Nokea
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.
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The nurse is working at a podiatrist's office. Which assessment finding is characteristic to the acquisition of onychomycosis in women?
- A. Clipping nails too closely
- B. Soaking hands in detergent
- C. Wearing artificial nails.
- D. Filing nails even with the fingers
Correct Answer: C
Rationale: The nurse is correct to instruct the client that onychomycosis is frequently found in the fingernails of women wearing artificial nails. Unsanitary cleansing of nail-application utensils between customers in salons seems to be the mode of transmission. Clipping nails too closely can cause discomfort. Soaking hands in detergent and filing nails even with the fingers do not cause onychomycosis.
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.
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 school nurse is teaching parents about head lice. What statement regarding the transmission of lice would the nurse identify as a myth?
- A. Lice can be spread by sharing of hats, caps, and combs
- B. Lice can jump from one individual to another.
- C. Lice need to be removed from the hair with a fine comb.
- D. Lice can be seen without magnification.
Correct Answer: B
Rationale: The nurse is correct to identify that lice cannot jump from one individual to another. Direct contact is needed for transmission. The other options are factual statements.
The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
- A. Flushed facial appearance
- B. Blush pallor of the skin.
- C. Large facial pores.
- D. Orange peel skin texture
Correct Answer: A
Rationale: The nurse is correct to identify the earliest symptom of rosacea as being a flushed appearance across the nose, forehead, cheeks, and chin. Other symptoms include a sunburn appearance to the skin, solid papules or pustules, large facial pores, and an orange peel texture to the skin. Large facial pores and orange peel skin texture are found in the later stages as the disease progresses.