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The client is being discharged after being in the burn unit for six (6) weeks. Which strategies should the nurse identify to promote the client’s mental health?
- A. Encourage the client to stay at home as much as possible.
- B. Discuss the importance of not relying on the family for needs.
- C. Tell the client to remember that changes in lifestyle take time.
- D. Instruct the client to discuss feelings only with the therapist.
Correct Answer: C
Rationale: Acknowledging lifestyle changes promotes mental health by fostering realistic expectations. Isolation, independence from family, or limiting discussions hinder recovery.
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The client is receiving UV light treatments for psoriasis along with methoxsalen, a photosensitizing agent. What precaution should be followed the first day after treatment?
- A. Wear ultraviolet B-protective sunglasses.
- B. Avoid applying skin ointments and lotions.
- C. Check for elevated temperature every 4 hours.
- D. Stop treatments if skin redness or erythema occurs.
Correct Answer: A
Rationale: Treatment with methoxsalen (Uvadex) enhances sensitivity of the eyes to sunlight. Sunglasses that provide UVB protection need to be worn for at least 24 hours following treatments. Skin ointments may be prescribed. Temperature monitoring is not needed. Redness and erythema are normal responses.
Which finding in the health history would the nurse expect of a client with otosclerosis?
- A. Hearing loss beginning in childhood
- B. Upper respiratory infections with high fevers
- C. One or more relatives similarly diagnosed
Correct Answer: C
Rationale: Otosclerosis often has a familial component, with relatives affected.
The health department nurse is caring for the client who has leprosy (Hansen’s disease). Which assessment data indicate the client is experiencing a complication of the disease?
- A. Elevated temperature at night.
- B. Brownish-black discoloration to the skin.
- C. Reduced skin sensation in the lesions.
- D. A high count of mycobacteria in the culture.
Correct Answer: C
Rationale: Reduced sensation in lesions indicates nerve damage, a leprosy complication. Night fevers, discoloration, and bacterial load are less specific.
An electrician was wearing a glove that had a hole in it when he grabbed a 'hot' wire. His coworkers came to him immediately and called the rescue squad. When the industrial nurse reached him, the electric current had been shut off. What action should the nurse take initially?
- A. Dress the entrance and exit wounds
- B. Check respirations and pulse rate
- C. Remove clothing from the burned area
- D. Roll him in a blanket
Correct Answer: B
Rationale: Checking respirations and pulse rate is the initial action to assess for life-threatening complications, such as cardiac arrhythmias, common in electrical burns.
Which information is most appropriate to include in the discharge instructions for the client who has undergone a cataract extraction?Select all that apply.
- A. Avoid bending over from the waist.
- B. Sleep with the head slightly elevated.
- C. Wash hands before applying eye drops
- D. Sleep with the head elevated
Correct Answer: A,B,C,D
Rationale: Avoiding bending and elevating the head reduce intraocular pressure and promote healing.