Nokea
The nurse is assessing the client using desoximetasone topical cream for an abdominal rash. Which finding should indicate to the nurse that the client is experiencing a known side effect from the medication?
- A. Skin discoloration
- B. Skin thickening
- C. Decreased striae
- D. Increased skin hair
Correct Answer: A
Rationale: The presence of skin discoloration such as purpura and hyperpigmentation should indicate to the nurse that the client has a side effect from using desoximetasone (Topicort). Thinning skin, not thickening, is a side effect. The presence of striae, not a decrease, is a side effect. Folliculitis, not increased skin hair, is a side effect.
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A client who has just been diagnosed with psoriasis asks the nurse what should be done to prevent family members from getting the condition. What should the nurse include when responding to this question?
- A. Showering daily with antiseptic soap should be sufficient.
- B. Wearing clothing over the affected part and washing clothes separately from the rest of the family are all that is necessary.
- C. Psoriasis is not contagious, so no special precautions are necessary.
- D. Psoriasis is transmitted primarily by direct contact with the skin.
Correct Answer: C
Rationale: Psoriasis is a non-contagious autoimmune condition, so no precautions are needed to prevent transmission to family members.
After reviewing the medical orders, which of the following is essential for the nurse to assess preoperatively?
- A. The client's face for skin lesions
- B. The client of the last dose of anticoagulant
- C. The client's right eye for drainage
- D. The client's left eye for signs of strain
Correct Answer: B
Rationale: Assessing the last anticoagulant dose is critical to prevent bleeding during surgery.
The school nurse is preparing to teach a health promotion class to high school seniors. Which information regarding self-care should be included in the teaching?
- A. Wear a sunscreen with a protection factor of 10 or less when in the sun.
- B. Try to stay out of the sun between 0300 and 0500 daily.
- C. Perform a thorough skin check monthly.
- D. Remember caps and long sleeves do not help prevent skin cancer.
Correct Answer: C
Rationale: Monthly skin checks detect early skin cancer changes. SPF 10 is inadequate, 0300–0500 is nighttime, and caps/long sleeves are protective.
The nurse correctly teaches the client that psoriasis is an inflammatory dermatosis that results from which skin condition?
- A. A superficial skin infection
- B. The effects of dermal abrasion
- C. A proliferation of epidermal cells
- D. An infection of the hair follicles
Correct Answer: C
Rationale: Psoriasis involves rapid epidermal cell turnover.
Which statement by the nurse most accurately explains the pathophysiology of conductive hearing loss?
- A. Sound waves do not travel to the inner ear.
- B. There is a malfunction of inner ear structures.
- C. The auditory nerve does not transmit sound to the brain.
Correct Answer: A
Rationale: Conductive hearing loss occurs when sound waves are blocked from reaching the inner ear.