Hesi - Med Surg - Integumentary
A client is admitted to the hospital after a motor vehicle accident with multiple abrasions and lacerations to the chest and all four extremities. The nurse helps the client select food items for the upcoming meals. Which food items will the nurse recommend?
Meatloaf and strawberries
A dark-skinned client is suspected of having jaundice. Which part of the client should be examined for yellowish coloration to assess the client's condition?
hard palate
A client has thin, dark-red vertical lines about 1 to 3 mm long in the nails. Which diseases are associated with this physiologic alteration in the client? Select all that apply.
Trichinosis Bacterial endocarditis
While assessing the skin of an older adult, the nurse finds redundant flesh around the eyes. Which changes in the skin are responsible for this condition? Select all that apply
Decrease in muscle laxity Decrease of subcutaneous fat
A client who underwent spinal surgery reports pain at bony prominences. On assessing, the nurse finds skin breakdown and tears. Which interventions performed by the nurse are appropriate? Select all that apply.
Cleansing the ulcer with saline Removing the loose bits of tissue Removing the old dressings daily if the ulcer is covered
Which type of burn/injury may cause a client to have a cervical spine injury?
Electrical Burns
Arrange the order of airway management in a client with burns.
In general, the client with burns to the face and neck may require intubation within 1 to 2 hours after injury. After intubation, the client is placed on ventilatory support, providing oxygen concentration based on arterial blood gas values. Extubation may be indicated when edema resolves, usually 3 to 6 days after initial injury, unless severe inhalation injury is involved. Escharotomies of the chest wall may be necessary to relieve respiratory distress.
The registered nurse asked the student nurse to care for a client whose dermal-epidermal junction is flattened. On assessing the client, the registered nurse observes that the risk for skin tears is increased. Which action of the student nurse may have resulted in this condition?
`Assisting the client to change positions at 4-hour intervals
