AUNDERS COMPExam (elaborations) SREHENSIVE REVIEW W FOR NCLEX THREE

SAUNDERS COMPREHENSIVE REVIEW FOR NCLEX THREE
(Recovered)
1) The nurse performs an assessment on a client admitted
with contact dermatitis. Which signs and symptoms should
the nurse look for? Click here for answers
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2) The nurse is providing home care instructions to the
client who just had surgery for squamous cell carcinoma.
The nurse provides follow-up teaching and explains to the
client to watch for which characteristics of this type of
skin carcinoma?
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3) The nurse is teaching the client about risk factors for
skin cancer. Which statements by the client indicate that
teaching was successful? Select all that apply.
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4) The nurse is assessing a dark-skinned client for signs of
anemia. The nurse should focus the assessment on which
structures? Select all that apply.
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5) The nurse is providing teaching to a client who will
undergo chemotherapy for cancer, and alopecia is expected
from the chemotherapeutic agent. Which statement made by
the client indicates a need for further teaching?
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6) The nurse is caring for a client with full-thickness
circumferential burns of the entire trunk of the body.
Which finding suggests that an escharotomy may be
necessary?
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7) A client with chloasma is extremely stressed about the
change in her facial appearance. Which integumentary
change observed by the nurse is consistent with this
problem?

,8) The nurse is planning care for a client who suffered a
burn injury and has a negative self-image related to
keloid formation at the burn site. The keloid formation
is indicative of which condition?
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9) The nurse observes the client's sacrum and notes the
following. How will the nurse document this in the
client's medical record? Refer to figure.

View Figure
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10) A client recently diagnosed with chronic kidney disease
requiring hemodialysis has an arteriovenous fistula for
access. The client asks the nurse what complications can
occur with the access site. What complications should the
nurse inform the client about? Select all that apply.
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11) The nurse has completed discharge teaching for a client
who was admitted for reticular skin lesions. Which
statement by the client indicates understanding of the
discharge instructions?
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12) A client exhibits erythema of the skin. The nurse plans
care, knowing that which factors are responsible for this
finding? Select all that apply.
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13) An older client's physical examination reveals the
presence of a fiery star-shaped marking with a circular,
solid center. The nurse recognizes that these findings,
which are caused by capillary radiations extending from
the central arterial body, are representative of which
lesions?
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14) An older client is lying in a supine position. The
nurse understands that the client is at least risk for
skin breakdown in which body area?

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15) In planning care for the client with psoriasis, the
nurse understands that which represents a priority client
problem?
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16) The nurse is performing an admission assessment on a
client diagnosed with paronychia. The nurse should plan
to assess which part of the integumentary system first?
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17) A client exhibits a purplish bruise to the skin after a
fall. The nurse would document this finding in the health
record most accurately using which term?
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18) A client is diagnosed with a full-thickness burn. What
should the nurse anticipate will be used for final
coverage of the client's burn wound?
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19) The nurse is providing instructions to a client with
psoriasis who will be receiving ultraviolet (UV) light
therapy. Which statement would be most appropriate for
the nurse to include in the client's instructions?
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20) The nurse in the surgical care center will be assisting
the health care provider to perform a punch biopsy of a
client's skin lesion. Which interventions should be
included in the preprocedure plan of care? Select all
that apply.
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21) The nurse is developing a teaching plan for a group of
adolescents regarding the causes of acne. The nurse
develops the plan based on which characteristics
associated with acne? Select all that apply.
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, 22) The nurse is reviewing the health care records of
clients scheduled to be seen at a health care clinic. The
nurse determines that which client is at the greatest
risk for development of an integumentary disorder?
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23) A client scheduled for a skin biopsy is concerned and
asks the nurse how painful the procedure is. Which
statement is the appropriate response by the nurse?
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24) The nurse is preparing a client for punch biopsy. What
should the nurse do to prepare for this procedure?
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25) The nurse prepares to assist a health care provider who
is examining a client's skin with a Wood's light. Which
step should the nurse include in the plan for this
procedure? Click here for answers https://bit.ly/3iXzhBe
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26) The nurse prepares to treat a client with frostbite of
the toes. Which action should the nurse anticipate will
be prescribed for this condition?
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27) The presence of which finding leads the home health
nurse to suspect infestation of a client with scabies?
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28) The nurse suspects herpes zoster (shingles) when which
assessment finding is noted?
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29) Ultraviolet (UV) light therapy is prescribed as a
component of the treatment plan for a client with
psoriasis, and the nurse provides instructions to the
client regarding the treatment. Which statement by the
client indicates a need for further instruction?
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30) The nurse prepares to care for a client with acute
cellulitis of the lower leg. The nurse anticipates that
which interventions will be prescribed for the client?
Select all that apply.
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