Nokea
The nurse is preparing the plan of care for a client diagnosed with psoriasis. Which intervention should the nurse include in the plan of care?
- A. Apply a thin dusting with Mycostatin, an antifungal powder, over the area.
- B. Cover the area with an occlusive dressing after applying a steroid cream.
- C. Administer Acyclovir, an antiviral medication, to the affected areas six (6) times a day.
- D. Teach the client the risks and hazards of implanted radiation therapy.
Correct Answer: B
Rationale: Steroid creams with occlusive dressings are a standard treatment to reduce inflammation in psoriasis.
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The nurse working in a pediatric burn unit explains to new registered nurses that which is the most common cause of death in burned children?
- A. Hypovolemic shock
- B. Infection
- C. Sepsis
- D. Thrombotic events
Correct Answer: B
Rationale: About 75% of burn mortality is related to infection.
Which question is most important for the operating room nurse to ask a Jewish client scheduled for a left AKA?
- A. Made special arrangements for amputated limb?
- B. Types of food preferred while hospitalized?
- C. Would like rabbi visit in recovery room?
- D. Start checking other foot daily for cuts?
Correct Answer: A
Rationale: Understanding cultural preferences regarding limb disposal is crucial.
The nurse notes that a patient's skin is dry, discolored, and easily torn. Which medications should the nurse consider as causing this patient's skin condition?
- A. Steroids
- B. Furosemide
- C. Amiodarone
- D. Warfarin sodium
Correct Answer: A
Rationale: Steroids can cause skin thinning and discoloration.
A child has lice. The parent wants to know what to do with the child's stuffed animals. Which response by the nurse is most appropriate?
- A. Seal in a plastic bag in the garage for 2 weeks.
- B. Spray with an anti-lice fumigating product.
- C. Throw them away; they cannot be cleaned.
- D. Wash in hottest water possible and line dry.
Correct Answer: A
Rationale: Lice cannot survive long without a human host. Sealing stuffed animals in a plastic bag for 2 weeks kills lice by depriving them of a food source, making it an effective and practical solution.
The client is two(2) hours postoperative right ear mastoidectomy. Which assessment data should be reported to the health-care provider?
- A. Complaints of aural fullness.
- B. Hearing loss in the affected ear.
- C. No vertigo.
- D. Facial drooping.
Correct Answer: D
Rationale: Facial drooping indicates potential facial nerve involvement requiring immediate attention.