Nokea
A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports. Which action should the nurse take?
- A. Advise the teenager to shower with non-perfumed soaps immediately after practice.
- B. Inform the parents of problems associated with perspiration for those with eczema.
- C. Inform the athletic coach of the teenager's skin condition and its manifestations.
- D. Encourage the teenager to join the swim team instead of an outdoor sport.
Correct Answer: A
Rationale: Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
You may also like to solve these questions
An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone. To which organization should the parish nurse refer this client?
- A. The Social Security Administration office.
- B. The Senior Citizen Center.
- C. The Women, Infants, and Children office.
- D. The Adult Day Care Center.
Correct Answer: B
Rationale: The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client's weight loss and potential social isolation.
The nurse is collaborating with a Parent-Teacher Organization (PTO) to enhance safety for children walking to and from a nearby elementary school. Which action should the nurse include to achieve this goal?
- A. Assist the residents in planning a campaign to remind drivers passing through the school zone to always wear seatbelts.
- B. Advise the residents to keep their porch lights on during the hours when children are walking to and from school.
- C. Encourage residents with older homes along the school route to have their homes inspected for high lead levels.
- D. Facilitate a discussion about the advantages of having designated safe houses located throughout the school neighborhood.
Correct Answer: D
Rationale: Facilitating a discussion about the advantages of having designated safe houses located throughout the school neighborhood can significantly enhance the safety of children walking to and from school. Safe houses can provide a secure place for children to go if they feel threatened or in danger while walking to or from school.
The nurse is caring for a patient with the sexually transmitted infection (STI) gonorrhea. The patient reports having multiple sexual partners. What response should the nurse provide?
- A. Emphasize that practicing safe sex eliminates the risk of STIs.
- B. Instruct the patient on the importance of informing sexual partners.
- C. Discuss that partners without similar symptoms may not be infected.
- D. Clarify that all STIs are transmitted through sexual intercourse.
Correct Answer: B
Rationale: Informing sexual partners about a gonorrhea diagnosis is crucial. Gonorrhea is a highly contagious infection that can be transmitted through sexual contact. If a person has been diagnosed with gonorrhea, their sexual partners may also be at risk and should be informed so they can seek testing and treatment if necessary.
A student at an elementary school health fair reports having itchy circles on the lower legs. Which skin assessment finding should the nurse prioritize for immediate intervention?
- A. Patches of round lesions on both lower legs.
- B. Red ring-shaped lesions with normal skin in the center.
- C. Itchy, red, scaly patches with blisters that are draining.
- D. Several irritated circular bald, flaky scalp patches.
Correct Answer: C
Rationale: Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.
A patient is admitted to the emergency department with symptoms resembling the flu. What information should the nurse gather to rule out exposure to anthrax spores?
- A. Determine the patient's occupation.
- B. Identify the patient's personal contacts over the past week.
- C. Obtain a twenty-four-hour diet history.
- D. Inquire about previous vaccination for smallpox.
Correct Answer: A
Rationale: Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. Certain occupations, such as those involving livestock or animal products, may increase the risk of exposure to anthrax spores.