When planning care for a male client with burns on the upper torso, which nursing diagnosis should take the highest priority? A. Ineffective airway clearance related to edema of the respiratory passages B. Impaired physical mobility related to the disease process C. Disturbed sleep pattern related to facility environment D. Risk… Read More »
The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the male client’s chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test? A. Patch test B. Skin biopsy C. Culture of… Read More »
A male client is diagnosed with primary herpes genitalis. Which instruction should the nurse provide? A. “Apply one applicator of terconazole intravaginally at bedtime for 7 days.” B. “Apply one applicator of tioconazole intravaginally at bedtime for 7 days.” C. “Apply acyclovir ointment to the lesions every 3 hours, six times a… Read More »
A male client scheduled for a skin biopsy is concerned and asks the nurse how painful the procedure is. The appropriate response by the nurse is: A. “There is no pain associated with this procedure” B. “The local anesthetic may cause a burning or stinging sensation” C. A preoperative medication will be… Read More »
Nurse Bea plans to administer dexamethasone cream to a client who has dermatitis over the anterior chest. How should the nurse apply this topical agent? A. With a circular motion, to enhance absorption. B. With an upward motion, to increase blood supply to the affected area. C. In long, even, outward, and… Read More »
The nurse is teaching a female client with a leg ulcer about tissue repair and wound healing. Which of the following statements by the client indicates effective teaching? A. “I’ll limit my intake of protein.” B. “I’ll make sure that the bandage is wrapped tightly.” C. “My foot should feel cold.” … Read More »
Nurse Mary is caring for a wheelchair-bound client. Which piece of equipment impedes circulation to the area it’s meant to protect? A. Polyurethane foam mattress B. Ring or donut C. Gel flotation pad D. Waterbed Correct Answer: B. Ring or donut Rings or donuts aren’t to be… Read More »
Following a full-thickness (third-degree) burn of his left arm, a male client is treated with artificial skin. The client understands postoperative care of artificial skin when he states that during the first 7 days after the procedure, he will restrict: A. Range of motion B. Protein intake C. Going outdoors D.… Read More »
Nurse Harry documents the presence of a scab on a client’s deep wound. The nurse identifies this as which phase of wound healing? A. Inflammatory B. Migratory C. Proliferative D. Maturation Correct Answer: B. Migratory The scab formation is found in the migratory phase. It is accompanied… Read More »
Following a small bowel resection, a male client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is: A. Erythema B. Leukocytosis C. Pressure-like pain D. Swelling Correct… Read More »