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The school nurse is discussing how to prevent tinea cruris with the football players. Which intervention should the nurse implement?
- A. Instruct the football players to wear tight, snug-fitting jock straps.
- B. Explain the importance of wearing white socks.
- C. Teach the football players to not share brushes or combs.
- D. Discuss the need to dry the groin area thoroughly after bathing.
Correct Answer: D
Rationale: Thorough drying prevents moisture buildup, reducing tinea cruris risk. Tight jock straps trap moisture, socks are irrelevant, and brushes are unrelated.
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The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer?
- A. A 22-gauge intravenous line with normal saline infusing.
- B. Wounds covered with moist sterile dressings.
- C. No intravenous pain medication.
- D. Ensure adequate peripheral circulation to both feet.
Correct Answer: D
Rationale: Ensuring peripheral circulation prevents ischemic complications during transfer. A 22-gauge IV is too small for major burns, moist dressings are inappropriate for full-thickness burns, and IV pain medication is needed.
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.
If the physician wants to check the client's intraocular pressure (IOP), which instrument should the nurse have available?
- A. Ophthalmoscope
- B. Tonometer
- C. Retinoscope
- D. Speculum
Correct Answer: B
Rationale: A tonometer measures intraocular pressure, essential for glaucoma assessment.
The nurse is caring for a client with complaints of a rash and itching on the face for one (1) week. Which intervention should the nurse implement first?
- A. Check for the presence of hirsutism on the face.
- B. Use the Wood’s light to visualize the rash under the black light.
- C. Determine what OTC medications the client has used on the rash.
- D. Ask the client to describe when the rash first appeared.
Correct Answer: D
Rationale: Determining rash onset provides critical history for diagnosis. Hirsutism, Wood’s light, and OTC medication history are secondary.
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.