Nokea
The nurse is working at a podiatrist's office. Which assessment finding is characteristic to the acquisition of onychomycosis in women?
- A. Clipping nails too closely
- B. Soaking hands in detergent
- C. Wearing artificial nails.
- D. Filing nails even with the fingers
Correct Answer: C
Rationale: The nurse is correct to instruct the client that onychomycosis is frequently found in the fingernails of women wearing artificial nails. Unsanitary cleansing of nail-application utensils between customers in salons seems to be the mode of transmission. Clipping nails too closely can cause discomfort. Soaking hands in detergent and filing nails even with the fingers do not cause onychomycosis.
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The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
- A. Flushed facial appearance
- B. Blush pallor of the skin.
- C. Large facial pores.
- D. Orange peel skin texture
Correct Answer: A
Rationale: The nurse is correct to identify the earliest symptom of rosacea as being a flushed appearance across the nose, forehead, cheeks, and chin. Other symptoms include a sunburn appearance to the skin, solid papules or pustules, large facial pores, and an orange peel texture to the skin. Large facial pores and orange peel skin texture are found in the later stages as the disease progresses.
The nurse is assessing a client experiencing an exacerbation of plaque psoriasis. The nurse assesses the area and documents a proliferation of which cell type?
- A. Dermal
- B. Epidermal
- C. Endothelial
- D. Epithelial
Correct Answer: B
Rationale: The nurse is correct to document that the proliferation of skin cells occurs in the first layer of skin cells, the epidermis. In the epidermal layer, there is rapid turnover of the cells. The dermis is under the epidermis. Endothelial is the layer on the inside such as the interior of the blood vessel. Epithelial are on the outside or coating of walls.
The nurse is working with community groups. At what location would the nurse anticipate a possible scabies outbreak?
- A. Shopping mall
- B. Swimming pool
- C. College dormitory
- D. Gymnasium
Correct Answer: C
Rationale: The nurse is correct to anticipate a potential scabies outbreak in a college dormitory. Outbreaks are common where large groups of people are confined or housed. Spread of scabies is from skin-to-skin contact. Although there are groups of people at the shopping mall, swimming pool, and gymnasium, typically, there is no personal contact.
A client recently received lip and tongue piercings and subsequently developed a superinfection of candidiasis from the antibacterial mouthwash. What would the nurse recommend for this client?
- A. Use an antifungal mouthwash or salt water.
- B. Use a soft-bristled toothbrush.
- C. Rinse the mouth after eating food.
- D. Move the piercing back and forth during washing.
Correct Answer: A
Rationale: The client can substitute an antifungal mouthwash or salt water if a superinfection of candidiasis develops from the antibacterial mouthwash. A soft-bristled toothbrush should be used to avoid additional oral injury, but it is not the recommended solution for this problem. After eating, the client should rinse the mouth for 30 to 60 seconds with an antifungal mouthwash or salt water. Moving the jewelry at the piercing area back and forth during washing helps clean the pierced tract but does not solve the problem.
What is the cause of shingles?
- A. Parasitic fungi
- B. Itch mite
- C. Reactivated virus
- D. Hormonal change
Correct Answer: C
Rationale: Several skin disorders involve an infecting agent. Scabies is caused by an itch mite. Parasitic fungi cause dermatophytosis in the skin, scalp, and nails. Shingles is caused by a reactivated virus. Hormonal change is not the cause of shingles.