Nokea
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.
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The nurse is preparing the client scheduled for a dermabrasion. Which information should the nurse include while teaching the client?
- A. Erythema will go away within 24 hours.
- B. Do not change the dressing until seen by the HCP.
- C. Stay out of extreme cold or heat situations.
- D. Avoid direct sunlight for three (3) days.
Correct Answer: C
Rationale: Avoiding extreme temperatures protects healing skin post-dermabrasion. Erythema persists longer, dressings may be changed, and sunlight avoidance lasts weeks.
The client who is debilitated and has developed multiple pressure ulcers complains to the nurse during a dressing change that he is 'tired of it all.' Which is the nurse’s best therapeutic response?
- A. These wounds can heal if we get enough protein into you.'
- B. Are you tired of the treatments and needing to be cared for?'
- C. Why would you say that? We are doing our best.'
- D. Have you made out an advance directive to let the HCP know your wishes?'
Correct Answer: B
Rationale: Reflecting the client’s feelings encourages discussion, addressing emotional distress. Protein focus, defensiveness, or advance directives dismiss the client’s emotions.
When the nurse prepares the client for the myringotomy, which statement best explains the purpose of the procedure?
- A. A myringotomy prevents permanent hearing loss.
- B. A myringotomy provides a pathway for drainage.
- C. A myringotomy aids in administering medications.
- D. A myringotomy maintains motion of the ear bones.
Correct Answer: B
Rationale: A myringotomy creates an opening for fluid drainage, relieving pressure.
Which subjective symptom is the client most likely to report to the nurse?
- A. Burning
- B. Pressure
- C. Vertigo
- D. Pain
Correct Answer: C
Rationale: Vertigo is a hallmark symptom of Meniere's disease due to inner ear fluid imbalance.
Before the client's arrival, which services should the nurse anticipate will facilitate this client's recovery? Select all that apply.
- A. Nutritional consult
- B. Nutritional therapy
- C. Enterostomal therapy
- D. Psychiatric therapy
- E. Physician consult
- F. Occupational therapy
Correct Answer: A,B,C,E,F
Rationale: These services address nutrition, wound care, medical oversight, and functional recovery.