The nurse is teaching the client diagnosed with atopic dermatitis. Which information should the nurse include in the teaching?
- A. Discuss skin care using hydrating lotions and minimal soap.
- B. Tell the client the methods of treating secondary infection.
- C. Explain there are no adverse effects to using topical corticosteroids daily.
- D. Warn the client inhaled allergens have been linked to exacerbations.
Correct Answer: A
Rationale: Hydrating lotions and minimal soap reduce atopic dermatitis flares. Secondary infections, corticosteroid risks, and allergens are secondary teaching points.
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The nurse is most accurate in stating that the cause of Meniere's disease is unknown but that the symptoms are related to which disorder?
- A. A non-suppurative inflammation
- B. A disturbance in the balance of inner ear fluid
- C. An infection in the middle ear
- D. An autoimmune response in the cochlea
Correct Answer: B
Rationale: Meniere's symptoms stem from inner ear fluid imbalance.
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.
The client sustained partial- and full-thickness burns to the anterior left and right arms, anterior chest and abdominal area, and anterior left leg. Using the Rule of Nines, what is the estimated extent of this injury that the nurse should document? % (Record your answer as a whole number.)
- A. 36
Correct Answer: A
Rationale: According to the Rule of Nines, this client sustained injuries on about 36% of the body surface: right arm is 4.5%; left arm is 4.5%; left leg is 9%; anterior chest and abdomen are 18%.
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.
The nurse is irrigating the arm of the client with an acid burn. Which factors should prompt the nurse to continue with the irrigation? Select all that apply.
- A. Burning sensation is felt in the affected arm.
- B. Pain reduced from 5 to 2 on a 0 to 10 scale.
- C. Irrigation runoff solution pH measures 7.0.
- D. Absence of pain in the arm with the acid burn.
- E. Affected arm skin surface pH measures 4.8.
Correct Answer: A,B,E
Rationale: The presence of a burning sensation may indicate that some acid remains on the skin and additional irrigation is needed. The presence of pain, even though reduced, could indicate that not all of the acid has been removed from the skin. A pH of 4.8 is acidic and indicates there is still acid residue that needs to be removed. A pH of 7 indicates a nonacidic status, which would be a positive finding. The absence of pain would indicate that all acid was removed before it could damage the skin.
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