Nokea
The nurse has assessed a client's superficial fungal infection that began in the skin between the toes and has spread to the soles of the feet. How would the nurse document this finding?
- A. Tinea corporis
- B. Tinea capitis
- C. Tinea pedis
- D. Tinea cruris
Correct Answer: C
Rationale: Tinea pedis is an infection that begins in the skin between the toes and spreads to the soles of the feet. Tinea corporis is a skin infection of the body. Tinea capitis invades the hair shaft below the scalp. Tinea cruris is a skin infection of the groin.
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A client recently received lip and tongue piercings and subsequently developed a superinfection of candidiasis from the antibacterial mouthwash. What would the nurse recommend for this client?
- A. Use an antifungal mouthwash or salt water.
- B. Use a soft-bristled toothbrush.
- C. Rinse the mouth after eating food.
- D. Move the piercing back and forth during washing.
Correct Answer: A
Rationale: The client can substitute an antifungal mouthwash or salt water if a superinfection of candidiasis develops from the antibacterial mouthwash. A soft-bristled toothbrush should be used to avoid additional oral injury, but it is not the recommended solution for this problem. After eating, the client should rinse the mouth for 30 to 60 seconds with an antifungal mouthwash or salt water. Moving the jewelry at the piercing area back and forth during washing helps clean the pierced tract but does not solve the problem.
The nurse is assessing a client with onychocryptosis. Which of the following is evident if the tissue is infected?
- A. Pressure
- B. Redness and swelling
- C. Pain
- D. Purulent drainage and an odor
Correct Answer: D
Rationale: Purulent leakage and an odor are evident if the tissue is infected. A client with onychocryptosis feels a local pressure from the abnormal nail growth, but this is not a sign of the tissue being infected. Redness, swelling, and pain occur where the nail pierces the adjacent tissue.
The nurse is assessing a client experiencing an exacerbation of plaque psoriasis. The nurse assesses the area and documents a proliferation of which cell type?
- A. Dermal
- B. Epidermal
- C. Endothelial
- D. Epithelial
Correct Answer: B
Rationale: The nurse is correct to document that the proliferation of skin cells occurs in the first layer of skin cells, the epidermis. In the epidermal layer, there is rapid turnover of the cells. The dermis is under the epidermis. Endothelial is the layer on the inside such as the interior of the blood vessel. Epithelial are on the outside or coating of walls.
A client with scabies has been prescribed a scabicide. What should the nurse tell the client to do before beginning treatment?
- A. Wear clean clothing.
- B. Avoid contact with others who have scabies.
- C. Expect itching to continue for 2 to 3 weeks after the treatment.
- D. Have a thorough bath.
Correct Answer: D
Rationale: Before any treatment begins, the nurse advises the client to bathe thoroughly. Wearing clean clothing and avoiding contact with others who have scabies are essential in preventing a recurrence. As a part of client teaching, the nurse explains that itching may continue for 2 to 3 weeks after the treatment.
A client has just been diagnosed with rosacea. The nurse knows that initial treatment of rosacea includes what?
- A. Corticosteroids
- B. Antibiotics
- C. Antifungals
- D. Retinoids
Correct Answer: B
Rationale: Physicians treat rosacea initially with oral antibiotics, such as minocycline (Minocin). Corticosteroids are used in some skin disorders for their anti-inflammatory effect. Antifungals are used for the treatment of fungal infections. Retinoids are used in the treatment of acne.