Nokea
The school nurse is instructing a group of high school students on the considerations with tattooing and body piercing. Which instruction(s) would be included in the discussion? Select all that apply.
- A. Cosmetic pigment is approved by the Federal Food, Drug, and Cosmetic Act.
- B. All tattoo artists are licensed by the government.
- C. Infection is a potential complication of tattoos and piercings.
- D. Hepatitis A, a blood-borne infection, is a potential problem.
- E. Tattoo is injected into the dermal layer of the skin.
Correct Answer: A,C,E
Rationale: Tattoo ink is approved by the Federal Food, Drug, and Cosmetic Act; however, none are approved for injection into the skin. Some, but not all, tattoo artists are members of the Alliance for Professional Tattooists. Infection is a concern with both tattoos and piercings. Tattoo ink is injected into the dermal layer of the skin. Hepatitis B and C can be transmitted as a blood-borne infectious disease.
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The nurse is assessing a client with onychocryptosis. Which of the following is evident if the tissue is infected?
- A. Pressure
- B. Redness and swelling
- C. Pain
- D. Purulent drainage and an odor
Correct Answer: D
Rationale: Purulent leakage and an odor are evident if the tissue is infected. A client with onychocryptosis feels a local pressure from the abnormal nail growth, but this is not a sign of the tissue being infected. Redness, swelling, and pain occur where the nail pierces the adjacent tissue.
The nurse is caring for a client prescribed oral griseofulvin for treatment of a fungal toenail infection. Which instruction by the nurse is essential in understanding the treatment plan?
- A. Take the medication with meals.
- B. Administer medications daily.
- C. Continue medication regimen for several weeks.
- D. Administer a stool softener to offset constipation.
Correct Answer: C
Rationale: Fungal infections are difficult to treat and often take many weeks of medication to eradicate. Taking medication with meals, administering daily, and using stool softeners are good teaching components but not essential in understanding the treatment plan.
The nurse is caring for a female with progressive hair loss. When instructing the client on typical considerations to promote hair growth, which would be restricted in the client's care?
- A. Conditioner added to the client's hair
- B. Use of a wide-toothed comb
- C. Use of finasteride (Propecia)
- D. Attaching a hair extension
Correct Answer: C
Rationale: The nurse is correct to instruct on the restriction of finasteride (Propecia) for women due to the androgenic inhibitor property. The use of a hair conditioner and wide-toothed comb is encouraged to not break or damage the hair. Attaching a hair extension is common to provide more hair on the head.
The nurse is caring for a client with possible lice infestation. The nurse is using a bright light focused on an area of the head to confirm the presence of lice. In which manner is it easiest to differentiate nits from dandruff?
- A. Nits are located near the scalp.
- B. Dandruff is throughout the hair.
- C. Nits are difficult to move from hair shafts.
- D. Dandruff looks white and flakey.
Correct Answer: C
Rationale: The nurse is correct to use the difference of the nits being securely attached to the hair shaft as a guide to confirmation of lice infestation. Dandruff is fine, white particles of dead, dry scalp cells that can be easily picked from the hair.
The nurse is caring for a client in need of a blood transfusion. The client's family member wants to be considered to donate blood. The nurse notes that the family member has several tattoos and asks the family member when and where the last tattoo was obtained. If the family member obtained the last tattoo on February 14, 2021, in a state that does not regulate tattoo facilities, after which date would the family member be eligible to donate blood?
- A. After February 28, 2021
- B. After May 14, 2021
- C. After March 14, 2021
- D. After April 14, 2021
Correct Answer: B
Rationale: The American Red Cross (2021) rejects potential blood donors who have received a tattoo within 3 months if the tattoo was applied in a state that does not regulate tattoo facilities. Therefore, the earliest that the client's family member would be able to give blood is May 14, 2021. Two weeks, 1 month, and 2 months are insufficient amounts of time to wait after receiving a tattoo in a state that does not regulate tattoo facilities.