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A client with scabies has been prescribed a scabicide. What should the nurse tell the client to do before beginning treatment?
- A. Wear clean clothing.
- B. Avoid contact with others who have scabies.
- C. Expect itching to continue for 2 to 3 weeks after the treatment.
- D. Have a thorough bath.
Correct Answer: D
Rationale: Before any treatment begins, the nurse advises the client to bathe thoroughly. Wearing clean clothing and avoiding contact with others who have scabies are essential in preventing a recurrence. As a part of client teaching, the nurse explains that itching may continue for 2 to 3 weeks after the treatment.
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A client has been diagnosed with melanoma. What treatment option can the nurse expect will be used?
- A. Cryosurgery
- B. Radical excision
- C. Radiation therapy
- D. Laser surgery
Correct Answer: B
Rationale: The treatment of a melanoma involves radical excision of the tumor and adjacent tissues, followed by chemotherapy. Laser surgery and cryosurgery are not used in the treatment of melanoma. Radiation is used in some types of cancer.
The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
- A. Flushed facial appearance
- B. Blush pallor of the skin.
- C. Large facial pores.
- D. Orange peel skin texture
Correct Answer: A
Rationale: The nurse is correct to identify the earliest symptom of rosacea as being a flushed appearance across the nose, forehead, cheeks, and chin. Other symptoms include a sunburn appearance to the skin, solid papules or pustules, large facial pores, and an orange peel texture to the skin. Large facial pores and orange peel skin texture are found in the later stages as the disease progresses.
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
- A. Use commercial grade laundry detergent.
- B. Pretreat clothing where scabies contact existed.
- C. Wash clothes through two laundry cycles.
- D. Use hot water throughout wash cycle.
Correct Answer: D
Rationale: The nurse is correct to instruct the client to use hot water throughout the wash cycle. Using hot water kills scabies and infectious agents on the laundry. If using the correct wash settings, the client does not need to use commercial-grade laundry detergent; the clothing does not need pretreated nor washed through two cycles.
The nurse is instructing the client on the correct toenail trimming technique when having onychocryptosis. Which instruction made by the nurse is best?
- A. Use scissors and trim the toenails in a semicircle.
- B. Use nail clippers and round the corners on the end.
- C. Tear the nail across, allowing the nail to be removed.
- D. Use nail clippers allowing the ends of the nails to be longer than the toes.
Correct Answer: D
Rationale: The nurse is correct to instruct the client that proper nail trimming for a client with onychocryptosis is to use a nail clipper and allow the ends of the nail to be longer than the end of the toes. The ends of the nails should not be rounded off. The other options are not best for the ingrown toenail condition.
The nurse is preparing to care for a client's new tattoo. Which action would the nurse take first?
- A. Cover the new tattoo with antibiotic ointment.
- B. Wash hands prior to gloving.
- C. Place a sterile gauze dressing over the tattoo.
- D. Teach the client to use a sunscreen (SPF 30) while in the sun.
Correct Answer: B
Rationale: As with any wound care, the nurse performs hand hygiene prior to donning gloves. The nurse is then ready to care for the newly tattooed skin. Antibiotic ointment is applied each day for 5 days. A sterile dressing is used to cover the tattoo for the first 12 hours. Sunscreen is good protection for the tattoo but not as part of a new tattoo treatment regimen.