Integumentary Med/surg

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A nurse is bathing a client with burn injuries in a hydrotherapy tub. The nurse limits the client’s hydrotherapy sessions to no more than 30 minutes to
minimize sodium loss

A client is hospitalized with extensive full thickness burns of both legs. In response to the client’s questions, the nurse explains that during the acute phase of burn injury, biological dressings are used to
promote healing

A client with an undiagnosed lesion on the back of his right hand is concerned about the possibility of skin cancer, the nurse responds based on the knowledge that most malignant tumors are
melanomas

When collecting data from a bedridden client admitted from home, the nurse notes a shallow crater in the epidermis of the client’s sacral area. The nurse documents the presence of a pressure ulcer, noting that it is a stage
II

To promote healing for a client with a large wound healing by secondary intention, the nurse recommends a diet high in protein and
vitamin C

A client is about to undergo a biopsy of a 6mm, bluish red lesion. In addition to a thorough skin examination, the nurse knows the most critical data to collect at this time should be the status of the client’s
regional lymph nodes

A client is brought to the emergency department with severe frost bite. The nurse knows the appearance of frost bitten tissue is a direct result of
red blood cell aggregation with microvascular occlusion

A client arrives at the emergency department with a snakebite of the lower left leg. What should the nurse do?
immobilize the limb below the level of the heart.

A client is prescribed 1% silver silvadene to be applied to her burn wounds twice daily. After 3 days of treatment, the nurse suspects an adverse reaction to the medication when the client develops
leukopenia

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Environmental hazards r/t skin Sun exposure Irritants and allergens Radiation Other Health promotions r/t skin Rest and sleep Exercise …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy The nurse is working on a surgical unit. Which surgical clients are most at risk for wound infection? 1.Wound …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy The nurse is performing wound care on a client. Which task indicates surgical asepsis? Preparing sterile surgical instruments for …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy The usual global surgery period for a major procedure is: 90 days Excision including simple closure of benign lesions …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Types of normal bacterial flora include the following: Gram-positive and gram-negative staphylococci, Pseudomonas, Streptococcus A pH of ____ to …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy A client w/ Respiratory Failure who is receiving mechanical ventilation. Which assessment is the priority for the nurse to …

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