Nokea
A pediatric client with burns to the hands and arms has dressing changes with Sulfamylon (mafenide acetate) cream. The nurse is aware that the medication:
- A. Will cause dark staining of the surrounding skin
- B. Produces a cooling sensation when applied
- C. Can alter the function of the thyroid
- D. Produces a burning sensation when applied
Correct Answer: D
Rationale: Sulfamylon (mafenide acetate) causes a burning sensation upon application, which should be explained to the client.
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The nurse is preparing to administer a dose of prednisone (Deltasone) to a client with rheumatoid arthritis. The client asks, “Why do I need to take this medication?” Which of the following responses by the nurse is correct?
- A. It helps reduce inflammation and joint pain.
- B. It prevents infections in your joints.
- C. It increases calcium absorption in your bones.
- D. It promotes muscle strength.
Correct Answer: A
Rationale: prednisone is a corticosteroid that reduces inflammation and pain in rheumatoid arthritis
When caring for the child with autistic disorder, the nurse should:
- A. Take the child to the playroom to be with peers
- B. Assign a consistent caregiver
- C. Place the child in a ward with other children
- D. Assign several staff members to provide care
Correct Answer: B
Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.
A client with advanced Alzheimer's disease has been prescribed haloperidol (Haldol). What clinical manifestation suggests that the client is experiencing side effects from this medication?
- A. Cough
- B. Tremors
- C. Diarrhea
- D. Pitting edema
Correct Answer: B
Rationale: Haloperidol, an antipsychotic, can cause extrapyramidal side effects like tremors, which are common and indicate a neurological side effect.
The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:
- A. Fruits
- B. Salt
- C. Pepper
- D. Ketchup
Correct Answer: A
Rationale: Raw fruits may harbor bacteria, posing an infection risk for a neutropenic client on a minimal-bacteria diet.
The parents of a one-month-old boy bring their son to the clinic for evaluation of a possible right dislocated hip. If a diagnosis of unilateral dislocation of the right hip is made, which of the following symptoms will the nurse observe?
- A. Limited adduction of the right leg.
- B. Uneven gluteal fold and thigh creases.
- C. Increase in length of the right limb.
- D. Internal rotation of the right leg.
Correct Answer: B
Rationale: folds and creases will be longer and deeper on affected side