Nokea
The nurse participating in a health fair is discussing malignant melanoma with a group of clients. Which information regarding the use of sunscreen is important to include?
- A. Sunscreen is only needed during the hottest hours of the day.
- B. Toddlers should not have sunscreen applied to their skin.
- C. Sunscreen does not help prevent skin cancer.
- D. The higher the number of the sunscreen, the more it blocks UV rays.
Correct Answer: D
Rationale: Higher SPF numbers block more UV rays, reducing melanoma risk. Sunscreen is needed all day, safe for toddlers, and prevents skin cancer.
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The intensive care unit (ICU) burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority?
- A. High risk for infection.
- B. Ineffective coping.
- C. Impaired physical mobility.
- D. Knowledge deficit.
Correct Answer: A
Rationale: Extensive burns increase infection risk due to loss of skin barrier; this is the priority. Coping, mobility, and knowledge are secondary in acute burn care.
The nurse is assessing the client for possible scabies infestation. Which findings should the nurse expect?
- A. Serosanguineous drainage and fever
- B. Malaise and local edema
- C. Itching and papule-like rash
- D. Macule rash and blisters
Correct Answer: C
Rationale: The most common symptoms of a scabies infestation are itching and papule rash. Serosanguineous drainage and fever or malaise and edema occur with wound infections. Macule rash and blisters may occur with allergic reactions.
A woman who has herpes simplex 1 (HSV1) around the mouth and nose asks the nurse if she can give the sores to her husband. What should the nurse include when answering this client?
- A. Herpes simplex 1 (HSV1) is a fever blister and is not contagious.
- B. She should not kiss her husband or anyone else because it can be transmitted to susceptible persons.
- C. Fever blisters are seen only in persons who have fevers.
- D. The virus is transmitted through coughing and sneezing.
Correct Answer: B
Rationale: HSV1 is contagious and can be transmitted through direct contact, such as kissing, especially during active outbreaks.
Which response by the nurse is best in this situation?
- A. Gravity helps to reattach the separated retina.
- B. I'm very small to be a reasonable, and I'm very
- C. I can get you a sedative if it's hard to lie still.
- D. The doctor knows what's best for you, and you should listen.
Correct Answer: A
Rationale: Bed rest uses gravity to aid retinal reattachment.
Which finding in the health history would the nurse expect of a client with otosclerosis?
- A. Hearing loss beginning in childhood
- B. Upper respiratory infections with high fevers
- C. One or more relatives similarly diagnosed
Correct Answer: C
Rationale: Otosclerosis often has a familial component, with relatives affected.