Integumentary System Quiz Questions

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A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep. The nurse should consult with the provider to further assess the patient for:

  • A. acute delirium.
  • B. posttraumatic stress disorder.
  • C. suicidal intentions.
  • D. bipolar disorder.
Correct Answer: B

Rationale: Burn-injured patients experience psychologically devastating injuries in addition to physical injuries. Burn patients that demonstrate changes in behavior, anxiety, insomnia, regression, and acting out should be evaluated for posttraumatic stress disorder. Acute delirium is more likely to occur during the acute phase of injury. Suicidal ideations should always be addressed if the patient expresses or shows signs of suicidal thoughts. Burn-injured patients may have an underlying mental health disorder that requires treatment, such as bipolar disorder or schizophrenia.

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Which statement by the client prescribed calcitonin, a thyroid hormone, indicates to the nurse the teaching has been effective?

  • A. I should administer the medication in a different nostril each day.'
  • B. I need to drink a lot of water when I take my medicine.'
  • C. I have to dilute the medication with vitamin D before I take it.'
  • D. This medication will help the calcium leave my bones.'
Correct Answer: A

Rationale: Alternating nostrils for calcitonin nasal spray prevents irritation, indicating effective teaching.

When assessing for primary skin lesions on children, what does the nurse specifically look for?

  • A. Crusts
  • B. Keloids
  • C. Scales
  • D. Wheals
Correct Answer: D

Rationale: Primary skin lesions are initial lesions that arise from previously normal skin. Wheals (e.g., hives) are primary lesions, characterized by transient, edematous, itchy areas. Crusts, keloids, and scales are secondary lesions that result from changes to primary lesions or healing processes.

A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:

  • A. another species
  • B. a cadaver
  • C. the burned client
  • D. a skin bank
Correct Answer: A

Rationale: A heterograft (xenograft) uses skin from another species, typically pig skin, as a temporary covering.

The patient with shingles has been on an antiviral medication since the vesicles appeared. The goal of early treatment is to prevent which complication?

  • A. Postherpetic pain
  • B. Outbreak of additional vesicles
  • C. Lesions of the eye
  • D. Transmission to health care workers
Correct Answer: A

Rationale: Early treatment may avoid postherpetic pain syndrome, but it cannot prevent additional vesicles, eye lesions, or transmission to another person.

Which intervention should the recovery room nurse implement for a client who has just had a left BKA?

  • A. Assess surgical dressing every two hours
  • B. Do not allow client to see residual limb
  • C. Keep large tourniquet at bedside
  • D. Perform passive range-of-motion exercises to right leg
Correct Answer: C

Rationale: A tourniquet is kept at bedside to control bleeding emergencies.