Nokea
The client diagnosed with acute herpes zoster is prescribed oral acyclovir. Which statement by the client indicates the client needs more medication teaching?
- A. I am so glad this medication will cure my shingles.'
- B. I will have to take the pill five times a day.'
- C. I should take this medication for 7 to 10 days.'
- D. If the shingles gets near my eyes, I will call my HCP.'
Correct Answer: A
Rationale: Acyclovir shortens symptoms but doesn't cure herpes zoster, indicating a need for more teaching. Five times daily, 7-10 days, and eye involvement awareness are correct.
You may also like to solve these questions
The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?
- A. High risk for infection
- B. Ineffective coping
- C. Impaired physical mobility
- D. Knowledge deficit
Correct Answer: A
Rationale: Infection is the priority due to the extensive loss of skin barrier, increasing susceptibility to pathogens in severe burns.
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused assessment should the nurse complete next?
- A. Partial thromboplastin time
- B. Hemoglobin and hematocrit
- C. Liver enzymes
- D. Basic metabolic panel
Correct Answer: B
Rationale: Pallor conjunctivae signifies anemia. The nurse should assess the client's hemoglobin and hematocrit to confirm anemia. The other laboratory results do not relate to this client's potential anemia.
The elderly client diagnosed with poison ivy is prescribed a solumedrol (a steroid) dose pack. Which intervention should the nurse teach the client?
- A. Tell the client to return to the office in one (1) week for blood levels.
- B. Instruct the client to take the medication exactly as prescribed.
- C. Explain the medication should be taken on an empty stomach.
- D. Teach to stop the medication immediately if side effects occur.
Correct Answer: B
Rationale: Adherence to the prescribed steroid taper is crucial for efficacy and to avoid adrenal suppression.
A 38-year-old female patient states that she is using topical fluorouracil to treat actinic keratoses on her face. Which additional assessment information will be most important for the nurse to obtain?
- A. History of sun exposure by the patient
- B. Method of birth control used by the patient
- C. Length of time the patient has used fluorouracil
- D. Appearance of the treated areas on the patients face
Correct Answer: B
Rationale: Because fluorouracil is teratogenic, it is essential that the patient use a reliable method of birth control. The other information is also important for the nurse to obtain, but lack of reliable birth control has the most potential for serious adverse medication effects.
The nurse notes a thickening and hardening of the skin from continued irritation on an individual who is wheelchair-bound. What term should the nurse use to describe this finding?
- A. Crust
- B. Papule
- C. Excoriation
- D. Lichenification
Correct Answer: D
Rationale: Lichenification is thickened, hardened skin. A crust is a scab formed by dried serum. A papule is a raised solid lesion. Excoriation is a traumatic abrasion.