Question

A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

Answer 1

Correct Answers:

Increase in skin thinning
Decrease in subcutaneous tissue
Decrease in skin hydration

Rationale :

✓ As individuals age, the skin undergoes several degenerative changes. The epidermis thins due to reduced cell turnover and collagen depletion, making it more fragile. ✓ Subcutaneous fat diminishes, leading to decreased insulation and padding over bony prominences. ✓ Additionally, sebaceous and sweat gland activity declines, resulting in reduced skin hydration and dryness.

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Answer 2

Correct Answers:

Cleanse the area around the wound with sterile saline.

Rationale :

✨Proper wound culture technique requires minimizing contamination. ✨Cleansing the periwound area with sterile saline removes debris and surface bacteria, ensuring the culture reflects the true wound pathogens rather than external contaminants. ✨Swabbing the wound bed first risks false positives from surface microbes and sterile gloves are donned after cleansing to maintain an aseptic technique during specimen collection.

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Answer 3

Correct Answers:

Micrographic surgery
Electro surgery

Rationale :

✨Basal cell carcinoma is typically treated through surgical methods, with micrographic surgery being highly effective due to its precision in removing the tumor while preserving healthy tissue. ✨ Electro surgery may also be used for its ability to destroy the tumor through heat, but radiation therapy is usually reserved for more advanced cases.

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Answer 4

Correct Answers:

Pruritus

Rationale :

✓ Malignant melanoma often presents with pruritus (itching) due to cytokine release from tumor cells. ✓ Purulent drainage suggests infection (not typical of early melanoma), and a purplish hue is more indicative of Kaposi’s sarcoma. ✓ Melanomas typically appear as asymmetric, multicolored lesions with irregular borders

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Answer 5

Correct Answers:

Influenza-like symptoms

Rationale :

✨Genital herpes (HSV-2) often causes systemic symptoms during initial outbreaks, including fever, myalgia, and malaise. ✨White/flesh-colored growths suggest condylomata (HPV), anuria is unrelated, and green discharge indicates bacterial infection (e.g., gonorrhea). ✨These symptoms typically appear during the primary outbreak of the virus.

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Answer 6

Correct Answers:

Difficulty swallowing

Rationale :

✨Burns to the face, ears, and eyelids raise concern for inhalation injury, which can cause airway edema and obstruction. ✨Difficulty swallowing (dysphagia) signals impending respiratory compromise, making it the priority. ✨Tachycardia and pain are expected post-burn, and low urine output, while concerning, is less immediately life-threatening.

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Answer 7

Correct Answers:

The epidermis receives nutrition from the dermis.

Rationale :

✨The epidermis is avascular, meaning it does not contain blood vessels, adipose tissue, nerves, and blood vessels (all found in deeper layers). ✨ It relies on the dermis for nutrients and oxygen through diffusion, which is why any damage to the dermis can lead to delayed healing of skin injuries.

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Answer 8

Correct Answers:

The epidermis receives nutrition from the dermis.

Rationale :

✨The epidermis is avascular, meaning it does not contain blood vessels, adipose tissue, nerves, and blood vessels (all found in deeper layers). ✨ It relies on the dermis for nutrients and oxygen through diffusion, which is why any damage to the dermis can lead to delayed healing of skin injuries.

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Answer 9

Correct Answers:

0.8

Rationale :

✓ To calculate the required dose, use the formula: ✓ Desired dose/Available concentration × Volume= mL to administer ✓ Here, 100/250 × 2 = 0.8mL This ensures the correct dosage of hydrocortisone is administered.

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Answer 10

Correct Answers:

Inspect the mouth for signs of inhalation injuries.

Rationale :

✨In burn patients, airway assessment is the top priority, especially with facial/chest burns, as swelling or inhalation injury can rapidly obstruct the airway. ✨Signs like singed nasal hairs, soot in the mouth, hoarseness, or stridor indicate thermal injury to the respiratory tract. Immediate intervention (e.g., intubation) may be needed to prevent fatal airway occlusion.

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RN Medsurg ATI (burns)

No.

1 : A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

2 : A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

3 : A nurse is caring for a client who has questions concerning the various treatment options for his new diagnosis of basal cell carcinoma. Which of the following treatments should the nurse include in the discussion? (Select all that apply.)

4 : A nurse is caring for a client who has malignant melanoma. Which of the following findings should the nurse expect when assessing?

5 : A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

6 : A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority and report to the provider.

7 : A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

8 : A nurse is teaching a class about the epidermis. Which of the following information should the nurse include?

9 : A nurse is preparing to administer hydrocortisone 100 mg 1M daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.

10 : A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms Which of the following is the priority action the nurse should take?

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