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What is the best nursing advice for individuals who have frequent outbreaks of tinea pedis (athlete's foot)?
- A. Never go barefoot when outdoors.
- B. Cut the nails straight across.
- C. Wear different shoes each day.
- D. Avoid wearing white cotton socks.
Correct Answer: C
Rationale: Alternating shoes allows drying, reducing fungal growth.
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If a client with a middle ear infection reports the following symptoms, which one suggests that the infection has spread to the inner ear?
- A. Temporal headaches
- B. A sore throat
- C. Nasal congestion
- D. Postural dizziness
Correct Answer: D
Rationale: Postural dizziness suggests inner ear involvement, such as labyrinthitis.
Which laboratory test should the nurse monitor to identify an allergic reaction for the client diagnosed with contact dermatitis?
- A. IgA.
- B. IgD.
- C. IgE.
- D. IgG.
Correct Answer: C
Rationale: IgE mediates allergic reactions, elevated in contact dermatitis. IgA, IgD, and IgG are less relevant.
The client mentions all of the following to the nurse. Which of the following should the client be encouraged to report to the physician immediately?
- A. A small mole on the right thigh that has looked the same ever since the client can remember
- B. A pigmented area that is pink-red in color and has been present since birth
- C. Three small warts on the right hand that have been present for some time
- D. A black and purple mole that is growing larger and has a funny shape
Correct Answer: D
Rationale: A growing, irregularly shaped, and discolored mole may indicate melanoma, requiring immediate medical evaluation.
When assessing the client's skin the nurse notices a rounded area of hair loss with redness, pustules, and scales that appear greenish-yellow when exposed to a black light (Wood's lamp). The nurse should plan to implement treatment for which condition?
- A. Lyme disease
- B. Fungal infection
- C. Anaerobic infection
- D. Contact dermatitis
Correct Answer: B
Rationale: A fungal infection that manifests on the scalp with red, scaly lesions and hair loss will appear either greenish-yellow or bluish-green under a Wood's lamp. Lyme disease produces a bull's-eye rash that does not fluoresce. Anaerobic infections have diffuse redness and do not fluoresce. Contact dermatitis does not display a discrete, rounded area of hair loss or fluoresce.
The client has had a squamous cell carcinoma removed from the lip. Which discharge instructions should the nurse provide?
- A. Notify the HCP if a nonhealing lesion develops around the mouth.
- B. Squamous cell carcinoma tumors do not metastasize.
- C. Limit foods to liquid or soft consistency for one (1) month.
- D. Apply heat to the area for 20 minutes every four (4) hours.
Correct Answer: A
Rationale: Nonhealing lesions suggest recurrence, requiring HCP notification. Squamous cell carcinoma can metastasize, diet restrictions are unnecessary, and heat is inappropriate.