A client is being admitted for the treatment of acute cellulitis of the thigh. The client asks the admitting nurse to explain what cellulitis means. The nurse bases the response on the understanding that the characteristics of cellulitis include: A. An epidermal and lymphatic infection caused by Staphylococcus. B. An inflammation of the… Read More »
Nurse Catherine is changing a dressing and providing wound care. Which activity should she perform first? A. Assess the drainage in the dressing. B. Slowly remove the soiled dressing. C. Wash hands thoroughly. D. Put on latex gloves. Correct Answer: C. Wash hands thoroughly. When caring for… Read More »
The nurse manager is planning the clinical assignments for the day. Which staff members can be assigned to care for a client with herpes zoster? Select all that apply A. The nurse who never had German Measles. B. The nurse who never received the varicella zoster vaccine. C. The nurse who never… Read More »
Nurse Melinda is caring for an elderly bedridden adult. To prevent pressure ulcers, which intervention should the nurse include in the plan of care? A. Turn and reposition the client at least once every 8 hours. B. Vigorously massage lotion into bony prominences. C. Post a turning schedule at the client’s bedside.… Read More »
A female client went to the emergency department states that she is having burning and intense itching on the skin. A further assessment made by the nurse notes that the client is having red and white patches in the mouth. Based on this, the nurse understand that the client is most likely is suffering from?… Read More »
Nurse Jody formulates a nursing diagnosis of Impaired physical mobility for a client with third-degree burns on the lower portions of both legs. To complete the nursing diagnosis statement, the nurse should add which “related-to” phrase? A. Related to fat emboli. B. Related to infection. C. Related to femoral artery occlusion. … Read More »
A nurse is developing a care plan for a client suffering from shingles. Which of the following cranial nerve should the nurse assess as part of the client’s care? A. Cranial nerve number I B. Cranial nerve number IV C. Cranial nerve number VII D. Cranial nerve number XI … Read More »
The nurse is assessing for the presence of cyanosis in a male dark-skinned client. The nurse understands which body area would provide the best assessment? A. Lips B. Sacrum C. Earlobes D. Back of the hands Correct Answer: A. Lips In a dark-skinned client, the nurse examines… Read More »
Nurse Jeff is performing a skin assessment on a client with a facial lesion. It appears as a well-defined, red, scaling, thickened bump. This type of skin lesion refers to? A. Kaposi’s Sarcoma B. Melanoma C. Squamous cell carcinoma D. Basal cell carcinoma Correct Answer: C. Squamous… Read More »
Which of the following individuals is least likely to be at risk of developing psoriasis? A. A 32 year-old-African American. B. A woman experiencing menopause. C. A client with a family history of the disorder D. An individual who has experienced a significant amount of emotional distress. … Read More »