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The client is complaining of burning, stabbing pain that radiates around the left rib cage area. The nurse cannot find any type of skin abnormality. Which action should the nurse implement?
- A. Transfer the client to the ED for a cardiac work-up.
- B. Inform the client that the nurse can’t see anything.
- C. Administer a nonnarcotic analgesic to the client.
- D. Ask the client if he or she has ever had chickenpox.
Correct Answer: D
Rationale: Burning pain along dermatomes without visible lesions suggests early herpes zoster, linked to prior chickenpox. Cardiac work-up, dismissal, or analgesics are premature.
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Which area of health teaching is essential when a female client is prescribed isotretinoin (Accutane)?
- A. Breast self-examination techniques
- B. Techniques for avoiding pregnancy
- C. Methods for predicting ovulation
- D. Information on preventing sexual transmission
Correct Answer: B
Rationale: Isotretinoin is teratogenic, requiring strict pregnancy prevention.
If the physician wants to check the client's intraocular pressure (IOP), which instrument should the nurse have available?
- A. Ophthalmoscope
- B. Tonometer
- C. Retinoscope
- D. Speculum
Correct Answer: B
Rationale: A tonometer measures intraocular pressure, essential for glaucoma assessment.
What is the best evidence that the antibiotic the nurse is administering for the treatment of acute otitis media is having a therapeutic effect?
- A. The ear feels less warm to the touch.
- B. Ear drainage is thin and watery.
- C. Ear discomfort is relieved.
Correct Answer: C
Rationale: Relief of ear discomfort indicates the infection is responding to treatment.
The experienced nurse is supervising the new nurse. The nurse should intervene if observing the new nurse performing which intervention?
- A. Applying skin lotion to the face, feet, and hands of the client with pemphigus
- B. Applying a skin emollient to the arms and legs of the client with scleroderma
- C. Informing the client with herpes simplex that the lesions are contagious until crusted
- D. Telling the client that ultraviolet light therapy is one option for treating acne vulgaris
Correct Answer: A
Rationale: The skin of a person with pemphigus is so مرور fragile that touching the skin can cause it to tear; the experienced nurse should intervene. In scleroderma, emollients relieve dry, itching skin. Herpes simplex lesions are contagious until crusted. UV light therapy is a treatment option for acne vulgaris.
The nurse is teaching the client diagnosed with atopic dermatitis. Which information should the nurse include in the teaching?
- A. Discuss skin care using hydrating lotions and minimal soap.
- B. Tell the client the methods of treating secondary infection.
- C. Explain there are no adverse effects to using topical corticosteroids daily.
- D. Warn the client inhaled allergens have been linked to exacerbations.
Correct Answer: A
Rationale: Hydrating lotions and minimal soap reduce atopic dermatitis flares. Secondary infections, corticosteroid risks, and allergens are secondary teaching points.