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The nurse is assessing the client diagnosed with scabies. Which assessment technique would be most appropriate?
- A. Gently palpate the affected area using sterile gloves.
- B. Apply vinegar to the affected area to identify the scabies.
- C. Use a magnifying glass and a penlight to visualize the skin.
- D. Obtain a Doppler to assess the movement of the mites.
Correct Answer: C
Rationale: Magnifying glass and penlight visualize scabies burrows and mites. Palpation is unnecessary, vinegar is irrelevant, and Doppler is for vascular assessment.
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The nurse is caring for the client who is diagnosed with a carbuncle. Which home measures should the nurse discuss? Select all that apply.
- A. Leave the draining lesion open to the air so it dries.
- B. Use strict hand washing to prevent cross-contamination.
- C. Cover the mattress and pillows with plastic covers.
- D. Apply ice to the affected area 20 minutes twice daily.
- E. Wash all linens, towels, and clothing after each use.
- F. Remove all throw rugs to prevent tripping or falls.
Correct Answer: B,C,E
Rationale: Treatments for an infected lesion should include strict hand washing to prevent cross-contamination. Covering mattress and pillows with plastic covers and washing all linens, towels, and clothing after each use will prevent cross-contamination. Leaving the lesion open to air is not advised; a dressing is needed. Applying ice or removing throw rugs does not pertain to carbuncle treatment.
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.
The 55-year-old client contracted chickenpox from his grandchild. The client had to be hospitalized because of the seriousness of the condition. Which complication is the client at risk for developing secondary to chickenpox?
- A. Deep vein thrombosis.
- B. Varicella pneumonia.
- C. Pericarditis.
- D. Scarring of the skin.
Correct Answer: B
Rationale: Varicella pneumonia is a serious complication in adults with chickenpox, especially older adults. DVT, pericarditis, and scarring are less common.
The nurse is preparing the plan of care for a client diagnosed with psoriasis. Which intervention should the nurse include in the plan of care?
- A. Apply a thin dusting with Mycostatin, an antifungal powder, over the area.
- B. Cover the area with an occlusive dressing after applying a steroid cream.
- C. Administer acyclovir, an antiviral medication, to the affected areas six (6) times a day.
- D. Teach the client the risks and hazards of implanted radiation therapy.
Correct Answer: B
Rationale: Occlusive dressings with steroids enhance absorption, treating psoriasis. Mycostatin is for fungal infections, acyclovir is for viral infections, and radiation is irrelevant.
Which client signs and symptoms indicate contact dermatitis to the nurse?
- A. Erythema and oozing vesicles.
- B. Pustules and nodule formation.
- C. Varicosities and edema.
- D. Telangiectasia and flushing.
Correct Answer: A
Rationale: Erythema and oozing vesicles are hallmark signs of contact dermatitis. Pustules, varicosities, and telangiectasia suggest other conditions.