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Which nursing instruction is most appropriate to convey to the client?
- A. Use hypoallergenic or glycerin soap for bathing.
- B. Apply lotion to the affected skin every other day.
- C. Take showers rather than tub baths.
- D. Rub the skin dry after bathing.
Correct Answer: A
Rationale: Hypoallergenic soap minimizes irritation in dry skin.
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The public health nurse is providing a class on skin disorders in the African American community. Which information should the nurse include in the presentation?
- A. People with dark skin suffer the same skin conditions as people with light skin.
- B. African American men are more likely to have skin cancer than women.
- C. Dark-skinned individuals are less likely to form keloids after any type of surgery.
- D. Buccal mucosa of dark-skinned individuals is usually a bluish-tinged color.
Correct Answer: A
Rationale: Dark and light skin experience similar conditions, though presentation varies. Skin cancer risk is not gender-specific, keloids are more common in dark skin, and buccal mucosa is not bluish.
After instilling medication into the client's ear, which nursing instruction is most appropriate?
- A. Keep your head tilted for 5 minutes.
- B. Pack a cotton ball tightly in your ear.
- C. Do not blow your nose for at least 1 hour.
- D. Wipe the excess medication from the ear.
Correct Answer: A
Rationale: Keeping the head tilted allows the medication to stay in contact with the ear canal.
The nurse suspects that the client's anxiety is due to fear that nursing care will intensify symptoms. Which nursing intervention is most appropriate to add to the care plan?
- A. Let the client suggest ways to carry out care.
- B. Discontinue nursing care measures at this time.
- C. Restrict care to nutrition and elimination only.
- D. Carry out nursing activities quickly and efficiently.
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.
The nurse is caring for the client diagnosed with contact dermatitis. Which collaborative intervention should the nurse implement?
- A. Encourage the use of support stockings.
- B. Administer a topical anti-inflammatory cream.
- C. Remove scales frequently by shampooing.
- D. Shampoo with lindane 1%, an antiparasitic, weekly.
Correct Answer: B
Rationale: Topical anti-inflammatory cream (e.g., steroids) treats contact dermatitis. Stockings, scale removal, and lindane are irrelevant.
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.