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Exam (elaborations)

NURSING-Integumentary System EAQ 2022

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NURSING-Integumentary System EAQ 2022What could be the possible cause of a scald injury? Contact with grease Contact with hot liquids or steam Contact with alkali in oven cleaners Contact with open flame in house fires Which complication may be caused by sepsis in burns? Diarrhea Constipatio...

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  • March 15, 2022
  • 44
  • 2022/2023
  • Exam (elaborations)
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INTEGUMENTARY SYSTEM EXAM 2022

What could be the possible cause of a scald injury?
Contact with grease
Contact with hot liquids or steam
Contact with alkali in oven cleaners
Contact with open flame in house fires
Which complication may be caused by sepsis in burns?
Diarrhea
Constipation
Paralytic ileus
Curling’s ulcer
What is a clinical manifestation of hypernatremia in burns?
Fatigue
Seizures
Paresthesias
Cardiac dysrhythmias
The nurse is teaching the client about wound healing. Which feature is associated with the
"maturation phase" of normal wound healing?
The scar is firm and inelastic on palpation.
Fibrin strands form a scaffold or framework.
White blood cells migrate into the wound.
Epithelial cells are grown over the granulation tissue bed.
which key feature does the nurse associate with a stage 2 pressure ulcer?
Presence of nonintact skin
Development of sinus tracts
Damage to the subcutaneous tissues
Appearance of a reddened area over a bony prominence
Which type of biopsy would the nurse identify as required for removal of entire lesions on the
skin?
Punch biopsy
Shave biopsy
Incisional biopsy
Excisional biopsy
Which test would the client undergo to receive a diagnosis of systemic lupus erythematosus?
Patch test
Photo patch test
Direct immunofluorescence test

, Indirect immunofluorescence test
Which benign condition of the client’s skin is associated with the grouping of normal cells
derived from melanocyte-like precursor cells?
Nevi
Psoriasis
Acne vulgaris
Plantar warts
Which type of allergic skin condition in a client is associated with immunological irregularity,
asthma, and allergic rhinitis?
Urticaria
Psoriasis
Acne vulgaris
Atopic dermatitis

Which does the nurse understand related to negative pressure wound therapy? Select all that
apply.
Using a suction pump
Treating necrotizing infections
Administering oxygen under high pressure
Application of a low-voltage current to a wound area
Reducing chronic ulcers by removing fluids from the wound
Which clinical manifestation is associated with cellulitis?
Lymphadenopathy
Occasional papules
Vesicles that evolve into pustules
Isolated erythematous pustules


Which surgery is used to treat excessive wrinkling or sagging of facial skin?
Rhinoplasty
Rhytidectomy
Dermabrasion
Blepharoplasty
Which skin infection would cause facial paralysis?
Herpes zoster
Herpes simplex
Dermatophytosis

,Which secondary skin lesion may include athlete’s foot as an example?
Scar
Scale
Ulcer
Fissure
Which component of skin maintains optimal barrier function?
Keratin
Melanin
Collagen
Adipose tissue
A nurse is caring for a client with scabies. Which information about scabies should the nurse
consider when planning care for this client?
Highly contagious
Caused by a fungus
Chronic with exacerbations
Associated with other allergies
Which drug is a newer treatment option for treating metastatic melanoma?
Lomustin
Ipilimumab
Carmustine
Temozolomide
A client is scheduled for radiation treatments Monday through Friday. The client asks why the
treatments will not be given on Saturday and Sunday. Which is the nurse’s best response?
"This type of schedule gives noncancerous cells time to recover."
"The department only operates from Monday through Friday."
"Your energy level will be increased greatly by a 5-day schedule."
"Side effects are eliminated when treatment is administered for 5 rather than 7
days."
Which clinical finding occurs due to thinning of the subcutaneous layer?
Decreased tone and elasticity
Decreased sensory perception
Increased risk for hypothermia
Increased susceptibility to dry skin
The nurse is caring for a client who has been bitten by a raccoon. The client states, "Where I live,
there seems to be raccoons and wild animals everywhere." Which information should the nurse
consider about rabies when planning care for this client?
Rabies is a bacterial infection characterized by encephalopathy and opisthotonos.

, Rabies is an acute bacterial septicemia that results in convulsions and a morbid fear
of water.
Rabies is a nonspecific immune response to organisms deposited under the skin by
an animal bite.
Rabies is an acute viral infection, characterized by convulsions and difficulty
swallowing, that affects the nervous system.
A nurse is caring for a client with quadriplegia. Which nursing intervention will decrease the
occurrence of pressure ulcers?
Avoiding leg massages
Frequent repositioning of client
Increasing fiber content in food
Encouraging weight-bearing exercises

What is an example of third spacing in a burn injury?
Blister formation
Edema formation
Fluid mobilization
Fluid accumulation
A client is admitted to the hospital with partial- and full-thickness burns of the chest and face
sustained while trying to extinguish a brush fire. Which is the nurse’s priority concern?
Loss of skin integrity caused by the burns
Potential infection as a result of the burn injury
Inadequate gas exchange caused by smoke inhalation
Decreased fluid volume because of the depth of the burns
Which clinical manifestation is characterized by eczematous eruption with well-defined
geometric margins?
Drug eruption
Atopic dermatitis
Contact dermatitis
Nonspecific eczematous dermatit
Which drug can cause chemical burns?

Anthralin
Prednisone
Tazarotene
Calcipotriene
Which infection is caused due to fungus?

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