The nurse is watching the cardiac monitor, and a client's rhythm suddenly changes. There are no P waves; instead, there are fibrillatory waves before each QRS complex. How should the nurse correctly interpret the client's heart rhythm?
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ATI LPN · Integumentary System Questions Quizlet
Question 2 of 55
A male client scheduled for a skin biopsy is concerned and asks the nurse how painful the procedure is. The appropriate response by the nurse is:
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Question 3 of 55
After completing data collection the nurse determines that an older patient is experiencing the death of melanocytes. What observation did the nurse use to make this determination?
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Question 4 of 55
A client develops hyperthermia related to a diagnosis of Pneumonia. Which of the following nursing interventions would be effective in the treatment of hyperthermia?
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Question 5 of 55
The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?
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Question 6 of 55
The nurse is assisting the patient to select foods from the menu that will promote wound healing. Which statement indicates the nurse's knowledge of nutritional goals?
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Question 7 of 55
Which of the following statements are true regarding Bowen's disease?
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Question 8 of 55
The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider prescription should the nurse anticipate receiving?
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Question 9 of 55
Which signs/symptoms indicate the client with hypothyroidism is not taking enough thyroid hormone?
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Question 10 of 55
Based on the documented data of an older adult with a burn wound showing signs of local infection, which action should the nurse take next?
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Question 11 of 55
The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client?
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Question 12 of 55
Which specific touch receptor picks up deep pressure and vibrations?
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Question 13 of 55
The nurse is teaching a client how to perform a testicular self-examination. What information should be provided to the client?
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Question 14 of 55
The nursing instructor is explaining the layers of skin to students. Which layer is inconsistent with knowledge of this topic?
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Question 15 of 55
The nurse is administering an opioid narcotic to the client. Which intervention should the nurse implement for client safety?
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Question 16 of 55
The nurse is changing a hydrocolloid antimicrobial barrier dressing with silver for a client diagnosed with a stage 4 pressure ulcer. Which intervention should the nurse implement first?
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Question 17 of 55
A patient with a sacral stage III pressure ulcer has an elevated temperature. What diagnostic test would help determine if this patient is developing osteomyelitis?
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Question 18 of 55
Which information should the nurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
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Question 19 of 55
The nurse is developing a plan of care for the client diagnosed with acquired immunodeficiency syndrome (AIDS) who has developed an infection in the adrenal gland. Which client problem is highest priority?
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Question 20 of 55
For a resident refusing to bathe due to pain from OA, what instruction should the nurse give to UAP?
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Question 21 of 55
The nurse observes the unlicensed assistive personnel (UAP) squeezing the 'blackheads' on an elderly client. Which action should the nurse implement first?
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Question 22 of 55
The pediatric nurse knows that which child is most likely to bite another?
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Question 23 of 55
A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction would be most helpful in managing the pruritus?
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Question 24 of 55
Why should a client with a right BKA lie on their stomach for at least 30 minutes daily?
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Question 25 of 55
The clinic nurse assesses a client with complaints of pain and numbness in the left hand and fingers. Which question should the nurse ask the client?
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Question 26 of 55
The client diagnosed with a verruca vulgaris (wart) on the left ring finger below the knuckle is prescribed a colloidal acid solution. Which information should the nurse discuss with the client?
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Question 27 of 55
The nurse is teaching the client about ways to increase personal safety in the home. During the interaction, the client advises the nurse that he has no plans to make the recommended changes. What response by the nurse is most appropriate?
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Question 28 of 55
A nurse assesses a client who is admitted with inflamed soft-tissue folds around the nail plates. Which question should the nurse ask to elicit useful information about the possible condition?
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Question 29 of 55
The orthopedic nurse should assess for signs and symptoms of Volkmann's contracture if a patient has fractured which of the following bones?
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Question 30 of 55
Which instruction should the nurse discuss with the client when completing a sensory assessment?
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Question 31 of 55
A patient is ending the first year of recovery after having burns to both legs. Which observation indicates that the patient needs to be encouraged to wear the pressure garment?
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Question 32 of 55
The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?
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Question 33 of 55
The outer layer of the epidermis provides the most effective barrier to penetration of the skin by environmental factors. Which of the following is an example of penetration by an environmental factor?
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Question 34 of 55
An 84-year-old patient has had a low-grade fever for 2 days. This morning, the patient complains of burning, tingling hip pain that shoots down the leg. The nurse observes a small group of vesicles on the leg. These findings are consistent with which disorder?
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Question 35 of 55
The nurse is working with clients in an aesthetic surgery center. Which intervention should the nurse implement for a client undergoing a chemical peel?
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Question 36 of 55
What would the nurse anticipate to be prescribed for a client with a suspected inhalation injury at home?
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Question 37 of 55
A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. Why would the nurse use a Woods lamp?
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Question 38 of 55
The nurse is providing care for a patient who has had a below-the-knee amputation. The nurse enters the patient's room and finds him resting in bed with his residual limb supported on pillow. What is the nurse's most appropriate action?
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Question 39 of 55
The results of a patient's biopsy indicate a malignant growth. What should the nurse anticipate being prescribed for this patient?
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Question 40 of 55
The client is diagnosed with Meniere's disease. Which statement indicates the client understands the medical management for this disease?
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Question 41 of 55
Which cast care instruction should the nurse provide to a client who just had a plaster cast applied to the right forearm?
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Question 42 of 55
The nurse is caring for clients on a medical unit. After the shift report, which client should the nurse assess first?
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Question 43 of 55
The nurse is assessing the client diagnosed with scabies. Which assessment technique would be most appropriate?
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Question 44 of 55
When explaining a tonometer test results of $28 "mathrm{~mm} "mathrm{Hg}$ to a client, the nurse would use which explanation to be most accurate?
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Question 45 of 55
A nurse is reviewing the medical record of a male client to be admitted to the nursing unit and notes documentation of reticular skin lesions. The nurse expects that these lesions will appear to be:
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Question 46 of 55
A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky's sign. Based on this documentation, which of the following would the nurse expect to note?
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Question 47 of 55
A male client comes to the physician's office for treatment of severe sunburn. The nurse takes this opportunity to discuss the importance of protecting the skin from the sun's damaging rays. Which instruction would best prevent skin damage?
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Question 48 of 55
A nurse is developing a care plan for a client suffering from shingles. Which of the following cranial nerve should the nurse assess as part of the client's care?
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Question 49 of 55
The nurse is caring for a client diagnosed with a fracture of the right distal humerus. Which data indicate a complication?
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Question 50 of 55
When reading the admission assessment for a patient, the nurse notes that the patient has an excoriated area on the skin of the right forearm. Which nursing action will be included in the plan of care?
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Question 51 of 55
A patients health assessment has resulted in a diagnosis of alopecia areata. What nursing diagnosis should the nurse most likely associate with this health problem?
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Question 52 of 55
A nurse who manages client placements prepares to place four clients on a medical-surgical unit. Which client should be placed in isolation awaiting possible diagnosis of infection with methicillin-resistant Staphylococcus aureus (MRSA)?
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Question 53 of 55
What type of epithelium lines a sebaceous cyst?
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Question 54 of 55
Radiation burns occur as a result of:
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Question 55 of 55
The nurse differentiates the various types of dermatitis. Which characteristic best describes atopic dermatitis?
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