Nokea
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.
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Which nursing action is most appropriate at this time?
- A. Obtaining the client's pulse and blood pressure
- B. Monitoring the client for respiratory distress
- C. Identifying the client's next of kin
- D. Determining the extent of the burn
Correct Answer: B
Rationale: Burns to the chest and neck risk airway compromise, requiring respiratory monitoring.
Before the client's arrival, which services should the nurse anticipate will facilitate this client's recovery? Select all that apply.
- A. Nutritional consult
- B. Nutritional therapy
- C. Enterostomal therapy
- D. Psychiatric therapy
- E. Physician consult
- F. Occupational therapy
Correct Answer: A,B,C,E,F
Rationale: These services address nutrition, wound care, medical oversight, and functional recovery.
The nurse is caring for an adult who has herpes zoster. What medication is most likely to be administered to this client?
- A. Penicillin
- B. Acyclovir
- C. Tetracycline
- D. Benadryl
Correct Answer: B
Rationale: Acyclovir is the antiviral medication used to treat herpes zoster (shingles), reducing viral replication and symptom duration.
The nurse is assessing the client. Which findings should the nurse associate with herpes zoster?
- A. Serous drainage and pus
- B. Nodular lesions and burning
- C. Painful vesicles and pruritus
- D. Macule lesions and petechiae
Correct Answer: C
Rationale: The nurse should associate pain and pruritus (itching) with herpes zoster. Herpes zoster follows the path of peripheral sensory nerves; symptoms come from the nerve involvement. Serous drainage and pus indicate infection of vesicles. Nodular lesions are not associated, though burning may occur. Macule lesions may occur early, but petechiae are not associated.
The nurse is planning teaching for the client who is using miconazole cream topically for tinea pedis. Which instruction should the nurse include?
- A. Cover the treated area with an occlusive dressing.
- B. Avoid washing the area prior to applying the cream.
- C. Massage miconazole into the affected area of the foot.
- D. Once symptoms resolve, discontinue using miconazole.
Correct Answer: C
Rationale: Tinea pedis is athlete's foot. Miconazole (Lotrimin AF) should be massaged into the affected area. Occlusive dressings should be avoided to prevent systemic absorption. The area should be washed and dried before application. Miconazole should be continued for the full course of therapy.