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What will the nurse include when teaching about general skin care measures that could help prevent acne?
- A. Eliminating chocolate, peanuts, and cola from the diet
- B. Washing the face with a cleansing product frequently
- C. Planning indoor activities to avoid sun exposure
- D. Eating a balanced diet and getting sufficient rest
Correct Answer: D
Rationale: A balanced diet and sufficient rest promote overall skin health and help prevent acne exacerbations.
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Which body parts should be warmed first?
- A. Hands and arms
- B. Feet and legs
- C. Fingers and toes
- D. Head and torso
Correct Answer: D
Rationale: Warming the head and torso first in severe frostbite prioritizes core body temperature stabilization.
Which factor(s) activate the herpes simplex virus type I?
- A. Stress
- B. Sun
- C. Menses
- D. Fever
- E. Food allergies
Correct Answer: A,B,C,D
Rationale: Stress, sun exposure, menses, and fever can trigger herpes simplex virus type I, leading to cold sores.
What is the nurse aware is the minimum adequate hourly urine output?
- A. 5 mL/hr
- B. 10 mL/hr
- C. 15 mL/hr
- D. 20 mL/hr
Correct Answer: D
Rationale: For children over 2 years, a minimum urine output of 20-30 mL/hr indicates adequate renal perfusion in burn patients.
What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
- A. Hospitalization will be brief.
- B. Analgesics should be given immediately after dressing changes.
- C. Contact with peers should be maintained.
- D. Parents usually handle injury worse than the child.
Correct Answer: C
Rationale: Maintaining peer contact supports the emotional well-being of a school-age child during prolonged burn-related hospitalization.
What does the nurse recognize this skin lesion as?
- A. A port wine nevus
- B. A strawberry nevus
- C. Exanthem
- D. Intertrigo
Correct Answer: B
Rationale: A strawberry nevus, a common hemangioma, appears weeks after birth as a red area, typically on the neck or face.