Integumentary System

Which response by a nurse caring for a client with burns and crushing injuries explains why intravenous ranitidine was prescribed?

It limits acidity in the gastrointestinal tract

Which response would be given by a nurse caring for a client who is receiving radiation for cancer state, "My family and friends say that I will get radiation burn"?

" A localized skin reaction usually occurs."

which wound care would be given by a nurse managing severe burn injuries during the acute phase?

Assess the wound daily and adjust the dressing

Which food selection demonstrates that the client understands the nurses teaching about the importance of vitamin C for wound healing postoperatively?

Strawberries

Which information would the nurse include in a teaching plan for a client with psoriasis?

Apply steriods topically

Which characteristic of partial-thickness burns that distinguishes them from full-thickness burns would a nurse recall when caring for a client with a partial-thickness burn?

Are often painful, reddness, and have blisters

Which purpose is served by the rehabilitation team of a client who sustained extensive burns on the arms and legs as part of recovery?

Assist the client to adapt self-care activities for permanent injuries

Which mechanism would a nurse describe to a client newly diagnosed with scleroderma as a factor in the development of the disease?

Autoimmunity

Which symptoms would the nurse observe on a client who sustained a superficial partial-thickness burn?

Blistered, weepy, pale to red skin

Which action by the nurse is appropriate when caring for a client in palliative care for melanoma who complains of severe pain at the lesion sites on his lower leg?

Provide a back rub

Which response to radiation would a nurse assess for in a client with a parotid tumor and enlarged cervical lymph nodes who is undergoing radiation therapy?

Dysphagia

Which action would be of immediate concern in the emergency care of a burn victim?

Extinguish the flames

Which intervention would the nurse perform on a client who underwent a skin graft?

Inspect the site for bleeding.

Which information is a priority for a female client initiating treatment with isotretinoin for acne?

Laboratory results indication two negative pregnancy test within the previous 2 weeks

Which action by the nurse would promote comfort in a client with burns over 35% of the body complaining of chills?

Limit room drafts