Nokea
Which area of health teaching is essential when a female client is prescribed isotretinoin (Accutane)?
- A. Breast self-examination techniques
- B. Techniques for avoiding pregnancy
- C. Methods for predicting ovulation
- D. Information on preventing sexual transmission
Correct Answer: B
Rationale: Isotretinoin is teratogenic, requiring strict pregnancy prevention.
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Which nursing action is most helpful for reducing or eliminating feedback from the client's hearing aid?
- A. Repositioning the hearing aid within the ear
- B. Cleaning the hearing aid with a soft cloth
- C. Replacing the battery in the hearing aid
- D. Turning down the volume in the hearing aid
Correct Answer: A
Rationale: Repositioning corrects improper fit, reducing feedback noise.
The home health nurse is visiting an elderly client who shows the nurse an area of rough skin with a greasy feel and multiple papules. Which information should the nurse provide the client?
- A. Contact the health-care provider immediately for an appointment.
- B. Tell the client this is a normal aging change and no action should be taken.
- C. Tell the client to discuss this with the HCP at the next appointment.
- D. Have the client buy a wart remover kit at the store.
Correct Answer: C
Rationale: Rough, greasy papules may indicate seborrheic keratosis, requiring HCP evaluation at the next visit. Immediate visits, dismissing as normal, or OTC wart removers are inappropriate.
Which individual would most likely experience the skin disorder pseudofolliculitis barbae (shaving bumps)?
- A. A male African American soldier.
- B. A female Caucasian hairdresser.
- C. A male Asian food server.
- D. A female Hispanic schoolteacher.
Correct Answer: A
Rationale: Pseudofolliculitis barbae is common in African American males due to curly hair causing ingrown hairs post-shaving. Other groups are less affected.
The nurse is admitting an 88-year-old client diagnosed with a viral skin infection. Which nursing task could the nurse delegate to the unlicensed assistive personnel?
- A. Measure and document the client’s skin lesions.
- B. Apply the antihistamine cream to the lesions.
- C. Set up the isolation equipment for the client.
- D. Determine if the client has prepared an advance directive.
Correct Answer: C
Rationale: Setting up isolation equipment is within UAP scope. Measuring lesions, applying medication, and assessing advance directives require nursing judgment.
Which instruction to the nursing assistant is best for maintaining the client's safety and security?
- A. Let the client take your arm while walking.
- B. Take the client's arm while walking.
- C. You'll see the client in front of you and to your side.
- D. Have the client walk independently by your side.
Correct Answer: A
Rationale: Allowing the client to hold the assistant's arm provides stability and safety.