Nokea
Aside from blood on the anterior end of the packing, what other sign or symptom would suggest that the client is bleeding from the operative area?
- A. Frequent swallowing
- B. Impaired appetite
- C. Slight hoarseness
- D. Diminished hearing
Correct Answer: A
Rationale: Frequent swallowing may indicate blood trickling down the throat.
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Which statement by the nurse most accurately explains the pathophysiology of conductive hearing loss?
- A. Sound waves do not travel to the inner ear.
- B. There is a malfunction of inner ear structures.
- C. The auditory nerve does not transmit sound to the brain.
Correct Answer: A
Rationale: Conductive hearing loss occurs when sound waves are blocked from reaching the inner ear.
The nurse is assessing the client using desoximetasone topical cream for an abdominal rash. Which finding should indicate to the nurse that the client is experiencing a known side effect from the medication?
- A. Skin discoloration
- B. Skin thickening
- C. Decreased striae
- D. Increased skin hair
Correct Answer: A
Rationale: The presence of skin discoloration such as purpura and hyperpigmentation should indicate to the nurse that the client has a side effect from using desoximetasone (Topicort). Thinning skin, not thickening, is a side effect. The presence of striae, not a decrease, is a side effect. Folliculitis, not increased skin hair, is a side effect.
The nurse identifies the concept of impaired skin integrity for a pediatric client diagnosed with impetigo on the arms. Which interventions should the nurse implement?
- A. Teach the parents to ensure the child takes all the prescribed antibiotics.
- B. Give the parents a written excuse so the child can go back to school.
- C. Encourage the parents to bathe the child in an oatmeal bath for the itching.
- D. Apply topical lidocaine before debriding the crusts from the lesions.
Correct Answer: A
Rationale: Completing antibiotics ensures impetigo resolution, addressing skin integrity. School return requires clearance, oatmeal baths are for comfort, and lidocaine is unnecessary.
The nurse is discussing the prevention of herpes simplex 2. Which intervention should the nurse discuss with the client?
- A. Encourage the client to get the chickenpox immunization.
- B. Do not engage in oral sex if you have a cold sore on the mouth.
- C. Wear nonsterile gloves when cleaning the genital area.
- D. Do not share any type of towel or washcloth with another person.
Correct Answer: B
Rationale: Avoiding oral sex with a cold sore (HSV-1) prevents HSV-2 transmission to genitals. Chickenpox vaccine, gloves, and towels are unrelated.
What is the most common profile of a client with malignant melanoma?
- A. An African American client with dark skin and dark hair
- B. A Scandinavian client with freckles and blue eyes
- C. A Mexican client with tan skin and dark brown hair
- D. A Caucasian client with brown hair and brown eyes
Correct Answer: B
Rationale: Fair-skinned individuals with freckles are at higher risk for melanoma.