Nokea
The nurse is caring for a client with a furuncle. What advice should the nurse give the client to prevent the spread of the infection?
- A. Keep hair short, clean, and away from the face and forehead.
- B. Never pick or squeeze a furuncle.
- C. Avoid the use of cosmetics.
- D. Use tepid bath water.
Correct Answer: B
Rationale: The client with a furuncle should never pick or squeeze it as the drainage is infectious and this practice favors the spread of the infection. Infections by organisms that usually exist harmlessly on the skin surface cause furuncles. Keeping the hair short, clean, and away from the face and forehead, avoiding cosmetics, and using tepid bath water do not help in preventing the spread of a furuncle.
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The nurse is preparing to care for a client's new tattoo. Which action would the nurse take first?
- A. Cover the new tattoo with antibiotic ointment.
- B. Wash hands prior to gloving.
- C. Place a sterile gauze dressing over the tattoo.
- D. Teach the client to use a sunscreen (SPF 30) while in the sun.
Correct Answer: B
Rationale: As with any wound care, the nurse performs hand hygiene prior to donning gloves. The nurse is then ready to care for the newly tattooed skin. Antibiotic ointment is applied each day for 5 days. A sterile dressing is used to cover the tattoo for the first 12 hours. Sunscreen is good protection for the tattoo but not as part of a new tattoo treatment regimen.
The nurse is working with community groups. At what location would the nurse anticipate a possible scabies outbreak?
- A. Shopping mall
- B. Swimming pool
- C. College dormitory
- D. Gymnasium
Correct Answer: C
Rationale: The nurse is correct to anticipate a potential scabies outbreak in a college dormitory. Outbreaks are common where large groups of people are confined or housed. Spread of scabies is from skin-to-skin contact. Although there are groups of people at the shopping mall, swimming pool, and gymnasium, typically, there is no personal contact.
The nurse is caring for a client prescribed oral griseofulvin for treatment of a fungal toenail infection. Which instruction by the nurse is essential in understanding the treatment plan?
- A. Take the medication with meals.
- B. Administer medications daily.
- C. Continue medication regimen for several weeks.
- D. Administer a stool softener to offset constipation.
Correct Answer: C
Rationale: Fungal infections are difficult to treat and often take many weeks of medication to eradicate. Taking medication with meals, administering daily, and using stool softeners are good teaching components but not essential in understanding the treatment plan.
A client receives treatment for a dermatophyte infection of the toenail. How would the nurse document this condition in the chart?
- A. Pediculosis
- B. Tinea pedis
- C. Onychomycosis
- D. Onychocryptosis
Correct Answer: C
Rationale: Onychomycosis is a dermatophyte infection of the fingernails or the toenails. Pediculosis is an infestation of lice. Tinea pedis is athlete's foot. Onychocryptosis is a medical term for an ingrown toenail.
The nurse is caring for a female with progressive hair loss. When instructing the client on typical considerations to promote hair growth, which would be restricted in the client's care?
- A. Conditioner added to the client's hair
- B. Use of a wide-toothed comb
- C. Use of finasteride (Propecia)
- D. Attaching a hair extension
Correct Answer: C
Rationale: The nurse is correct to instruct on the restriction of finasteride (Propecia) for women due to the androgenic inhibitor property. The use of a hair conditioner and wide-toothed comb is encouraged to not break or damage the hair. Attaching a hair extension is common to provide more hair on the head.