Nokea
The home health nurse is visiting an elderly client who shows the nurse an area of rough skin with a greasy feel and multiple papules. Which information should the nurse provide the client?
- A. Contact the health-care provider immediately for an appointment.
- B. Tell the client this is a normal aging change and no action should be taken.
- C. Tell the client to discuss this with the HCP at the next appointment.
- D. Have the client buy a wart remover kit at the store.
Correct Answer: C
Rationale: Rough, greasy papules may indicate seborrheic keratosis, requiring HCP evaluation at the next visit. Immediate visits, dismissing as normal, or OTC wart removers are inappropriate.
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Which nursing action is most helpful for reducing or eliminating feedback from the client's hearing aid?
- A. Repositioning the hearing aid within the ear
- B. Cleaning the hearing aid with a soft cloth
- C. Replacing the battery in the hearing aid
- D. Turning down the volume in the hearing aid
Correct Answer: A
Rationale: Repositioning corrects improper fit, reducing feedback noise.
Which response by the nurse is best at this time?
- A. I'm sure you will look absolutely gorgeous.
- B. I didn't think you were unattractive before.
- C. Your face is swollen with bruises around the eyes.
- D. Your personality is more important than your looks.
Correct Answer: C
Rationale: An honest response about expected swelling prepares the client for recovery.
The nurse should instill the eyedrops into which part of the client's eye?
- A. Onto the cornea
- B. The three carnaus
- C. At the outer canthus
- D. In the lower conjunctival sac
Correct Answer: D
Rationale: Instilling drops in the lower conjunctival sac ensures proper distribution and minimizes corneal irritation.
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.
There is an outbreak of scabies in a long-term care facility. Which instruction should the infection control nurse provide to all client care staff concerning the transmission of this parasitic infection?
- A. Use only hand-washing foam when caring for clients with scabies.
- B. Wear gloves when providing hands-on care for a client with scabies.
- C. Wash all linen and clothes in cold water and dry them outside in the sun.
- D. Instruct clients to use plastic eating utensils for meals.
Correct Answer: B
Rationale: Gloves prevent scabies transmission during direct contact. Hand-washing foam is insufficient, hot water washing is needed, and plastic utensils are irrelevant.