Nokea
Which information provided by the nurse will best prepare the client for the caloric test?
- A. Cold water and warm water will be instilled into each of the ears.
- B. You will wear earphones through which sounds are transmitted.
- C. The room will be darkened, and scalp electrodes will be attached to the head.
- D. Your blood will be drawn from a vein and examined microscopically.
Correct Answer: A
Rationale: The caloric test involves instilling water to assess vestibular function.
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The nurse is assessing a young mother who came to the clinic complaining of sores on her skin. Which assessment data would support that the client has chickenpox?
- A. Crops of lesions that have pus and reddened base.
- B. Oval scaling lesions that occur on the legs and arms.
- C. Severe itching of the scalp with tiny eggs visible.
- D. Ringed red lesions on the face, neck, trunk, and extremities.
Correct Answer: A
Rationale: Crops of pustular lesions with a red base are characteristic of chickenpox. Scaling lesions, scalp eggs, and ringed lesions suggest other conditions.
When the nurse inspects the client's eyes, which clinical finding is most indicative of cataracts?
- A. Ruptured blood vessels in the eye
- B. An irregularly shaped iris
- C. A white spot behind the pupil
- D. A painless corneal lesion
Correct Answer: C
Rationale: A white spot behind the pupil indicates lens clouding, characteristic of cataracts.
After the student has been treated, which one of the following professionals is best for providing follow-up care?
- A. An ophthalmologist
- B. An optometrist
- C. An orthoptist
Correct Answer: A
Rationale: An ophthalmologist is a medical doctor specializing in eye care, best suited for follow-up after a chemical injury.
The public health nurse is caring for a client diagnosed with leprosy (Hansen’s disease). Which intervention should the nurse implement?
- A. Explain the need for admission to the hospital.
- B. Administer dapsone, a sulfone, for one (1) month only.
- C. Instruct to use skin moisturizing lotion to control the symptoms.
- D. Discuss the ways leprosy is transmitted to other individuals.
Correct Answer: D
Rationale: Discussing transmission (e.g., prolonged contact) educates the client, reducing stigma and risk. Hospitalization is rarely needed, dapsone is long-term, and lotion is symptomatic.
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.