Nokea
If a client with psoriasis is to begin NB-UVB phototherapy, how long should the initial treatment be?
- A. 30 seconds to 1 minute
- B. 1 to 2 minutes
- C. 5 to 10 minutes
- D. 15 to 20 minutes
Correct Answer: A
Rationale: Initial NB-UVB phototherapy starts with 30 seconds to 1 minute (A) to assess skin tolerance and prevent burns. Longer durations (B, C, D) are used in subsequent sessions.
You may also like to solve these questions
The nurse has an order to give 1,000 mL of 0.9% NS with 20 meQ of potassium chloride over 8 hours. The IV set has a drop factor of 15. How many gtts/min should the client receive?
Correct Answer: 31
Rationale: Rate = 1,000 mL ÷ 8 hr = 125 mL/hr. Drops/min = (125 mL/hr × 15 gtts/mL) ÷ 60 min = 31.25 gtts/min, rounded to 31 gtts/min.
A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?
- A. Lactated Ringers
- B. Normal saline
- C. D10W
- D. Normosol R
Correct Answer: C
Rationale: D10W provides dextrose to prevent hypoglycemia, a risk when TPN (high in glucose) is abruptly stopped. Saline or other fluids don't provide necessary glucose.
A client with heart failure has a left ventricular ejection fraction of 38%. When educating the client about managing the condition, which of the following advice should the nurse include? Select all that apply.
- A. The client should take frequent rest periods.
- B. The client should avoid strenuous activities.
- C. The client should stop all exercises.
- D. The client should stop smoking.
- E. The client should limit alcohol intake to 2 to 3 drinks daily.
Correct Answer: A,B,D
Rationale: Rest periods (A), avoiding strenuous activities (B), and stopping smoking (D) manage heart failure. All exercise (C) is not stopped; moderate activity is encouraged. Alcohol should be minimal, not 2-3 drinks (E).
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?
- A. My son plays the tuba in the grade school band.
- B. My son loves to help his dad rake leaves.
- C. My son participates in after-school activities three days a week.
- D. My son walks one mile to school every day with his friends.
Correct Answer: B
Rationale: main cause of asthma is inhaled allergens (animal dander, mold, pollen, dust), would expose child to pollen and dust from leaves
A pediatric client is admitted to the hospital for treatment of diarrhea caused by an infection with salmonella. Which of the following most likely contributed to the child's illness?
- A. Brushing the family dog
- B. Playing with a turtle
- C. Taking a pony ride
- D. Feeding the family cat
Correct Answer: B
Rationale: Turtles are common carriers of Salmonella, which can be transmitted to children through handling, leading to gastrointestinal infection.