Nokea
The client has tinea pedis. Which intervention should the nurse teach to the client?
- A. Soak feet in a vinegar-and-water solution.
- B. Wear shoes without any type of socks.
- C. Alternate shoes on a monthly basis.
- D. Cut toenails straight across.
Correct Answer: A
Rationale: Vinegar-water soaks create an acidic environment, reducing tinea pedis. Socks absorb moisture, alternating shoes daily (not monthly) helps, and toenail cutting is unrelated.
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During the initial assessment, the nurse can assist the physician in determining the etiology of the client's problem by assessing if there is a history of which condition?
- A. Recent nasal injury
- B. Respiratory allergies
- C. Previous nasal surgery
- D. A past tonsillectomy
Correct Answer: B
Rationale: Respiratory allergies are a common cause of nasal polyps.
The nurse is caring for the immobile client who is at risk for developing pressure ulcers. Which food should the nurse recommend?
- A. Assorted fruit salad
- B. Oatmeal with raisins
- C. Baked chicken breast
- D. Lettuce and tomato salad
Correct Answer: C
Rationale: Chicken is a high-protein food. Proteins are needed to help meet the body's needs for tissue repair and to maintain skin integrity. Fruit salad, oatmeal, and lettuce salad are high-fiber or carbohydrate foods, not high in protein.
After cleaning a client's prescription eyeglasses with soap and warm water or a commercial glass cleaner, which nursing action is best for drying the moist lenses?
- A. Rub the lenses with a paper tissue.
- B. Wipe the lenses with a soft cloth.
- C. But the lenses with a paper towel.
- D. Blow on the lenses to promote air drying.
Correct Answer: B
Rationale: A soft cloth prevents scratches and effectively dries the lenses.
The nurse is planning care for a newly burned client. What is the priority nursing observation to be made during the first 48 hours after the burn?
- A. Hourly blood pressure
- B. Assessment of skin color and capillary refill
- C. Hourly urine measurement
- D. Frequent assessment for pain
Correct Answer: C
Rationale: Hourly urine measurement is critical in the first 48 hours to monitor fluid resuscitation effectiveness and prevent hypovolemic shock.
Which statement made by the client to the nurse best indicates an understanding of when cataract surgery is needed?
- A. I'll need surgery when my loss of vision really interferes with my activities.
- B. I'll need surgery when I can't control the pain anymore with eyedrops.
- C. I'll need surgery when I start to feel self-conscious about my appearance.
- D. I'll need surgery when my cataracts are at their maximum density.
Correct Answer: A
Rationale: Surgery is indicated when vision loss significantly impacts daily activities.