Nokea
Which statement by the client diagnosed with chickenpox indicates that the client understands the teaching?
- A. I should put rubbing alcohol on the lesions twice a day.'
- B. I should not scratch myself if at all possible. It might lead to scarring.'
- C. I can go to work when my lesions have all disappeared.'
- D. I need to take all my antibiotics no matter how I feel.'
Correct Answer: B
Rationale: Avoiding scratching prevents scarring and infection in chickenpox. Alcohol is harmful, contagiousness persists post-lesions, and antibiotics are not used.
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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.
The nurse is caring for clients with second- and third-degree burns. Which medication should the nurse plan to apply topically to treat bacterial and yeast infections?
- A. Bismuth subsalicylate
- B. Gold sodium thiomalate
- C. Silver sulfadiazine
- D. Arsenic trioxide
Correct Answer: C
Rationale: Silver sulfadiazine (Silvadene) is a topical anti-infective agent for prevention and treatment of wound infection in second- and third-degree burn clients. Bismuth subsalicylate (Kaopectate) is an antidiarrheal medication. Gold sodium thiomalate (Aurolate) is used to treat rheumatoid arthritis resistant to conventional therapy. Arsenic trioxide (Trisenox) is an antineoplastic.
After cleaning a client's prescription eyeglasses with soap and warm water or a commercial glass cleaner, which nursing action is best for drying the moist lenses?
- A. Rub the lenses with a paper tissue.
- B. Wipe the lenses with a soft cloth.
- C. But the lenses with a paper towel.
- D. Blow on the lenses to promote air drying.
Correct Answer: B
Rationale: A soft cloth prevents scratches and effectively dries the lenses.
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.
The client is receiving UV light treatments for psoriasis along with methoxsalen, a photosensitizing agent. What precaution should be followed the first day after treatment?
- A. Wear ultraviolet B-protective sunglasses.
- B. Avoid applying skin ointments and lotions.
- C. Check for elevated temperature every 4 hours.
- D. Stop treatments if skin redness or erythema occurs.
Correct Answer: A
Rationale: Treatment with methoxsalen (Uvadex) enhances sensitivity of the eyes to sunlight. Sunglasses that provide UVB protection need to be worn for at least 24 hours following treatments. Skin ointments may be prescribed. Temperature monitoring is not needed. Redness and erythema are normal responses.