ATI Med Surg test Latest Verified Questions and all Correct Answers with Explanations , Care of the patient with an Integumentary Disorder 100% Correct Answers, Download to Score A What should the nurse do when administering a therapeutic bath to a patient who has severe pruritis? - Use Barrow's solution to help promote healing . A frail, older adult home heath patient who had chickenpox as a child has been exposed to varicella (chi ckenpox) several days ago. What should the nurse do? - Access frequently for herpes zoster. A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug? - Use gloves. A child has been sent to the school nurse with pruritis and honey -colored crusts on the lower lip and chin. The nurse believes these lesions are most likely: - Impetigo A school nurse assesses a child who has an erythematous circular patch of vesicles on her sca lp with alopecia and complaints of pain and pruritus. Why would the nurse use a Woods lamp? - To cause fluorescence of the infected hairs. A patient, age 46, reports to his physician's office with urticaria with elevated lesions that are white in the cent er with a pale red border on hands and arms. He says, "It itches like crazy." Which type of lesion would the nurse include in her documentation? - Wheals . The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate? - Severity of the symptoms. What would the nurse stress to the 17 -year-old girl who has been prescribed Accutane for her acne? - Use dependable birth control to avoid pregnancy. A 30 -year-old African American had surgery 6 months ag o and the incision site is now raised, indurated, and shiny. This is most likely which type of tissue growth? - Keloid A patient, age 37, sustained partial - and full -thickness burns to 26% of the body surface area. When would the greatest fluid loss resul ting from the burns occur? - Within 12 hours after burn trauma Most of the deaths from burn trauma in the emergent phase that require a referral to a burn center result from: - hypovolemic shock and renal failure. The nurse takes into consideration that carbon monoxide intoxication secondary to smoke inhalation is often fatal because carbon monoxide: - binds with hemoglobin in place of oxygen. A nurse arrives at an accident scene where the victim has just received an electrical burn. What is the nurse's primary concern? - The likelihood of cardiac arrest. A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn -
related deaths, which is: - infection. Two weeks after a severe burn of over 20% of the body, the patient vomits bright red blood. Which condition is most likely? - Curling Ulcer. When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities, what would a nurse include in the nursing plan? - Keep the room temperature at 85° F (29.4° C) to prevent chilling The nurse has staged a pressure ulcer that has a shallow crater with a dry pink wound bed as a: - Stage II . What would the nurse dressing a necrotic pressure ulcer with a minimal exudate most likely use? - Hydrocolloid dressing The nurse is caring for a 26 -year-old male patient who was burned 72 hours ago. He has partial -thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. What should the nurse do ? - Assess for signs of fluid overload
related deaths, which is: - infection. Two weeks after a severe burn of over 20% of the body, the patient vomits bright red blood. Which condition is most likely? - Curling Ulcer. When providing the open method of treatment for a patient who is 52 years old with burns to the lower extremities, what would a nurse include in the nursing plan? - Keep the room temperature at 85° F (29.4° C) to prevent chilling The nurse has staged a pressure ulcer that has a shallow crater with a dry pink wound bed as a: - Stage II . What would the nurse dressing a necrotic pressure ulcer with a minimal exudate most likely use? - Hydrocolloid dressing The nurse is caring for a 26 -year-old male patient who was burned 72 hours ago. He has partial -thickness burns to 24% of his body surface area. He begins to excrete large amounts of urine. What should the nurse do ? - Assess for signs of fluid overload
