In an industrial accident, a male client that weighs 155 lb (70 kg) sustained full-thickness burns over 40% of his body. He’s in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client? A. A urine output consistently above 100 ml/hour. B. A weight gain of… Read More »
While in a skilled nursing facility, a female client contracted scabies, which is diagnosed the day after discharge. The client is living at her daughter’s home, where six other persons are living. During her visit to the clinic, she asks a staff nurse, “What should my family do?” The most accurate response from the nurse… Read More »
A female client with herpes zoster is prescribed acyclovir (Zovirax), 200 mg P.O. every 4 hours while awake. The nurse should inform the client that this drug may cause: A. Palpitations B. Dizziness C. Diarrhea D. Metallic taste Correct Answer: C. Diarrhea Oral acyclovir may cause such… Read More »
The nurse is assessing a male client admitted with second-and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem? A. Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg B. Urine output of 20 ml/hour C. White pulmonary secretions D. Rectal temperature of 100.6°… Read More »
A female client sees a dermatologist for a skin problem. Later, the nurse reviews the client’s chart and notes that the chief complaint was intertrigo. This term refers to which condition? A. Spontaneously occurring wheals. B. A fungus that enters the skin’s surface, causing infection. C. Inflammation of a hair follicle. … Read More »
A female client exhibits purplish bruises to the skin after a fall. The nurse would document this finding most accurately using which of the following terms? A. Purpura B. Petechiae C. Ecchymosis D. Erythema Correct Answer: C. Ecchymosis Ecchymosis is a type of purpuric lesion and also… Read More »
A male client who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, the nurse should: A. Turn him frequently. B. Perform passive range-of-motion (ROM) exercises. C. Reduce the client’s fluid intake. D. Encourage the client to use a… Read More »
An older client’s physical examination reveals the presence of a number of bright red-colored lesions scattered on the trunk and tights. The nurse interprets that this indicates which of the following lesions due to alterations in blood vessels of the skin? A. Cherry angioma B. Spider angioma C. Venous star D.… Read More »
A male client visits the physician’s office for treatment of a skin disorder. As a primary treatment, the nurse expects the physician to prescribe: A. An I.V. corticosteroid B. An I.V. antibiotic C. An oral antibiotic D. A topical agent Correct Answer: D. A topical agent Although… Read More »
A nurse is reviewing the medical record of a male client to be admitted to the nursing unit and notes documentation of reticular skin lesions. The nurse expects that these lesions will appear to be: A. Ring-shaped B. Linear C. Shaped like an arc D. Net-like appearance … Read More »