Exam (elaborations) NURS 1102 Passpoint-Integumentary/NURS 1102 Passpoint-Integumentary Exam. Fairleigh Dickinson University

NURS 1102 Passpoint-Integumentary Exam. Fairleigh Dickinson University.Question 1 See full question When assessing a client who is incontinent for risk for developing a pressure ulcer, the nurse should note which factor that can most alter tissue tolerance and lead to the development of a pressure ulcer? You Selected: ● exposure to moisture Correct response: ● exposure to moisture Explanation: Remediation: Question 2 See full question The nurse is assessing a hospitalized older client for the presence of pressure ulcers. The nurse notes that the client has a 1 inch × 1 inch (3 cm x 3 cm) area on the sacrum in which there is skin breakdown as far as the dermis. What should the nurse note on the medical record? You Selected: ● stage I pressure ulcer Correct response: ● stage II pressure ulcer Explanation: Remediation: Question 3 See full question Which factor is most important for the nurse to consider when determining the angle at which to insert the needle for a subcutaneous injection? You Selected: ● length of the needle Correct response: ● amount of subcutaneous tissue Explanation: Remediation: Question 4 See full question During the first 48 to 72 hours of fluid resuscitation therapy after a major burn injury, the nurse should monitor hourly which information that will be used to determine the IV infusion rate? You Selected: ● urine output Correct response: ● urine output Explanation: Remediation: Question 5 See full question A nurse is preparing a discharge teaching plan for a client with atopic dermatitis. Which instruction should the nurse include in her teaching plan? You Selected: ● Use a topical skin moisturizer daily. Correct response: ● Use a topical skin moisturizer daily. Explanation: Remediation: Question 6 See full question A client with deep partial-thickness and full-thickness burns on the arms receives autografts. Two days later, the nurse finds the client doing arm exercises. The nurse provides additional client teaching because these exercises may: You Selected: ● dislodge the autografts. Correct response: ● dislodge the autografts. Explanation: Remediation: Question 7 See full question A client has partial-thickness burns on both lower extremities and portions of the trunk. Which I.V. fluid does the nurse plan to administer first? You Selected: ● Lactated Ringer's solution Correct response: ● Lactated Ringer's solution Explanation: Remediation: Question 8 See full question The nurse is caring for an immune compromised client with a fungal infection of the scalp. What recommendation should the nurse make to prevent future problems? You Selected: ● Wash hair with a dandruff-preventing shampoo. Correct response: ● Avoid sharing combs and brushes. Explanation: Remediation: Question 9 See full question A client has suffered a deep partial-thickness burn to the right arm from a high-voltage source of energy that was not turned off while working on it. What is the priority nursing intervention in the acute phase of care? You Selected: ● A cardiac monitor should be used for at least 24 hours to anticipate the potential for cardiac dysrhythmias. Correct response: ● A cardiac monitor should be used for at least 24 hours to anticipate the potential for cardiac dysrhythmias. Explanation: Remediation: Question 10 See full question A client in a semiprivate room is diagnosed with pediculosis corpus. A nurse will initiate treatment after moving the client to another room. The client's roommate asks the nurse for information about the client. What should the nurse say? You Selected: ● "I'm sorry, but I can't share confidential information." Correct response: ● "I'm sorry, but I can't share confidential information." Question 1 See full question A female client is diagnosed with primary herpes genitalis. Which instruction should the nurse provide? You Selected: ● "Apply acyclovir ointment to the lesions every 3 hours, six times per day for 7 days." Correct response: ● "Apply acyclovir ointment to the lesions every 3 hours, six times per day for 7 days." Explanation: Remediation: Question 2 See full question A client who was bitten by a wild animal is admitted to an acute care facility for treatment of rabies. Which type of isolation does this client require? You Selected: ● Contact Correct response: ● Contact Explanation: Remediation: Question 3 See full question Which instruction is the most important to give a client who has recently had a skin graft? You Selected: ● Protect the graft from direct sunlight. Correct response: ● Protect the graft from direct sunlight. Explanation: Remediation: Question 4 See full question