A nurse cares for a client with burn injuries. Which intervention should the nurse implement to appropriately reduce the client's pain?
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Question 2 of 54
Nurse Kevin reviews the client's chart and notes that the physician has documented a diagnosis of paronychia. Based on this diagnosis, which of the following would the nurse expect to note during the assessment?
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Question 3 of 54
The nurse is applying a medicated plastic wrap dressing to a patient's leg. What intervention should the nurse include in the plan of care to prevent development of complications?
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Question 4 of 54
Which condition is described by the following: this is a pigmented tumor of the skin that may easily be confused with a malignant melanoma, with which it has a close macroscopic resemblance. Palpation, however, reveals a typically hard consistency owing to the dense fibrous stroma. It is probably produced as a result of fibrosis of a capillary hemangioma. The pigment is due to iron and not to melanin; this is easily shown with specific histological staining
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Question 5 of 54
The nurse is caring for a client with a diagnosis of gout. Which laboratory value would the nurse expect to note in the client?
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Question 6 of 54
When performing a skin assessment, the nurse notes several angiomas on the chest of an older patient. Which action should the nurse take next?
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Question 7 of 54
An African American is admitted to the medical unit with liver disease. To correctly assess this patient for jaundice, on what body area should the nurse look for yellow discoloration?
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Question 8 of 54
A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:
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Question 9 of 54
The nurse is admitting an 88-year-old client diagnosed with a viral skin infection. Which nursing task could the nurse delegate to the unlicensed assistive personnel?
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Question 10 of 54
In a female client with burns on the legs, which nursing intervention helps prevent contractures?
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Question 11 of 54
Which client physiological outcome (goal) is appropriate for a client diagnosed with skin cancer who has had surgery to remove the lesion?
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Question 12 of 54
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptom develops?
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Question 13 of 54
Most cases of psoriasis first present before the age of:
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Question 14 of 54
A student is caring for a burned child on the burn unit. The student is performing burn care. Which action by the student requires intervention by the registered nurse?
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Question 15 of 54
The client is complaining of severe itching following a course of antibiotics. Which independent nursing action should the nurse implement?
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Question 16 of 54
A competent elderly client has a living will. The living will expressed the desire to avoid resuscitation and heroic life support measures. The family members are not supportive of this directive. Which of the following actions by the nursing staff is most appropriate?
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Question 17 of 54
A patient with psoriasis is prescribed salicylic acid. What should the nurse explain to the patient about this treatment?
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Question 18 of 54
The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?
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Question 19 of 54
A pregnant client reports to the clinic and learns she has tested positive for herpes simplex. The nurse develops a plan of care. Which of the following nursing diagnoses has the highest priority?
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Question 20 of 54
Which question is most important for the nurse to ask the client admitted to the ED diagnosed with a partial- and full-thickness burn to the left leg?
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Question 21 of 54
A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand?
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Question 22 of 54
A patient recovering from deep and full thickness burns is nauseated. Which medication should the nurse provide to help this patient?
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Question 23 of 54
Which foods should the nurse recommend for dietary calcium?
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Question 24 of 54
The client who lives alone indicates concerns about their ability to perform the necessary dressing changes after discharge. Which action by the nurse is indicated at this time?
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Question 25 of 54
A male client reports to the clinic with an open area on his penis. Which of the following questions will be most important to include in the data collection?
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Question 26 of 54
The 50-year-old female client is being evaluated for osteoporosis. Which data should the nurse assess?
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Question 27 of 54
The cuticle is the extension of what structure?
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Question 28 of 54
The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m². What is the nurse's best action?
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Question 29 of 54
A nurse is conducting a health interview and is assessing for integumentary conditions that are known to have a genetic component. What assessment question is most appropriate?
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Question 30 of 54
The nurse in a plastic surgeon's office is discharging a client who had onabotulinumtoxin A injections. Which discharge instructions should the nurse provide?
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Question 31 of 54
Nurse Chael is performing a skin assessment on a new resident in a long-term care facility. Which finding is of most concern?
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Question 32 of 54
The client with a long arm cast is complaining of unrelenting severe pain and feeling as if the fingers are asleep. Which complication should the nurse suspect the client is experiencing?
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Question 33 of 54
The client is being discharged after being in the burn unit for six (6) weeks. Which strategies should the nurse identify to promote the client's mental health?
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Question 34 of 54
A child has blood testing for possible atopic dermatitis. The parent asks why testing for IgE is done. Which response by the nurse is the most appropriate?
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Question 35 of 54
The client has had an enucleation of the left eye. Which intervention should the nurse implement?
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Question 36 of 54
Twelve hours post–lumbar laminectomy, which nursing interventions should be implemented?
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Question 37 of 54
A patient with a 60% burn in the acute phase of treatment develops a tense abdomen, decreasing urine output, hypercapnia, and hypoxemia. Based on this assessment, the nurse anticipates interventions to evaluate and treat the patient for:
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Question 38 of 54
What vitamin is synthesized when the skin is exposed to sunlight?
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Question 39 of 54
A 25-year-old man is involved in a motorcycle accident and injures his arm. The physician diagnoses the man with an intra-articular fracture and splints the injury. The nurse implements the teaching plan developed for this patient. What sequela of intra-articular fractures should the nurse describe regarding this patient?
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Question 40 of 54
The three major glands of the skin are sudoriferous, ceruminous, and
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Question 41 of 54
The mother of a 4-year-old child reports concerns about how to completely rid her home of lice. Which response indicates that the mother needs further instruction?
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Question 42 of 54
Which interventions should the nurse implement for a client with an open fracture of the left ankle?
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Question 43 of 54
A client with myocardial infarction is developing cardiogenic shock. Because of the risk of myocardial ischemia, what condition should the nurse carefully assess the client for?
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Question 44 of 54
Based on the data of a 78-year-old male with a chronic leg wound prescribed warfarin and VAC treatment, which action should the nurse take first?
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Question 45 of 54
The nurse notes that a patient has irregularly shaped areas on the skin that are rough and thick. What health problem should the nurse suspect is causing this patient's skin condition?
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Question 46 of 54
The 26-year-old male client in the PACU has a heart rate of 110 and a rising temperature, and complains of muscle stiffness. Which interventions should the nurse implement? Select all apply.
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Question 47 of 54
A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:
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Question 48 of 54
The client with a retinal detachment has just undergone a gas tamponade repair. Which discharge instruction should the nurse include in the teaching?
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Question 49 of 54
A nurse is writing a care plan for a patient admitted to the emergency department (ED) with an open fracture. The nurse will assign priority to what nursing diagnosis for a patient with an open fracture of the radius?
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Question 50 of 54
The nurse is caring for four clients on a medical-surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client's abnormalities?
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Question 51 of 54
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?
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Question 52 of 54
A nurse teaches a client who has very dry skin. Which statement should the nurse include in this client's education?
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Question 53 of 54
The client is reporting an inability to sleep because of pruritus secondary to a skin irritation on the lower extremities. Which information should the nurse discuss with the client?
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Question 54 of 54
A client is brought to the emergency room following a burn injury. In assessment the nurse notes that the client's eyebrow and nasal hairs are singed. The nurse would identify this type of burn as:
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