ATI Chapters 73-75

A nurse is providing information about a new prescription for corticosteroid cream to a client who has mild psoriasis. Which of the following instructions should the nurse include? (Select all that apply.) A.) Apply and occlusive dressing after application B.) Apply three to four times per day C.) Wear gloves after application to lesions on the hands D.) Avoid applying in skin folds E.) Use medication continuously over a period of several months

A, C, D

A nurse is planning care for an adult client who sustained severe burn injuries. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A.) Limit visitors in the client's room B.) Encourage fresh vegetables in the diet C.) Increase protein intake D.) Instruct the client to consume 2,000 calories/day E.) Restrict fresh flowers in the room

A, C, E

A nurse in a provider's office is assessing a client who has a severe sunburn. Which of the following classifications should the nurse use to document this burn? A.) Superficial thickness B.) Superficial partial thickness C.) Deep partial thickness D.) Full thickness

A

A nurse is assessing a client who sustained deep partial-thickness and full-thickness burns over 40% of the body 24 hr ago. Which of the following are findings are common during this phase? (Select all that apply.) A.) Temperature 36.1 degrees Celsius (97 degrees Fahrenheit) B.) Bradycardia C.) Hyperkalemia D.) Hyponatremia E.) Decreased hematocrit

A, C, D

A nurse caring for a client who has contact dermatitis and has a new prescription for diphenhydramine. For which of the following adverse effects should the nurse monitor? A.) Elevated blood glucose levels B.) Anorexia C.) Increased salivation D.) Insomnia

B

A nurse is educating a client on the use calcipotriene topical medication for the treatment of psoriasis. Which of the following laboratory vales should the nurse monitor? A.) Potassium B.) Calcium C.) Sodium D.) Chloride

B

A nurse is teaching a client who has a history of psoriasis about photochemotherapy and ultraviolet light (PUVA) treatments. Which of the following instructions should the nurse include in the teaching? A.) Apply vitamin A cream before each treatment B.) Administer a psoralen medication before the treatment C.) Use this treatment every evening D.) Remove the scales gently following each treatment

B

A nurse is caring for a client who has a suspected viral skin lesion. Which of the following laboratory findings should the nurse expect to review to confirm this diagnosis? A.) Potassium hydroxide (KOH) B.) Diascopy C.) Tzanck smear report D.) Biopsy

C

A nurse is caring for a client who has sustained burns over 35% of total body surface area. The client's voice has become hoarse, a brassy cough has developed, and the client is drooling. The nurse should identify these findings as indications that the client has which of the following? A.) Pulmonary edema B.) Bacterial pneumonia C.) Inhalation injury D.) Carbon monoxide poisoning

C

A nurse is instructing a client on home care after a culture for a bacterial infection and cellulitis. Which of the following information should the nurse include? A.) Bathe daily with moisturizing soap B.) Apply antibacterial topical medication to the crusted exudate C.) Apply warm compresses to the affected area D.) Cover affected area with snug-fitting clothing

C

A nurse is preparing to administer fentanyl to a client wo sustained deep partial-thickness and full-thickness burns over 60% of the body 24 hr ago. The nurse should plan to use which of the following routes to administer the medication? A.) Subcutaneous B.) Oral C.) Intravenous D.) Transdermal

C

A nurse is providing discharge instructions to a client who had a skin biopsy with sutures. The nurse should identify that which of the following client statements indicates that the teaching has been effective? A.) "I can expect redness around the site for 5 to 7 days." B.) "I will most likely have a fever for the first few days." C.) "I should apply an antibiotic ointment to the area." D.) "I will make a return appointment in 3 days for removal of my sutures."

C

A nurse is providing teaching to a client about a new prescription for clotrimazole topical cream. Which of the following statements should the nurse include? A.) "It reduces the discomfort of a herpetic infection but does not cure the infection." B.) "This is a cream to treat a bacterial infection." C.) "Apply the topical medication for up to 2 weeks after the fungal lesions are gone." D.) "Apply the cream to lesions while they are moist.""

C

A nurse is providing teaching to the guardian of a child who has contact dermatitis. Which of the following information should the nurse incldue? A.) Use fabric softener dryer sheets when drying the child's clothing B.) Apply a warm, dry compress to the rash area C.) Place the child in a bat with colloidal oatmeal D.) Leave the child's hands uncovered during the night

C

A nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. Which of the following actions should the nurse take? (Select all that apply.) A.) Scrape the site with a wooden tongue depressor B.) Use a razor to cut the scabbed area to obtain the specimen C.) Use a cotton-tipped application to obtain fluid from the lesion D.) Place specimen in a potassium hydroxide (KOH) solution tube E.) Place specimen tube on ice after obtaining sample

C, E