Nokea
Which finding in the health history would the nurse expect of a client with otosclerosis?
- A. Hearing loss beginning in childhood
- B. Upper respiratory infections with high fevers
- C. One or more relatives similarly diagnosed
Correct Answer: C
Rationale: Otosclerosis often has a familial component, with relatives affected.
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The client has tinea pedis. Which intervention should the nurse teach to the client?
- A. Soak feet in a vinegar-and-water solution.
- B. Wear shoes without any type of socks.
- C. Alternate shoes on a monthly basis.
- D. Cut toenails straight across.
Correct Answer: A
Rationale: Vinegar-water soaks create an acidic environment, reducing tinea pedis. Socks absorb moisture, alternating shoes daily (not monthly) helps, and toenail cutting is unrelated.
Which response will the nurse most likely observe during the caloric test if the client has Meniere's disease?
- A. Onset of severe symptoms
- B. No response or change in symptoms
- C. Improvement in balance
- D. Aphasia and loss of consciousness
Correct Answer: A
Rationale: Meniere's disease causes an exaggerated response to caloric stimulation.
Before the client leaves the emergency department, which nursing instruction is most appropriate?
- A. Advise the client to limit dietary intake of fluids.
- B. Tell the client to sleep in a recliner or with the head up.
- C. Show the client how to take the carotid pulse at hourly intervals.
- D. Warn the client to avoid blowing the nose for several hours.
Correct Answer: D
Rationale: Avoiding nose blowing prevents dislodging clots and restarting bleeding.
What images will a client with macular degeneration most likely describe seeing?
- A. Objects that are close to the face
- B. Objects that are clear distance
- C. Objects that are in outer peripheral fields
- D. Objects that are in the central field of vision
Correct Answer: C
Rationale: Macular degeneration spares peripheral vision, affecting central vision.
The nurse is teaching a 24-year-old female with severe cystic acne who is prescribed a systemic retinoic acid drug. Which question is priority?
- A. Are you sexually active?
- B. Are you allergic to vitamin A?
- C. Is your skin dry or sensitive?
- D. Can you take the drug as scheduled?
Correct Answer: A
Rationale: A systemic retinoic acid drug is teratogenic. A sexually active female must be instructed to practice birth control while taking this class of drugs, to avoid pregnancy. Allergy, skin sensitivity, and adherence are important but not the priority.