Nokea
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.
You may also like to solve these questions
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.
A client asks the nurse what psoriasis is. What is the best answer?
- A. It is a chronic, infectious inflammatory disease.
- B. It is characterized by patches of redness covered with silvery scales.
- C. A cure is possible with prompt treatment.
- D. The onset typically occurs in young children.
Correct Answer: B
Rationale: Psoriasis is characterized by patches of erythema covered with silvery scales, usually on the extensor surfaces of the elbows, knees, trunk, and scalp. It is a chronic non-infectious inflammatory disease. Psoriasis has no cure. The onset is in young- and middle-adulthood.
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 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 pediatric nurse is instructing a young athlete and parent regarding tinea pedis. Which nursing advice best decreases frequent attacks?
- A. Provide meticulous nail care.
- B. Avoid being barefoot outside.
- C. Avoid white cotton socks.
- D. Rotate shoe use.
Correct Answer: D
Rationale: The nurse is correct to instruct the client to rotate the use of different shoes allowing the shoes time to evaporate shoe moisture from use. The fungus particularly grows in dark, warm, moist areas. Eliminating the factors decreases the risk of further outbreaks. The other options are not necessary.