Transcript for:
Nursing Guidance and Care

which guidance should the nurse offer to a female patient diagnosed with primary herpes genitalis a administer one dose of toonol intravaginally before bedtime for duration of 5 days B apply a cyclo ointment to the lesions every 4 hours six times a day for 10 days C use sorol nitrate twice daily gently rubbing it into the lesions D insert one applicator of Ty conazol intravaginally at bedtime for a week correct option b apply a cyoe ointment to the lesions every 4 hours six times a day for 10 days the suitable recommendation for a client diagnosed with primary herpes genitalis is to apply a cyclo ointment to the lesions every 4 hours six times a day for 10 days toonol and tyo conazol are typically utilized for vulvo vaginal candidiasis while suc conazol nitrate is indicated for tinia vacar what is the primary instruction the nurse should emphasize to a client following a recent skin graph a apply lubricating lution to the graph site B continue physical therapy Co C protect the graft from direct sunlight D utilize cosmetic camouflage techniques option C is correct protect the graft from direct sunlight the utmost priority for the client who has undergone a skin graft is to protect the graft from direct sunlight to prevent burning and slothing while Physical Therapy cosmetic camouflage techniques and applying lubricating lotion are beneficial they are of lesser importance in this context during a visit to the physician's office a male client seeks treatment for severe sunburn the nurse seizes the opportunity to discuss the significance of shielding the skin from the sun's harmful radiation which and vice would most effectively prevent skin damage a apply sunscreen with a sun protection Factor SPF of seven or higher B seek shade while at the beach to prevent sunburn C reduce sun exposure during the hours of 2 to 5: p.m. when the sun's rays are strongest D use sunscreen even when the sky is cloudy correct answer is option D use sunscreen even when the sky is cloudy to prevent skin damage it's crucial to use sunscreen even when the sky is cloudy as the sun's Rays can still cause harm applying sunscreen with an SPF of at least 15 is recommended seeking shade at the beach may not provide sufficient protection as reflective surfaces like sand concrete and water can still expose the skin to significant sunlight it's more effective to minimize sun exposure between 10:00 a.m. and 2 p.m. rather than from 2: to 5:00 p.m. when the sun's rays are strongest for the treatment of a skin disorder what is the primary prescription expected by the nurse when a male client visits the physician's office a an oral antibiotic B an IV corticosteroid c a topical agent D an IV antibiotic correct option C A topical agent in managing skin disorders the primary treatment approach typically involves prescribing topical agents rather than oral or intravenous medications a male patient visits a dermatologist regarding a skin issue after reviewing the patient's chart the nurse notes that the primary complaint listed is intertrigo what does intertrigo refer to a inflammation caused by a fungus penetrating the skin surface and causing infection B folicular inflammation C irritation of adjacent skin surfaces due to friction D spontaneous formation of Wheels correct answer C irritation of adjacent skin surfaces due to friction explanation intertrigo describes the irritation and inflammation that arises between skin folds or neighboring skin surfaces due to friction it's important to differentiate intertrigo from other skin conditions such as dermy infections option a foliculitis option b and ticaria option D what risk does genital herpes simplex pose for a 45-year-old female client receiving Outpatient Treatment as the nurse emphasizes preventive measures to reduce recurrences and prompt treatment for complications a cancer of the ovaries B cancer of the cervix C cancer of the vagina D cancer of the uterus correct option is B cancer of the cervix genital herpes simplex increases the risk of cervical cancer in women however it does not Elevate the risk of ovarian uterine or vaginal cancer before we move on to the next question we have urgent news for you we've meticulous ly crafted a 100h hour animated enlex review crash course and for this month only in the initial 30 hours we comprehensively cover all the crucial enlex topics with engaging animations but that is just the beginning the remaining 70 hours are dedicated to dissecting 5,000 enx questions through Dynamic animations along with animated lectures you will also get ngn questions an ebook practice test series and many more resources Imagine Learning with interactive visuals instead of being buried in a mound of tedious text say farewell to monotonous study sessions and welcome a revolutionary animated learning experience this 100h hour course is your passport to mastering the enclex exam with unwavering confidence remember animation significantly enhances information retention don't 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disruption of the artificial Skin's adherance to the wound bed protein intake and Float ingestion are crucial for healing and should not be Li limited it is acceptable for the client to engage in outdoor activities as long as the affected area is adequately protected from direct sunlight a male client is brought to the emergency department with second and third degree burns on the left arm left anterior leg and anterior trunk using the rule of Nines What is the total body surface area that has been burned a 30% B 25 5% C 20% D 36% correct answer D 36% to calculate the total body surface area burned using the rule of nines the arms account for 9% each the anterior legs account for 9% each and the interior trunk accounts for 18% thus the client's Burns cover 36% of the body surface area what should be the nurse's primary concern for a female client with a solar burn affecting the chest back face and arms seen in Urgent Care a fluid resuscitation B infection C pain management D Body Image the correct answer is C pain management the main priority for a client with a super ficial partial thickness burn like a sunburn is pain management concerns about infection and fluid resuscitation become relevant if the burn extends deeper into the skin layers while body image disturbance is important it's of lower priority compared to addressing pain what adverse reaction should the nurse assess for in a female client with a severe stoco infection receiving the aminoglycoside gyin sulfate gamy via the IV route a auditory nerve damage B cardiac dymus C convulsive episodes D bone marrow suppression correct answer a auditory nerve damage the nurse should particularly monitor for auditory nerve damage in a female client with a severe stfo infection receiving gyin sulfate intravenously auditory nerve damage presents with symptoms such as vertigo ttis and hearing loss commonly observed with aminoglycosides other adverse effects such as cardiac dymus convulsive episodes and bone marrow suppression are not typically associated with gamy which nursing intervention is beneficial for assisting a client in maintaining skin Health a refraining from using strong detergents during the client's bathing r r b suggest opting for loose fitting attire during hot weather C ensure the client remains adequately hydrated D swiftly removing adhesive tape from the skin correct answer is C ensure the client remains adequately hydrated maintaining the client's hydration levels is crucial in preventing skin issues such as cracking and infection as healthy skin serves as the body's primary defense mechanism to promote healthy skin nurses should opt for mild detergents instead of harsh ones during bathing Swift removal of adhesive tape should be avoided as it may cause skin damage loose fitting clothing is recommended in hot weather to facilitate heat dissipation through evaporation during his stay at a Skilled Nursing Facility a male patient developed scabies which was diagnosed the day following his discharge now residing in his daughter's home alongside five other individuals he seeks guidance during a clinic visit expressing concerns about the potential risk to his family asking a staff nurse he inquires what precautions should my family take the nurse's most accurate response would be a following your treatment family members won't be at risk of Contracting scabies B all household members should undergo treatment C if if any family member exhibits symptoms they should promptly seek medical attention D it's essential to refrain from sharing Linens and towels among family members the correct option is B all household members should undergo treatment explanation scabies contracted within shared living environments requires prompt treatment for all household members to prevent further infestation spread addition additionally preventive measures like avoiding the sharing of Linens and towels are crucial in reducing transmission risk given the contagious nature of Scabies even before symptoms appear proactive measures are essential to effectively contain its spread a nurse identifies scabies during the assessment of a client recently moved to the medical surgical unit from the day surgery unit to prevent scab's transmission to other patients the nurse should a inform the nurse in the day surgery unit about a possible scabies outbreak B Implement anic precautions for the client C quarantine the client's bedding until they are no longer contagious D Clean Hands thoroughly apply a pediculicide to the client's scalp and remove visible mites correct answer C quarantine the client's bedding until they are no longer contagious to curb scabby spread among hospitalized patients it's crucial to isolate the client's bidding until they are no longer contagious typically after 24 hours of treatment additionally maintaining strict hand hygiene and using gloves during treatment application and all client interactions are essential precautions while informing the day surgery unit nurse about the situation is necessary a widespread scabies epidemic is improbable as scabies mainly spreads through skin-to-skin or sexual contact anic precautions are unnecessary since scabies mites aren't present in feces in a session focusing on first aid principles the nurse discusses the necessary steps to manage a snake bite on an extremity participants learn about the foremost action required in such a situation what is the primary intervention a lower the EXT remedy below the Heart level B relocate the victim to safety from the snake and recommend rest C stabilize the affected extremity D remove any adornments and tight a tire from the individual correct answer is B relocate the victim to safety from the snake and recommend rest in the case of a snake bite the immediate priority is to move the victim to a secure location away from the snake and promote rest with the aim of minimizing Venom circulation subsequently any jewelry and constricting clothing should be removed before swelling occurs stabilizing the extremity and ensuring it remains at Heart level are subsequent steps aiding in limiting Venom dissemination additionally maintaining the victim's warmth and calmness is essential it is recommended to avoid substances such as alcohol or caffeinated beverages as they might hasten Venom absorption lastly prompt transportation to an emergency facility is vital when a patient presents at the emergency department after direct exposure to poison IV shrubs without visible skin signs appropriate advice is crucial the nurse should consider which of the following responses a seek immediate medical attention B apply calamine lotion promptly C take an immediate shower ensuring thorough lathering and rinsing D no action is necessary if there are no visible symptoms correct answer is C take a shower ensuring thorough lathering and rinsing multiple times contact with poison ivy often leaves an invisible sap film on the skin which can cause irritation or allergic reactions therefore it is imperative to cleanse the affected area thoroughly advising the patient to take an immediate shower and ensuring thorough lathering and rinsing under running water helps eliminate any remaining sap significantly reducing the risk of irritation while calamine lotion may offer relief if dermatitis occurs it does not address the immediate need to remove the sap from the skin in a hospital admission for acute cellulitis in the right arm what clinical signs with the nurse like likely observe a superficial infection involving the dermis and lymphatic vessels B infection of the outer skin layer and lymphatic vessels due to stacus orius C infection affecting the dermis and the layer beneath it D inflammation restricted to the outer layer of skin correct answer is C infection affecting the dermis and the layer beneath it cellulitis typically involves infection of both the dermis and the underlying hypodermis presenting as deep red arthemia with poorly defined borders and spreading extensively through tissue spaces affected skin typically displays redness swelling tenderness and occasionally nodularity it's crucial to distinguish cellulitis from arpis which is characterized by acute superficial rapidly spreading inflammation of the dermis and lymphatics cellulitis extends beyond the epidermis involving deeper layers of the skin in the realm of medical Diagnostics what test serves as the gold standard for confirming a diagnosis of herpes zoster shingles a positive finding on culture examination B identification of abnormal biopsy results C positive response on patch test D detection of infection under Woods light correct answer option A positive findings on culture examination here's the explanation the definitive diagnosis of herp zoster relies on the presence of the varicel zoster virus obtained through culture examination of the lesion herpes zoster arises from the reactivation of the varicel isoster virus the causitive agent of chickenpox biopsies entail microscopic scrutiny of tissue samples which may help identify abnormalities but are not the golden standard for diagnosis patch tests are geared toward identifying specific allergies by administering allergens to the skin and are not relevant to herp isoster diagnosis woodsite examination employs ultraviolet light to uncover superficial skin infections but is not specific to her diser upon arrival at the emergency department a patient presents with frost spite affecting the left hand what observation would the nurse likely make during the assessment of the affected hand a the skin of the hand appears white accompanied by an absence of sensation to touch B the fingertips exhibit blackened areas surrounded by a rash that appears red C the hand appears pink and swollen D the skin of the hand displays a fiery red Hue with swelling evident in the nail beds the correct option is a the skin of the hand appears white accompanied by an absence of sensation to touch frostbite assessment typically reveals a palad or bluish tint of the skin which feels rigid cold and lacks tactile sensation as thawing progresses skin flushing blistering or tissue edema may occur option A corresponds to the typical manifestation of frostbite aligning with the expected observation during assessment options b c and d do not align with the typical manifestation of frostbite upon examining the nursing records in the client's chart the morning nurse observes that the Night Nurse documented the existence of a stage 2 pressure ulcer on the sacral area consequently when evaluating the client's sacral region the nurse would expect to find which of the following a exposed bone tendon or muscle B skin without any damage C partial loss of skin thickness involving the dermis D complete loss of skin thickness correct answer is C partial loss of skin thickness involving the dermis a stage two pressure aler indicates that the skin is not fully intact it involves partial thickness loss of the dermis appearing as a shallow open soore with a red pink wound bed typically lacking sloth furthermore it may appear as an intact blister filled with serum or as an open ruptured one stage one pressure ulcers exhibit intact skin whereas stage three involves full thickness skin loss stage four pressure ulcers entail the exposure of bone t pendon or muscle in preparation to care for a burnt patient undergoing an escarotomy for a third degree circumferential leg burn what result does the nurse expect from this procedure a vigorous bleeding from the incision site B Restoration of distal pulses C development of granulation tissue D reduction in edema formation the correct answer is B Restoration of distal pulses escarotomy are essential interventions to relieve compartment syndrome caused by edema beneath the non- distensible escar in third degree circumferential Burns by releasing the constriction around the affected area particularly the arm in this instance the procedure aims to restore distal pulses while bleeding from the incision site might occur as an adverse event it's not not the intended therapeutic outcome typically bleeding can be managed with direct pressure and elevation although arterial damage may require liation edema formation isn't directly impacted by an escarotomy and the formation of granulation tissue isn't its intended goal