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Which organization can the nurse suggest as a community resource to the nursing assistant?
- A. The Loyal Order of Moose
- B. The American Legion
- C. Lions Clubs International
- D. The Knights of Columbus
Correct Answer: C
Rationale: Lions Clubs International is known for providing vision care and eyeglasses to those in need.
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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.
Which subjective symptom is the client most likely to report to the nurse?
- A. Burning
- B. Pressure
- C. Vertigo
- D. Pain
Correct Answer: C
Rationale: Vertigo is a hallmark symptom of Meniere's disease due to inner ear fluid imbalance.
What is the scientific rationale for placing lift pads under an immobile client?
- A. The pads will absorb any urinary incontinence and contain stool.
- B. The pads will prevent the client from being diaphoretic.
- C. The pads will keep the staff from workplace injuries such as a pulled muscle.
- D. The pads will help prevent friction shearing when repositioning the client.
Correct Answer: D
Rationale: Lift pads reduce friction and shear during repositioning, preventing skin breakdown. Absorbent pads address incontinence, diaphoresis is unrelated, and staff safety is secondary.
The nurse is preparing the client scheduled for a dermabrasion. Which information should the nurse include while teaching the client?
- A. Erythema will go away within 24 hours.
- B. Do not change the dressing until seen by the HCP.
- C. Stay out of extreme cold or heat situations.
- D. Avoid direct sunlight for three (3) days.
Correct Answer: C
Rationale: Avoiding extreme temperatures protects healing skin post-dermabrasion. Erythema persists longer, dressings may be changed, and sunlight avoidance lasts weeks.
When the nurse reviews the client's health history, which symptom is directly related to the development of cataracts?
- A. Gradual loss of vision
- B. Feeling of fullness within the eye
- C. Ocular pain or discomfort
- D. Flashes of light
Correct Answer: A
Rationale: Cataracts cause a gradual loss of vision due to lens opacity.