The nurse is caring for a client in need of a blood transfusion. The client's family member wants to be considered to donate blood. The nurse notes that the family member has several tattoos and asks the family member when and where the last tattoo was obtained. If the family member obtained the last tattoo on February 14, 2021, in a state that does not regulate tattoo facilities, after which date would the family member be eligible to donate blood?
- A. After February 28, 2021
- B. After May 14, 2021
- C. After March 14, 2021
- D. After April 14, 2021
Correct Answer: B
Rationale: The American Red Cross (2021) rejects potential blood donors who have received a tattoo within 3 months if the tattoo was applied in a state that does not regulate tattoo facilities. Therefore, the earliest that the client's family member would be able to give blood is May 14, 2021. Two weeks, 1 month, and 2 months are insufficient amounts of time to wait after receiving a tattoo in a state that does not regulate tattoo facilities.
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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.
The nurse is caring for a client diagnosed with herpes zoster. Which statement by the client needs further clarification by the nurse?
- A. Even though this is from a childhood disease, I am still contagious.
- B. Herpes zoster is caused by a viral infection.
- C. Herpes zoster is a reactivation of the varicella virus.
- D. Once I get the infection, I cannot get it again.
Correct Answer: D
Rationale: The nurse is correct to clarify that even though the client has herpes zoster, the client can get herpes zoster again. The virus is contagious and can reoccur. All of the other options are accurate statements that demonstrate the client's understanding.
What is the cause of shingles?
- A. Parasitic fungi
- B. Itch mite
- C. Reactivated virus
- D. Hormonal change
Correct Answer: C
Rationale: Several skin disorders involve an infecting agent. Scabies is caused by an itch mite. Parasitic fungi cause dermatophytosis in the skin, scalp, and nails. Shingles is caused by a reactivated virus. Hormonal change is not the cause of shingles.
The nurse is instructing the client on the correct toenail trimming technique when having onychocryptosis. Which instruction made by the nurse is best?
- A. Use scissors and trim the toenails in a semicircle.
- B. Use nail clippers and round the corners on the end.
- C. Tear the nail across, allowing the nail to be removed.
- D. Use nail clippers allowing the ends of the nails to be longer than the toes.
Correct Answer: D
Rationale: The nurse is correct to instruct the client that proper nail trimming for a client with onychocryptosis is to use a nail clipper and allow the ends of the nail to be longer than the end of the toes. The ends of the nails should not be rounded off. The other options are not best for the ingrown toenail condition.
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
- A. Use commercial grade laundry detergent.
- B. Pretreat clothing where scabies contact existed.
- C. Wash clothes through two laundry cycles.
- D. Use hot water throughout wash cycle.
Correct Answer: D
Rationale: The nurse is correct to instruct the client to use hot water throughout the wash cycle. Using hot water kills scabies and infectious agents on the laundry. If using the correct wash settings, the client does not need to use commercial-grade laundry detergent; the clothing does not need pretreated nor washed through two cycles.
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