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ATI LPN · Medical Surgical Nursing · Integumentary System Questions Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P waves; instead, there are fibrillatory waves before each QRS complex. How should the nurse correctly interpret the client's heart rhythm?

A. Atrial fibrillation
B. Sinus tachycardia
C. Ventricular fibrillation
D. Ventricular tachycardia

Expert Explanatory Rationale

Correct Answer: Atrial fibrillation

Question 2 of 5

A male client scheduled for a skin biopsy is concerned and asks the nurse how painful the procedure is. The appropriate response by the nurse is:

A. The local anesthetic may cause a burning or stinging sensation'
B. It will be completely painless'
C. Expect severe pain during the procedure'
D. Pain only occurs afterward'

Expert Explanatory Rationale

Correct Answer: The local anesthetic may cause a burning or stinging sensation'

Question 3 of 5

After completing data collection the nurse determines that an older patient is experiencing the death of melanocytes. What observation did the nurse use to make this determination?

A. Dry skin
B. Wrinkled skin
C. Thin and gray hair
D. Thin and fragile skin

Expert Explanatory Rationale

Correct Answer: Thin and gray hair

Question 4 of 5

A client develops hyperthermia related to a diagnosis of Pneumonia. Which of the following nursing interventions would be effective in the treatment of hyperthermia?

A. Use ice packs and a tepid bath as needed.
B. Administer antipyretic medications per physician's orders and promote frequent rest periods.
C. Increase the temperature of the room environment to prevent shivering.
D. Restrict fluids during periods of hyperthermia because of the risk of electrolyte imbalance.

Expert Explanatory Rationale

Correct Answer: Administer antipyretic medications per physician's orders and promote frequent rest periods.

Question 5 of 5

The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?

A. return to the clinic in 2 weeks for the initial reading
B. reapply the patch if it comes off
C. continue all current activities
D. keep the test sites dry

Expert Explanatory Rationale

Correct Answer: keep the test sites dry

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