Nokea
When the client asks about the cause of shingles, the nurse answers correctly with which cause of the disease?
- A. The reactivation of a dormant virus
- B. A vector insect such as a tick
- C. A toxin from a bacterial infection
- D. An antibody response to a drug allergen
Correct Answer: A
Rationale: Shingles results from reactivation of the varicella-zoster virus.
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Which client signs and symptoms indicate contact dermatitis to the nurse?
- A. Erythema and oozing vesicles.
- B. Pustules and nodule formation.
- C. Varicosities and edema.
- D. Telangiectasia and flushing.
Correct Answer: A
Rationale: Erythema and oozing vesicles are hallmark signs of contact dermatitis. Pustules, varicosities, and telangiectasia suggest other conditions.
Which client physiological outcome (goal) is appropriate for a client diagnosed with skin cancer who has had surgery to remove the lesion?
- A. The client will express feelings of fear.
- B. The client will ask questions about the diagnosis.
- C. The client will state a diminished level of pain.
- D. The client will demonstrate care of the operative site.
Correct Answer: D
Rationale: Demonstrating operative site care ensures healing and prevents infection, a physiological outcome. Fear, questions, and pain are psychosocial or secondary.
After cataract surgery, the client tells the nurse of severe pain in the operative eye. Which nursing action is most appropriate?
- A. Report the finding to the charge nurse.
- B. Give the client a prescribed analgesic.
- C. Assess the client's pupil response with a penlight.
- D. Reposition the client on the operative side.
Correct Answer: A
Rationale: Severe pain may indicate complications, requiring immediate reporting to the charge nurse.
Which organization can the nurse suggest as a community resource to the nursing assistant?
- A. The Loyal Order of Moose
- B. The American Legion
- C. Lions Clubs International
- D. The Knights of Columbus
Correct Answer: C
Rationale: Lions Clubs International is known for providing vision care and eyeglasses to those in need.
The nurse knows that the client who underwent a stapedectomy understands the discharge instructions when the client identifies which activity to 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.