Nokea
The nurse is caring for a person who has severe poison ivy. Soaks with Burrow's solution are ordered. What is the primary reason for using Burrow's solution soaks?
- A. To disinfect the wound
- B. To prevent pain from the lesions
- C. To stop the pruritus associated with the condition
- D. To help dry the oozing lesions
Correct Answer: C
Rationale: Burrow’s solution soaks relieve pruritus (itching) in poison ivy by soothing the skin and reducing inflammation.
You may also like to solve these questions
The nurse has completed the teaching plan for the client diagnosed with psoriasis. Which statement indicates the need for further teaching?
- A. I will check my skin every day for redness with tenderness.'
- B. I must take my psoralen medication two (2) hours before my treatment.'
- C. I will wear dark glasses during my treatment and the rest of the day.'
- D. The coal-tar ointments and lotions will not stain my clothes.'
Correct Answer: D
Rationale: Coal-tar ointments stain clothes, indicating a need for further teaching. Daily skin checks, psoralen timing, and dark glasses are correct for PUVA therapy.
Which of the parent's statements indicates a need for further teaching?
- A. Lice are gone if I don't see any one day after treatment.
- B. I've washed all the bed linens in soap, hot water, and bleach.
- C. None of my children shares each other's combs or brushes.
- D. Once there is an outbreak, all students should be inspected.
Correct Answer: A
Rationale: Lice treatment requires follow-up to ensure all nits are eradicated.
The nurse suspects that the client's anxiety is due to fear that nursing care will intensify symptoms. Which nursing intervention is most appropriate to add to the care plan?
- A. Let the client suggest ways to carry out care.
- B. Discontinue nursing care measures at this time.
- C. Restrict care to nutrition and elimination only.
- D. Carry out nursing activities quickly and efficiently.
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.
The paraplegic client is being admitted to a medical unit from home with a stage IV pressure ulcer over the right ischium. Which assessment tool should be completed on admission to the hospital?
- A. Complete the Braden Scale.
- B. Monitor the client on a Glasgow Coma Scale.
- C. Assess for Babinski’s sign.
- D. Initiate a Brudzinski flow sheet.
Correct Answer: A
Rationale: The Braden Scale assesses pressure ulcer risk, guiding interventions. Glasgow, Babinski, and Brudzinski are neurological, not relevant to ulcers.
Before leaving the room, which of the following nursing access to the nurse's place, the client's place.
- A. The nurse straightens the client's linens.
- B. The nurse informs the client when leaving the room.
- C. The nurse offers to give the client a back rub.
- D. The nurse shares some current events with the client.
Correct Answer: B
Rationale: Informing the client when leaving reduces anxiety and enhances safety.