Med surg- dermatological ATI
A nurse is evaluating the 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? a) Hemoglobin 10 g/dL b) Sodium 132 mEq/L c) Albumin 3.6 g/dL d) Potassium 4.0 mEq/dL
b
A nurse is assessing the skin of a client who has frostbite. 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? a) First-degree frostbite b) Second-degree frostbite c) Third-degree frostbite d) Fourth-degree frostbite
c
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? a) Vitamin B1 b) Calcium c) Vitamin C d) Potassium
c
A nurse is assesing 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? a) IV b) I c) III d) II
d
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? a) "I will be on a special shower table" b) "the water temperature will be very cool to ease my pain" c) "the nurse will use a firm-bristled brush to remove loose skin: d) "the nurse will use scissors to open small blisters"
a
A nurse is providing discharge instructions to a client who is postoperative following a surgical excision of a basal cell carcinoma. Which of the following findings should the nurse include as an indication of a potential malignancy of a mole? a) ulceration b) blanching of surrounding skin c) dimpling d) fading of color
a
A community health nurse is providing teaching about malignant melanoma to a group of clients. The nurse should inform the group that which of the following traits places a client at risk for developing malignant melanoma? a) brown eyes b) light skin c) black hair d) dark skin
b
A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications? a) Zoster vaccine b) Acyclovir c) Amoxicillin d) Infliximab
b
A nurse is caring for a client who has a lesion on the back of his right hand. The client asks the nurse which type of skin cancer is the most serious. Which of the following responses by the nurse is appropriate? a) basal cell carcinomas b) melanomas c) actinic keratoses d) squamous cell carcinomas
b
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? a) immobilize the limb at the level of the heat b) apply a tourniquet to the affected limb c) use a sterile scapula to incise the wound d) apply ice to the skin over the snakebite wound
a
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? a) hyponatremia b) leukopenia c) hyperchloremia d) elevated BUN
b
A nurse is caring for a client whose wounds are covered with a heterograft dressing. In response to the client's questions about the dressing, the nurse explains that it is obtained from which of the following sources? a) Cadaver skin b) Pig skin c) Amniotic membranes d) Beef collagen
b
A nurse in a provider's office is assessing a client's skin lesions. The nurse notes that the lesions are 0.5 cm (0.20 in) in size, elevated, and solid, with very distinct borders. The nurse should document the findings as which of the following skin lesions? a) Papules b) Macules c) Wheals d) Vesicles
a
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? a) Partial-thickness burn b) Stage III pressure ulcer c) Surgical incision d) Dehisced sternal wound
c
A nurse is assessing a client who has a lesion on his skin. Which of the following findings is a clinical manifestation of a malignant melanoma? a) rough, dry, scaly lesion b) firm nodule with crust c) pearly papule with ulcerated center d) irregularly shaped lesion with blue tones
d
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? a) edema in the burned extremities b) severe pain at the burn sites c) urine output of 30 mL/hr d) temperature of 39.1C (102.4F)
d
A nurse is planning care for a client who has been admitted for treatment of a malignant melanoma of the upper leg without metastasis. The nurse should plan to prepare the client for which of the following procedures? a) curettage b) external radiation therapy c) regional chemotherapy d) surgical excision
d
A nurse is providing teaching to a client who is wheelchair-bound and his caregiver about ways to reduce the risk of pressure ulcer formation. Which of the following instructions should the nurse include? a) "Move between the bed and the wheelchair once every 2 hours." b) "Make sure that your caregiver massages your skin daily." c) "Use a rubber ring when sitting at the bedside." d) "Shift your weight in the wheelchair every 15 minutes."
d