Nokea
The nurse is teaching a class on the prevention of cancer. Which information should be included regarding how to reduce the risk of skin cancer?
- A. Avoid prolonged exposure to the sun.
- B. Shower immediately after being outdoors.
- C. Avoid strong perfumes, hand creams, and body lotions.
- D. After being in the woods or in tall grass, check for ticks.
Correct Answer: A
Rationale: Avoiding prolonged sun exposure reduces ultraviolet radiation damage, a primary risk factor for skin cancer.
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Which information about pruritus should the nurse include? Select all that apply.
- A. Cool environments increase itching.
- B. Use of soap increases itching.
- C. Use hot water to rinse off soap.
- D. Apply mild skin lotion for hydration.
- E. Blot gently, but completely dry the skin.
Correct Answer: B,D,E
Rationale: Soap, mild lotion, and gentle drying reduce pruritus. Cool environments decrease itching, and hot water worsens it.
The client comes to the clinic complaining of sudden onset of high fever, chills, and a headache. The nurse assesses a patchy macular rash on the trunk and a circular type of rash that looks like an insect bite. Which question would be most appropriate for the nurse to ask during the interview?
- A. Do you live in an area where animals roam the street?'
- B. Have you been working in your garden lately?'
- C. Have you been deer hunting in the last week?'
- D. Do you use sunscreen when you are outside?'
Correct Answer: C
Rationale: A bullseye rash and systemic symptoms suggest Lyme disease, linked to tick exposure during activities like deer hunting. Animal roaming, gardening, and sunscreen are less relevant.
Which statement made to the nurse is the best evidence that the client understands the anticipated outcome of this procedure?
- A. I'm better night vision.
- B. I'll correctly identify colors.
- C. I'll see well without glasses.
- D. I'll use both eyes when reading.
Correct Answer: C
Rationale: LASIK corrects refractive errors, reducing the need for glasses.
Before leaving the room, which of the following nursing actions should the nurse perform?
- 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.
Assuming the following solutions are available, which one is best for the school nurse to use at this time?
- A. Tap water
- B. Sodium bicarbonate
- C. Mammalise
- D. Magnesium sulfate
Correct Answer: C
Rationale: Mammalise (likely a typo for a sterile saline solution) is the safest and most effective for eye irrigation to flush out chemicals without causing further irritation.