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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.
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What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- A. Get a prescription for oral contraceptives.
- B. Increase the dose of the present medication.
- C. Limit intake of chocolate, cola, and peanuts.
- D. Increase exposure to sunlight.
Correct Answer: A
Rationale: Isotretinoin poses a risk of birth defects, so oral contraceptives are recommended to prevent pregnancy during treatment.
What side effect does the nurse caution the girl to expect?
- A. Lessened effectiveness of oral contraceptives
- B. Urinary burning and frequency
- C. Breast engorgement
- D. Vaginitis
Correct Answer: D
Rationale: Antibiotic therapy for acne can disrupt vaginal flora, leading to monilial vaginitis.
What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?
- A. Decrease calories because the child will be on bed rest and will not need as many.
- B. Increase calories and protein to compensate for the healing process.
- C. Increase fat to replace the layer of fat next to the burned skin.
- D. Decrease carbohydrates and starches because the pancreas is strained by the healing process.
Correct Answer: B
Rationale: Increased calories and protein are essential to support the high metabolic demands of burn healing.
What does the nurse explain as the most likely cause of this rash?
- A. Sun exposure
- B. Allergic reaction
- C. Infection
- D. Heat and moisture
Correct Answer: D
Rationale: Miliaria (prickly heat rash) is caused by excess heat and moisture, leading to pinhead-sized red papules.
Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?
- A. I apply the medication after I give my child a bath.'
- B. I rub the ointment in a circular motion over the rash.'
- C. I increased the amount of cream because the rash was not improving.'
- D. I use powder and cornstarch to keep the skin dry.'
Correct Answer: A
Rationale: Applying topical medications after a bath enhances absorption due to the skin being clean and moist.