Integumentary quiz

The nurse is caring for a client who suffered an inhalation injury from a wood stove. The carbon monoxide blood report reveals a level of 12%. Based on this level, the nurse would anticipate noting which sign in the client? A. Coma B. Flushing C. Dizziness D. Tachycardia

B. Flushing

When assessing a lesion diagnosed a malignant melanoma, the nurse most likely expects to note which finding? A. An irregularly shaped lesion B. A small papul even with a dry, rough scale C. A firm, nodular lesion topped with crust D. A pearly papule with a central crater and a waxy border

A. An irregularly shaped lesion

The nurse is preparing to care for a burn client scheduled for an escharotomy procedure being performed for a third degree circumferential arm burn. The nurse understands that which finding is the anticipated therapeutic outcome of the escharotomy? A. Return of distal pulses B. Brisk bleeding from the site C. Decreasing edema formation D. Formation of granulation tissue

A. Return of distal pulses

The nurse manager is observing a new nursing graduate caring for a burn client in protective isolation. The nurse manager intervenes if the new nursing graduate planned to implement which unsafe component of protective isolation technique? A. Using sterile sheets and liners B. Performing strict hand washing technique C. Wearing gloves and a gown only when giving direct care to the client D. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns, and plastic apron

C. Wearing gloves and a gown only when giving direct care

The nurse manger is planning the clinical assignment for the day. Which staff members can be assigned to care for a client with herpes zoster? Select all that apply. A. A nurse who never had roseola B. The nurse who never had mumps C. The nurse who never had chickenpox D. The nurse who never had German measles E. The nurse who never received the varicella vaccine

A. The nurse who never had roseola B. The nurse who never had mumps D. The nurse who never had German measles

A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg and asks the admitting nurse to explain what cellulitis means. The nurse bases the response on the understanding that cellulitis has which characteristics? A. An inflammation on the epidermis only B. A skin infection of the dermis and underlying hypodermis C. An acute superficial infection of the dermis and lymphatics D. An epidermal and lymphatic infection caused by Staphylococcus

B. A skin infection of the dermis and underlying hypodermis

A client is brought to the emergency department with partial thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client? Select all that apply. A. Restrict fluids B. Assess for airway patency C. Administer oxygen as prescribed D. Place a cooling blanket on the client E. Elevate extremities if no fractures are present F. Prepare to give oral pain medication as prescribed

B. Assess for airway patency C. Administer oxygen as prescribed E. Elevate extremities if no fractures are present

The nurse is administering fluids intravenously as prescribed to a client who sustained superficial partial thickness burn injuries of the back and legs in evaluation the adequacy of fluid resuscitation, the nurse understands that which assessment would provide the most reliable indicator for determining the adequacy? A. Vital signs B. Urine output C. Mental status D. Peripheral pulses

B. Urine output

An adult client was burned in an explosion. The burn initially affected the clients entire face (anterior half of the head) and the upper half of the interior torso, and there were circumferential burns to the lower half of both arms. The clients clothes caught on fire and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the rule of nines, what would be the extent of burn injury? A. 18% B. 24% C. 36% D. 48%

C. 36%

The clinic nurse notes that the health care provider has documented a diagnosis of herpes zoster (shingles) in the clients chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made by which diagnostic test? A. Patch test B. Skin biopsy C. Culture of the lesion D. Woods light examination

C. Culture of the lesion

The nurse is caring for a client following an autograft and grafting to a burn wound on the right knee. What would the nurse anticipate to be prescribed for the client? A. Out of bed activities B. Bathroom privileges C. Immobilization of the affected leg D. Placing the affected leg in a dependent position

C. Immobilization of the affected leg

A client is undergoing fluid replacement after being burned on 20% of her body 12 hours ago. The nursing assessment reveals a blood pressure of 90/50 mm Hg, a pulse rate of 110 bpm, and a urine output of 20mL over the past hour. The nurse reports the findings to the health care provider and anticipates which prescription? A. Transfusing 1 unit of packed red blood cells B. Administering a diuretic to increase urine output C. Increasing the amount of intravenous lactated Ringers solution administered per hour D. Changing the IV lactated Ringers solution to one that contains dextrose in water

C. Increasing the amount of intravenous lactated Ringers solution administered per hour

The client returns to the clinic for follow up treatment following a skin biopsy of a suspicious action performed 1 week ago. The biopsy report indicates that the lesion is melanoma. The nurse understands that melanoma has which characteristics? A. Petastasis is rare B. It is Encapsulated C. It is highly metastatic D. It is characterized by local invasion

C. It is highly metastatic

A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything onthe skin and asks the nurse what to do. The nurse should make which response? A. Come to the emergency departement B. Apply calamine lotion immediately to the exposed skin areas C. Take a shower immediately, lathering and rinsing several times D. It is not necessary to do anything if you cannot see anything on your skin

C. Take shower immediately, lathering and rinsing several times

A client arrives at the emergency department following a burn injury that occurred in the basement at home, and an inhalation injury is suspected. What would the nurse anticipate to be prescribed for the client? A. 100% oxygen via an aerosol mask B. Oxygen via nasal cannula at 6 L/minute C. Oxygen via nasal cannula at 15 L/minute D. 100% oxygen via a tight-fitting, nonbreather face mask

D. 100% oxygen via a tight-fitting, nonbreather face mask

A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the clients hand? A. A pink, edematous hand B. A fiery red skin with edema in the nail beds C. Black fingertips surrounded by the erythematosus rash D. A white color to the skin, which is insensitive to touch

D. A white color to the skin, which is insensitive touch

The nurse is caring for a client who sustained superficial partial thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury? A. Deceased heart rate B. Increased urinary output C. Increased blood pressure D. Elevated hematocrit levels

D. Elevated hematocrit levels

The nurse is conducting a session about the principles of first aid and is discussing the interventions for a snakebite to an extremity. The nurse should inform those attending the session that the first priority intervention in the event if this occurance is which action? A. Immolize the affected extremity B. Remove jewerly and constricting clothing from victim C. Place the extremity in a position so that it is below the level of the heart D. Move the victim to a safe area away from the snake and encourage the victim to rest

D. Move th victim to a safe area away from the snake and encourage the victimto rest

The evening nurse reviews the nursing documentation in a clients chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the clients sacral area? A. Intact skin B. Full thickness skin loss C. Exposed bone tendon, or muscle D. Partial thickness skin loss of dermis

D. Partial thickness skin loss of dermis

The clinic nurse assesses the skin of a client with a diagnosis of psoriasis. The nurse understands that which characteristic is associated with this skin disorder? A. Oily skin B. Clear, thin nail beds C. Red-purplish scaly lesions D. Silvery-white scaly patches

D. Silvery- white scaly patches