Nokea
When the client asks the nurse about the purpose of the eye shield, which explanation is best?
- A. The shield keeps foreign substances out of the eye.
- B. The shield protects the eye from accidental trauma.
- C. The shield reduces rapid eye movement when dreaming.
- D. The shield promotes dilation of the pupil at night.
Correct Answer: B
Rationale: The shield prevents accidental trauma to the healing eye during sleep.
You may also like to solve these questions
The nurse has completed the teaching plan for the client diagnosed with psoriasis. Which statement indicates the need for further teaching?
- A. I will check my skin every day for redness with tenderness.'
- B. I must take my psoralen medication two (2) hours before my treatment.'
- C. I will wear dark glasses during my treatment and the rest of the day.'
- D. The coal-tar ointments and lotions will not stain my clothes.'
Correct Answer: D
Rationale: Coal-tar ointments stain clothes, indicating a need for further teaching. Daily skin checks, psoralen timing, and dark glasses are correct for PUVA therapy.
The nurse writes the client problem of 'acute pain and itching secondary to bacterial skin lesions.' Which interventions should be included in the care plan? Select all that apply.
- A. Keep humidity at less than 20%.
- B. Maintain a cool environment.
- C. Use a mild soap for sensitive skin.
- D. Keep lesions covered at all times.
- E. Apply skin lotion after bathing.
Correct Answer: B,C,E
Rationale: Cool environment, mild soap, and lotion reduce itching and pain in bacterial lesions. Low humidity worsens dryness, and constant coverage may trap moisture, promoting infection.
The client has an entrance wound on the right hand and an exit wound on the left hand after contact with a high-power electrical line. Considering the nature and trajectory of the electrical current, which nursing action is priority?
- A. Obtain a 12-lead ECG
- B. Check pupil size and reaction
- C. Auscultate both lung fields
- D. Check arm range of motion
Correct Answer: A
Rationale: Electrical current will follow through the path of least resistance in the body, which is the bloodstream. The heart could have been damaged by the electrical current. Therefore, obtaining a 12-lead ECG is priority. Pupil checks or lung auscultation may be indicated but are not the priority. ROM is not a priority based on the ABCs of medical emergencies.
A young man has extensive burns on the front and back of the chest. His treatment includes the use of Sulfamylon to the burned areas. How should the nurse apply this medication?
- A. With a sterile, gloved hand
- B. With a sterile applicator
- C. With sterile 4x4's
- D. By aerosol spray
Correct Answer: C
Rationale: Sulfamylon is applied using sterile 4x4 gauze pads to ensure even coverage and maintain sterility while minimizing pain.
The public health nurse is providing a class on skin disorders in the African American community. Which information should the nurse include in the presentation?
- A. People with dark skin suffer the same skin conditions as people with light skin.
- B. African American men are more likely to have skin cancer than women.
- C. Dark-skinned individuals are less likely to form keloids after any type of surgery.
- D. Buccal mucosa of dark-skinned individuals is usually a bluish-tinged color.
Correct Answer: A
Rationale: Dark and light skin experience similar conditions, though presentation varies. Skin cancer risk is not gender-specific, keloids are more common in dark skin, and buccal mucosa is not bluish.