Nokea
The 55-year-old client contracted chickenpox from his grandchild. The client had to be hospitalized because of the seriousness of the condition. Which complication is the client at risk for developing secondary to chickenpox?
- A. Deep vein thrombosis.
- B. Varicella pneumonia.
- C. Pericarditis.
- D. Scarring of the skin.
Correct Answer: B
Rationale: Varicella pneumonia is a serious complication in adults with chickenpox, especially older adults. DVT, pericarditis, and scarring are less common.
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The nurse is caring for a client who is having silver nitrate dressings. Which lab values should the nurse monitor?
- A. Blood urea nitrogen (BUN)
- B. Blood gases
- C. Complete blood count (CBC)
- D. Serum electrolytes
Correct Answer: D
Rationale: Silver nitrate can cause electrolyte imbalances, particularly hyponatremia and hypokalemia, requiring monitoring of serum electrolytes.
Which of the following would be the most appropriate action for the nurse to take when applying eye patches to the client?
- A. Occluding all sources of room light
- B. Ensuring that both patches exert tight pressure on the eyes
- C. Maintaining the client's eyelids in a closed position
- D. Making sure the client can see while the patches are in place
Correct Answer: C
Rationale: Keeping eyelids closed under patches prevents movement and further retinal damage.
The HCP prescribed Kwell lotion to be applied to the entire body. Which instructions should the nurse teach the client concerning this medication?
- A. Leave the lotion on for two (2) hours after applying it to the body.
- B. Make sure that the skin is completely dry before applying the lotion.
- C. Repeat total body lotion application daily for at least one (1) week.
- D. Put the lotion in the bathwater and soak for at least 20 minutes.
Correct Answer: B
Rationale: Kwell (lindane) is applied to dry skin to maximize efficacy and minimize irritation. Contact time is typically 6–8 hours, daily repetition is excessive, and bathwater use is incorrect.
Which nursing action is most appropriate at this time?
- A. Obtaining the client's pulse and blood pressure
- B. Monitoring the client for respiratory distress
- C. Identifying the client's next of kin
- D. Determining the extent of the burn
Correct Answer: B
Rationale: Burns to the chest and neck risk airway compromise, requiring respiratory monitoring.
Shortly before each debridement, which nursing intervention is essential?
- A. Keeping the client in a fasting state
- B. Witnessing a signed consent form
- C. Administering a prescribed analgesic
- D. Weighing the client on a bed scale
Correct Answer: C
Rationale: Analgesics are essential to manage pain during debridement.