Unit 11

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A nurse is providing teaching to a client about a new prescription for clotrimazole topical cream. Which statements should the nurse include in the teaching?

"Apply the topical medication for up to 2 weeks after the fungal lesions are gone."

A nurse is providing discharge instructions to a client who had a skin biopsy with sutures. The nurse should identify that which of the following client statements indicates that the teaching has been effective?

"I should apply an antibiotic ointment to the area."

A nurse is teaching a client who has a history of psoriasis about photochemotherapy and ultraviolet light (PUVA) treatments. Which instructions should the nurse include in the teaching?

Administer a psoralen medication before the treatment

A nurse is providing information about a new prescription for corticosteroid cream to a client who has mild psoriasis. Which instructions should the nurse include? (sata)

Apply an occlusive dressing after application Wear gloves after application to lesions on the hands Avoid applying to skin folds

A nurse is instructing a client on home care after a culture for a bacterial infection and cellulitis. Which information should the nurse include in the teaching?

Apply warm moist compresses to the affected area

A nurse is assessing a client who sustained deep partial-thickness and full-thickness burns over 40% of his body 24 hours ago. Which findings should the nurse expect? (sata)

Dyspnea Hyperkalemia Hyponatremia

A nurse is educating a female client on the use of calcipotriene topical medication for the treatment of psoriasis. Which information should the nurse include? (sata)

Expect a stinging sensation upon application Apply to the scalp Obtain a pregnancy test Limit application to skin folds

A nurse is caring for a client who has sustained burns over 35% of his total body surface area. Of this total, 20% are full-thickness burns on the arms, face, neck, and shoulders. The client's voice has become hoarse. He has a brassy cough and is drooling. The nurse should identify these findings as indications that the client has which of the following?

Inhalation injury

A nurse is preparing to administer fentanyl to a client who sustained deep partial-thickness and full-thickness burns over 60% of his body 24 hours ago. The nurse should plan to use which routes to administer the medication?

Intravenous

A nurse is planning care for an adult client who sustained severe burn injuries. Which interventions should the nurse include in the plan of care? (sata)

Limit visitors in the client's room Increase protein intake Restrict fresh flowers in the room

A nurse is providing teaching to the parent of a child who has contact dermatitis. Which information should the nurse include?

Place the child in a bath with colloidal oatmeal

A nurse in a clinic is preparing to obtain a skin specimen from a client who has a suspected herpes infection. Which actions should the nurse take? (sata)

Puncture the crusted area with a sterile needle Place cotton-tipped applicator in culturette tube Place culturette tube in ice

A nurse in a provider's office is assessing a client who has a severe sunburn. Which classifications should the nurse use to document this burn?

Superficial thickness

A nurse is caring for a client who has a suspected viral skin lesion. Which laboratory findings should the nurse anticipate reviewing to confirm this diagnosis?

Tzanck smear report

A nurse is caring for a client who has contact dermatitis and has a new prescription for diphenhydramine. For which adverse effects should the nurse monitor?

Urinary retention


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