SAUNDERS HESI MED SURG Questions and Correct Answers | Latest Update
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Course
SAUNDERS HESI MED SURG
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SAUNDERS HESI MED SURG
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for snakebite to an extremity. The nurse should inform those attending the session
that the first priority intervention in the event of this occurrence is which action?
1. Immobilize the aff...
Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
SAUNDERS HESI MED SURG Questions and
Correct Answers | Latest Update
The nurse is conducting a session about the principles of first aid and is discussing the
interventions for snakebite to an extremity. The nurse should inform those attending the session
that the first priority intervention in the event of this occurrence is which action?
1. Immobilize the affected extremity.
2. Remove jewelry and constricting clothing from the victim.
3. Place the extremity in a position so that it is below the level of the heart.
4. Move the victim to a safe area away from the snake and encourage the victim to rest.
4
In the event of a snakebite, the first priority is to move the victim to a safe area away from
the snake and encourage the victim to rest to decrease venom circulation. Next, jewelry and
constricting clothing are removed before swelling occurs. Immobilizing the extremity and
maintaining the extremity at the heart level would be done next; these actions limit the spread
of the venom. The victim is kept warm and calm. Stimulants such as alcohol or caffeinated
beverages are not given to the victim because these products may speed the absorption of
the venom. The victim should be transported to an emergency facility as soon as possible.
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
A client calls the emergency department and tells the nurse that he came directly into contact
with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and
asks the nurse what to do. The nurse should make which response?
1. "Come to the emergency department."
2. "Apply calamine lotion immediately to the exposed skin areas."
3. "Take a shower immediately, lathering and rinsing several times."
4. "It is not necessary to do anything if you cannot see anything on your skin."
3
When an individual comes in contact with a poison
ivy plant, the sap from the plant forms an invisible film on the human skin. The client should be
instructed to cleanse the area by showering immediately and to lather the skin several times
and rinse each time in running water. Removing the poison ivy sap will decrease the likelihood
of irritation. Calamine lotion
may be one product recommended for use if dermatitis
develops. The client does not need to be seen in the emergency department at this time.
A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg.
During the admission assessment, the nurse expects to note which finding?
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, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025
1. An inflammation of the epidermis only
2. A skin infection of the dermis and underlying hypodermis
3. An acute superficial infection of the dermis and lymphatics
4. An epidermal and lymphatic infection caused by Staphylococcus
2
Cellulitis is an infection of the dermis and underlying hypodermis that results in deep red
erythema without
sharp borders and spreads widely throughout tissue spaces. The skin is erythematous,
edematous, tender, and sometimes nodular. Erysipelas is an acute, superficial, rapidly
spreading inflammation of the dermis and lymphatics. The infection is not superficial and
extends deeper than the epidermis.
The clinic nurse assesses the skin of a client with psoriasis after the client has used a new
topical treatment for 2 months. The nurse identifies which characteristics as improvement in the
manifestations of psoriasis? (SELECT ALL THAT APPLY)
1. Presence of striae
2. Palpable radial pulses
3. Absence of any ecchymosis on the extremities
4. Thinner and decrease in the number of reddish papules
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5. Scarce amount of silvery-white scaly patches on the arms
4, 5
Psoriasis skin lesions include thick reddened papules or plaques covered by silvery-white
patches. A decrease in the severity of these skin lesions is noted as an improvement. The
presence of striae (stretch marks), palpable pulses, or lack of ecchymosis is not related to
psoriasis.
The clinic nurse notes that the health care provider has documented a diagnosis of herpes
zoster (shingles) in the client's chart. Based on an understanding of the cause of this disorder,
the nurse determines that this definitive diagnosis was made by which diagnostic test?
1. Positive patch test
2. Positive culture results
3. Abnormal biopsy results
4. Wood's light examination indicative of infection
2
With the classic presentation of herpes zoster, the
clinical examination is diagnostic. However, viral culture of the lesion provides a definitive
diagnosis. Herpes zoster (shingles) is caused by a reactivation of the varicella-zoster virus, the
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