Ignatavicius: Medical-Surgical Nursing, 6th
Edition Ultimate Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
The client has dry skin and a ANS: D
history The client should bathe in warm water for
of cardiovascular disease. Which at least
is 20 minutes and then apply lotion
the best intervention for the nurse immediately
to because this will keep the moisture in the
teach the client? skin.
a. "Wear pajamas to cover your Covering the legs at night will not increase
legs moisture. Increasing fluid intake to 3 L/day
at night." would
b. "Avoid wearing stockings." not be recommended for a client with a
c. "Increase your fluid intake to 3 history of
L/day." cardiovascular disease. Stockings may dry
d. "Bathe in warm water and then the skin,
apply lotion immediately." so the best intervention is to keep moisture
in the
skin with lotion.
,Which intervention will best assist ANS: A
the client with pruritus? Pruritus is exacerbated by poor skin
a. "Avoid activities and hydration,
environments increased skin temperature, perspiration,
that increase perspiration." and
b. "Drinking alcoholic beverages vasodilation. Drinking alcoholic beverages
will will
decrease stimulation of the itch further dehydrate clients. Warm clothing
receptors." will
c. "Wear clothing to keep the skin vasodilate, adding to dehydration. Warm
warm." baths are
d. "Avoid immersing the affected recommended, with lotion applied
areas in water." immediately
afterward.
Which precaution will the nurse ANS: B
teach the client with urticaria who Benadryl is an antihistamine that will
is decrease
prescribed to take itching. For most people, diphenhydramine
diphenhydramine causes
(Benadryl)? drowsiness. This side effect is intensified
a. "Avoid sun exposure." when
b. "Avoid alcoholic beverages." alcohol also is consumed, placing the
c. "Avoid aspirin or client at
aspirin-containing increased risk for injury and falling. Aspirin
drugs." will not
d. "Avoid weight gain." interact with this medication. Weight gain
and sun
exposure should not affect the
administration of
the drug.
, When changing the dressing on a ANS: B
partial-thickness wound, a nurse The small, pale pink bumps are
observes small, pale pink bumps granulation tissue
within the wound bed. Which is the characteristic of new capillary bed growth,
nurse's best action? an
a. Removing the bumps with a indication of proper wound healing. The
sterile nurse
scalpel should continue current treatment and
b. Documenting and continuing assessments. Attempting to remove the
current treatment bumps in
c. Cleaning the wound vigorously, any way can interfere with healing.
wiping off the bumps
d. Culturing the wound and placing
the client on contact precautions
Which nursing intervention is best ANS: A
for The presence of necrotic tissue retards
the nurse to use to enhance epithelialization and granulation
healing development.
of a 1-week-old partial-thickness Accuzyme is a cream that removes
wound? necrotic tissue.
a. Using papain-urea (Accuzyme) Restricting fluid and covering the wound
cream as ordered will
b. Restricting the client's fluid deprive the new tissue of nutrition and will
intake not
c. Covering the wound with an enhance healing. Hydrocortisone cream
airtight dressing may
d. Applying hydrocortisone cream decrease itching but will not enhance
as healing.
ordered
Edition Ultimate Exam Questions and
Answers with Verified Solutions | Latest
Updated 2026
The client has dry skin and a ANS: D
history The client should bathe in warm water for
of cardiovascular disease. Which at least
is 20 minutes and then apply lotion
the best intervention for the nurse immediately
to because this will keep the moisture in the
teach the client? skin.
a. "Wear pajamas to cover your Covering the legs at night will not increase
legs moisture. Increasing fluid intake to 3 L/day
at night." would
b. "Avoid wearing stockings." not be recommended for a client with a
c. "Increase your fluid intake to 3 history of
L/day." cardiovascular disease. Stockings may dry
d. "Bathe in warm water and then the skin,
apply lotion immediately." so the best intervention is to keep moisture
in the
skin with lotion.
,Which intervention will best assist ANS: A
the client with pruritus? Pruritus is exacerbated by poor skin
a. "Avoid activities and hydration,
environments increased skin temperature, perspiration,
that increase perspiration." and
b. "Drinking alcoholic beverages vasodilation. Drinking alcoholic beverages
will will
decrease stimulation of the itch further dehydrate clients. Warm clothing
receptors." will
c. "Wear clothing to keep the skin vasodilate, adding to dehydration. Warm
warm." baths are
d. "Avoid immersing the affected recommended, with lotion applied
areas in water." immediately
afterward.
Which precaution will the nurse ANS: B
teach the client with urticaria who Benadryl is an antihistamine that will
is decrease
prescribed to take itching. For most people, diphenhydramine
diphenhydramine causes
(Benadryl)? drowsiness. This side effect is intensified
a. "Avoid sun exposure." when
b. "Avoid alcoholic beverages." alcohol also is consumed, placing the
c. "Avoid aspirin or client at
aspirin-containing increased risk for injury and falling. Aspirin
drugs." will not
d. "Avoid weight gain." interact with this medication. Weight gain
and sun
exposure should not affect the
administration of
the drug.
, When changing the dressing on a ANS: B
partial-thickness wound, a nurse The small, pale pink bumps are
observes small, pale pink bumps granulation tissue
within the wound bed. Which is the characteristic of new capillary bed growth,
nurse's best action? an
a. Removing the bumps with a indication of proper wound healing. The
sterile nurse
scalpel should continue current treatment and
b. Documenting and continuing assessments. Attempting to remove the
current treatment bumps in
c. Cleaning the wound vigorously, any way can interfere with healing.
wiping off the bumps
d. Culturing the wound and placing
the client on contact precautions
Which nursing intervention is best ANS: A
for The presence of necrotic tissue retards
the nurse to use to enhance epithelialization and granulation
healing development.
of a 1-week-old partial-thickness Accuzyme is a cream that removes
wound? necrotic tissue.
a. Using papain-urea (Accuzyme) Restricting fluid and covering the wound
cream as ordered will
b. Restricting the client's fluid deprive the new tissue of nutrition and will
intake not
c. Covering the wound with an enhance healing. Hydrocortisone cream
airtight dressing may
d. Applying hydrocortisone cream decrease itching but will not enhance
as healing.
ordered
