ease my pain." - "The nurse will use a firm-bristled brush to remove loose skin." - "The nurse will use scissors to open small blisters."

- "I will be on a special shower table."

A nurse is caring for an adolescent client who has burn wounds on her face and hands. Which of the following statements by the client indicates that she has adapted to her changed body image? - "May I go with my family to the visitor's lounge?" - "I'll see my friends when I get home." - "My dad is coming to visit. Can you fix my hair for me?" - "I told my cousins I'm in protective isolation."

- "May I go with my family to the visitor's lounge?"

A nurse is providing teaching to a client who is in a wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include? - "Move between the bed and the wheelchair once every 2 hours." - "Make sure that your caregiver massages your skin daily." - "Use a rubber ring when sitting at the bedside." - "Shift your weight in the wheelchair every 15 minutes."

- "Shift your weight in the wheelchair every 15 minutes."

A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate the prescription for which of the following medications? - Zoster vaccine - Acyclovir - Amoxicillin - Infliximab

- Acyclovir

A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the client's sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages? - IV - I - III - II

- II

A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement? - Immobilize the limb at the level of the heart. - Apply a tourniquet to the affected limb. - Use a sterile scapula to incise the wound. - Apply ice to the skin over the snakebite wound.

- Immobilize the limb at the level of the heart.

A nurse is caring for a client who has a prescription for silver sulfadiazine cream to be applied to her burn wounds. The nurse should evaluate the client for which of the following laboratory findings? - Hyponatremia - Leukopenia - Hyperchloremia - Elevated BUN

- Leukopenia

A nurse is caring for a client whose wounds are covered with heterograph dressing. In response to the client's questions about the dressing, the nurse explains that it is obtained from which of the following sources? - Cadaver skin - Pig skin - Amniotic membranes - Beef collagen

- Pig skin

A nurse is evaluating laboratory values of a client who is in the resuscitation phase following a major burn. Which of the following laboratory findings should the nurse expect? - Hemoglobin 10 g/dL - Sodium 132 mEq/L - Albumin 3.6 g/dL - Potassium 4.0 mEq/dL

- Sodium 132 mEq/L

A nurse on a surgical unit is caring for four clients who have healing wounds. Which of the following wounds should the nurse expect to heal by primary intention? - Partial-thickness burn - Stage III pressure ulcer - Surgical incision - Dehisced sternal wound

- Surgical incision

A nurse is assessing a client who sustained superficial partial-thickness and deep partial-thickness burns 72 hr ago. Which of the following findings should the nurse report to the provider? - Edema in the burned extremities - Severe pain at the burn sites - Urine output of 30 mL/hr - Temperature of 39.1° C (102.4° F)

- Temperature of 39.1° C (102.4° F)

A nurse is assessing the skin of a client who has frostbit. The client has small blisters that contain blood and the skin of the affected area does not blanch. The nurse should classify this injury as which of the following? - First-degree frostbite - Second-degree frostbite - Third-degree frostbite - Fourth-degree frostbite

- Third-degree frostbite

A nurse is caring for a client who has a large wound healing by secondary intention. The nurse should inform the client that, in addition to protein, which of the following nutrients promotes wound healing? - Vitamin B1 - Calcium - Vitamin C - Potassium

- Vitamin C