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ATI LPN · Medical Surgical Nursing · Chapter 6 Skin and the Integumentary System Practice Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The patient scheduled for a Syme amputation is concerned about the ability to eventually stand on the amputated extremity. How should the nurse best respond to the patient's concern?

A. You will eventually be able to withstand full weight-bearing after the amputation.

B. You will have minimal weight-bearing on this extremity but you'll be taught how to use an assistive device.

C. You likely will not be able to use this extremity but you will receive teaching on use of a wheelchair.

D. You will be fitted for a prosthesis which may or may not allow you to walk.

Expert Explanatory Rationale

Correct Answer: You will eventually be able to withstand full weight-bearing after the amputation.

Question 2 of 5

The nurse is caring for clients in a long-term care facility. Which is a modifiable risk factor for the development of pressure ulcers?

A. Constant perineal moisture

B. Ability of the clients to reposition themselves

C. Decreased elasticity of the skin

D. Impaired cardiovascular perfusion of the periphery

Expert Explanatory Rationale

Correct Answer: Constant perineal moisture

Question 3 of 5

The client has undergone a bilateral stapedectomy. Which action by the client warrants immediate intervention by the nurse?

A. The client is ambulating without assistance.

B. The client is sneezing with the mouth open.

C. There is some slight serosanguineous drainage.

D. The client reports hearing popping in the affected ear.

Expert Explanatory Rationale

Correct Answer: The client is ambulating without assistance.

Question 4 of 5

A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later the wheezing is no longer heard. Which action should the nurse take?

A. Document the findings and reassess in 1 hour.

B. Loosen any constrictive dressings on the chest.

C. Raise the head of the bed to a semi-Fowler's position.

D. Gather appropriate equipment and prepare for an emergency airway.

Expert Explanatory Rationale

Correct Answer: Gather appropriate equipment and prepare for an emergency airway.

Question 5 of 5

The nurse is educating a patient with acne rosacea that has facial erythema and telangiectases. Which information should the nurse include in the teaching plan?

A. Drink 4 ounces of wine daily to promote vasodilation.

B. Wash your face at least three times daily.

C. Avoid direct sunlight.

D. Apply tea bags to the affected areas.

Expert Explanatory Rationale

Correct Answer: Avoid direct sunlight.

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