Nokea
There is an outbreak of scabies in a long-term care facility. Which instruction should the infection control nurse provide to all client care staff concerning the transmission of this parasitic infection?
- A. Use only hand-washing foam when caring for clients with scabies.
- B. Wear gloves when providing hands-on care for a client with scabies.
- C. Wash all linen and clothes in cold water and dry them outside in the sun.
- D. Instruct clients to use plastic eating utensils for meals.
Correct Answer: B
Rationale: Gloves prevent scabies transmission during direct contact. Hand-washing foam is insufficient, hot water washing is needed, and plastic utensils are irrelevant.
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Which activity should the client who underwent a stapedectomy avoid for the next 6 months?
- A. Listening to music
- B. Flying in an airplane
- C. Driving an automobile
- D. Singing in the choir
Correct Answer: B
Rationale: Pressure changes during flying can disrupt healing after a stapedectomy.
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.
The nurse is teaching a class on the prevention of cancer. Which information should be included regarding how to reduce the risk of skin cancer?
- A. Avoid prolonged exposure to the sun.
- B. Shower immediately after being outdoors.
- C. Avoid strong perfumes, hand creams, and body lotions.
- D. After being in the woods or in tall grass, check for ticks.
Correct Answer: A
Rationale: Avoiding prolonged sun exposure reduces ultraviolet radiation damage, a primary risk factor for skin cancer.
The female client admitted for an unrelated diagnosis asks the nurse to check her back because 'it itches all the time in that one spot.' When the nurse assesses the client’s back, the nurse notes an irregular-shaped lesion with some scabbed-over areas surrounding the lesion. Which action should the nurse implement first?
- A. Notify the HCP to check the lesion on rounds.
- B. Measure the lesion and note the color.
- C. Apply lotion to the lesion.
- D. Instruct the client to make sure the HCP checks the lesion.
Correct Answer: B
Rationale: Measuring and documenting the lesion provides baseline data for HCP evaluation. Notification, lotion, or client instruction are secondary.
The nurse is caring for the client with a split-thickness skin graft taken from the thigh to cover a burn on the back. Which intervention should the nurse expect to implement to help reduce the risk of infection at the donor and graft site?
- A. Obtain serial wound cultures of the donor site.
- B. Eliminate plants and flowers in the client's room.
- C. Use clean technique for all wound care procedures.
- D. Administer a continual low dosage of an IV antibiotic.
Correct Answer: B
Rationale: Pseudomonas has been found in plants and flowers, which may be a source of wound infection. Wound cultures are used to confirm an infection but do not prevent one. Sterile technique, not clean technique, would eliminate additional sources of infection. Continual low-dosage antibiotic infusions would not be effective due to increased metabolism in burn clients.