The nurse is collecting data during a routine clinic visit. The client reports she has experienced bleeding between her menstrual periods. What initial action by the nurse is most appropriate?
- A. Determine the timing of the bleeding episodes.
- B. Determine the amount of the bleeding episodes.
- C. Assess for the presence of sexually transmitted infections.
- D. Review the length of the client's normal menstrual cycles.
Correct Answer: A
Rationale: Timing of bleeding helps identify causes (e.g., midcycle ovulation). Amount and other assessments follow this initial step.
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The elderly client diagnosed with poison ivy is prescribed a solumedrol (a steroid) dose pack. Which intervention should the nurse teach the client?
- A. Tell the client to return to the office in one (1) week for blood levels.
- B. Instruct the client to take the medication exactly as prescribed.
- C. Explain the medication should be taken on an empty stomach.
- D. Teach to stop the medication immediately if side effects occur.
Correct Answer: B
Rationale: Adherence to the prescribed steroid taper is crucial for efficacy and to avoid adrenal suppression.
A client calls the emergency department and tells the nurse that he came directly into contact with poison ivy shrubs. The client tells the nurse that he cannot see anything on the skin and asks the nurse what to do. The nurse should make which response?
- A. Come to the emergency department.
- B. Apply calamine lotion immediately to the exposed skin areas.
- C. Take a shower immediately, lathering and rinsing several times.
- D. It is not necessary to do anything if you cannot see anything on your skin.
Correct Answer: C
Rationale: Washing off the urushiol oil from poison ivy prevents the rash from developing.
A nurse cares for clients who have various skin infections. Which infection is paired with the correct pharmacologic treatment?
- A. Viral infection - Clindamycin (Cleocin)
- B. Bacterial infection - Acyclovir (Zovirax)
- C. Yeast infection - Linezolid (Zyvox)
- D. Fungal infection - Ketoconazole (Nizoral)
Correct Answer: D
Rationale: Ketoconazole is an antifungal, correctly paired with fungal infection.
The key goals in cosmetic surgery are to:
- A. Improve aesthetic appeal
- B. Improve symmetry
- C. Improve proportion
- D. All of the above
Correct Answer: D
Rationale: The goals of cosmetic surgery include improving aesthetic appeal, symmetry, and proportion.
A nurse assesses a client and identifies that the client has pallor conjunctivae. Which focused assessment should the nurse complete next?
- A. Partial thromboplastin time
- B. Hemoglobin and hematocrit
- C. Liver enzymes
- D. Basic metabolic panel
Correct Answer: B
Rationale: Pallor conjunctivae signifies anemia. The nurse should assess the client's hemoglobin and hematocrit to confirm anemia. The other laboratory results do not relate to this client's potential anemia.
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