Nokea
A client has an ingrown toenail. About what self-management measure does the nurse teach the client?
- A. Long-term antibiotic use
- B. Shoe padding
- C. Toenail trimming by the client
- D. Warm moist soaks and proper nail trimming by a podiatrist
Correct Answer: D
Rationale: Proper treatment for an ingrown toenail includes warm moist soaks and professional nail trimming by a podiatrist to prevent recurrence. Long-term antibiotics are unnecessary, shoe padding does not treat the condition, and self-trimming can worsen it.
You may also like to solve these questions
A client is admitted with a bone tumor. The nurse finds the client weak and lethargic with decreased deep tendon reflexes. What actions by the nurse are best? (Select all that apply.)
- A. Assess the daily serum calcium level
- B. Consult the provider about a loop diuretic
- C. Institute seizure precautions for the client
- D. Raise the head of the bed
- E. Place the client on a 1500 mL fluid restriction
Correct Answer: A,B,D
Rationale: Weakness, lethargy, and decreased reflexes suggest hypercalcemia, common in bone tumors. Assessing serum calcium, consulting for loop diuretics, and raising the head of the bed to promote safety are appropriate. Seizure precautions and fluid restrictions are not indicated.
A client with Paget's disease is hospitalized for an unrelated issue. The client reports pain and it is not yet time for more medication. What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
- A. Administering pain medication
- B. Applying a heating pad
- C. Providing a massage
- D. Referring the client to a support group
- E. Using a bed cradle to lift sheets off the feet
Correct Answer: B,C
Rationale: Heat and massage are nonpharmacologic comfort measures for Paget's disease pain that can be delegated to a UAP. Administering medication and referrals are nursing responsibilities, and a bed cradle is unnecessary.
An older client with diabetes is admitted with a heavily draining leg wound. The client's white blood cell count is 38,000/mm³ but the client is afebrile. What action does the nurse take first?
- A. Administer acetaminophen (Tylenol)
- B. Place the client on contact isolation
- C. Refer the client to the wound care nurse
- D. Obtain wound cultures
Correct Answer: C
Rationale: A heavily draining wound suggests potential infection, and the elevated white blood cell count supports this. Placing the client on contact isolation is the priority to prevent the spread of infection. Acetaminophen is unnecessary without fever, wound cultures follow isolation, and referral to a wound care nurse is secondary.
Which diagnostic tests are used to confirm muscular dystrophy? (Select all that apply.)
- A. Electromyography
- B. Muscle biopsy
- C. Nerve conduction studies
- D. Serum aldolase
- E. Creatinine kinase levels
Correct Answer: A,B,D,E
Rationale: Electromyography, muscle biopsy, serum aldolase, and creatinine kinase levels are used to diagnose muscular dystrophy. Nerve conduction studies are not relevant to this condition.
The nurse studying osteoporosis learns that which drugs can cause this disorder? (Select all that apply.)
- A. Corticosteroids
- B. Anticonvulsants
- C. Loop diuretics
- D. Proton pump inhibitors
- E. Selective serotonin reuptake inhibitors
Correct Answer: A,B,D,E
Rationale: Corticosteroids, anticonvulsants, proton pump inhibitors, and SSRIs are associated with bone loss and osteoporosis risk. Antibiotics are not typically linked to this condition.