UNIT VII Integumentary problems of the adult client - 在线考试测评模板

UNIT VII Integumentary problems of the adult client

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Q1:姓名

选项1

Q2:1.A client is scheduled for hydrotherapy for a burn dressing change. Which action would the nurse take to ensure that the client is comfortable during the procedure?

A.Ensure that the client is appropriately dressed.

B.Administer an opioid analgesic 30 to 60 minutes before therapy.

C.Schedule the therapy at a time when the clint generally takes a nap.

D.Assign an assistive personnel (AP) to stay with the client during the procedure.

Q3:2.An adult client arrives in the emergency department with burns to both entire legs and the perineal area. Using the rule of nines, the nurse would determine that approximately what percentage of the clients body surface has been burned? Fill in the blank. Answer:( )

正确答案

Q4:3.The nurse is developing a plan of care for a client who suffered a pelvic fracture following a motor vehicle crash . Which interventions would be included in the nursing care plan to prevent skin breakdown? Select all that apply.

A.Minimize the force and friction applied to the skin.

B.Massage vigorously over bony prominences twice daily.

C.Perform a systematic skin inspection at least once a day.

D.Cleanse the skin at the time of soiling and at routine intervals

E.Use pillows to keep the knees and other bony prominences from direct contact with one another.

F.Use hot water and a mild cleansing agent that minimizes irritation and dryness of the skin when bathing the client.

Q5:4.Tretinoin gel has been prescribed for a client with acne. What is the nurses response when the client calls and reports that, My skin has become very red and is beginning to peel?

A."Discontinue the medication immediately."

B."Come to the clinic immediately for an assessment."

C."I'll notify your primary health care provider of these results."

D."This is a normal occurrence with the use of this medication."

Q6:5.An anxious client enters the emergency department seeking treatment for a laceration of the finger. The clients vital signs are pulse 106 beats/ min, blood pressure 158/88 mm Hg, and respirations 28 breaths/min. After cleansing the injury and reassuring the client, the nurse rechecks the vital signs and notes a pulse of 82 beats/min, BP 130/80 mm Hg, and respirations 20 breaths/ min. Which factor likely accounts for the change in vital signs?

A.Cooling effects of the cleansing agent

B.Client's adaptation to the air conditioning

C.Early clinical indicators of cardiogenic shock

D.Decline in sympathetic nervous system discharge

Q7:6.A client with an extremity burn injury has undergone a fasciotomy. The nurse prepares to provide which type of wound care to the fasciotomy site?

A.Dry sterile dressings

B.Hydrocolloid dressings

C.Wet, sterile saline dressings

D.One-half-strength povidone-iodine dressings

Q8:7.The nurse has applied the prescribed dressing to the leg of a client with an ischemic arterial leg ulcer. Which method would the nurse use to cover the dressing?

A.Apply a Kerlix roll and tape it to the skin.

B.Apply a large, soft pad and tape it to the skin.

C.Apply small Montgomery straps and tie the edges together.

D.Apply a Kling roll and tape the edge of the roll onto the bandage.

Q9:8.Skin closure with heterograft will be performed on a client with a burn injury. When the client asks the nurse where the heterograft comes from, the nurse would explain it is from which source?

A.A cadaver

B.Another animal species

C.The burned client themselves

D.A man-made synthetic source

Q10:9.The nurse reviews wound culture results and earns that an assigned client has methicillin-resistant Staplylococcus aureus in a wound bed. Which type of transmission-based precautions would the nurse implement for this client?

A.Enteric precautions

B.Droplet precautions

C.Contact precautions

D.Airborne precautions

Q11:10.The nurse would implement which safety measures to prevent an electrical shock when using electrical equipment? Select all that apply.

A.Use a two-prong outlet.

B.Check the electrical cord for fraying.

C.Keep the electrical cord away from thesink.

D.Place the excess electrical cord under a small carpet.

E.Grasp the electrical cord when unplug ging the equipment.

F.Disconnect the electrical cord from the wall socket when cleaning the quipment.