exam 3 questions

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A nurse is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? (Select all that apply):

A. Areas of paresthesia B. Involuntary eye movements E. Ataxia

A nurse is reviewing the trigger factors that can cause seizures with a client who has a new diagnosis of generalized seizures. Which of the following should the nurse include in this review? (Select all that apply):

A. Avoid overwhelming fatigue. B. Remove caffeinated products from the diet. C. Limit looking at flashing lights

Seizures A nurse is assessing a client who has a seizure disorder. The client tells the nurse, "I am about to have a seizure." Which of the following actions should the nurse implement? (Select all that apply):

A. provide privacy B. ease the client to the floor if standing C. move furniture away from the client D. loosen the client's clothing E. protect the client's head with padding

A nurse is providing information about a new prescription for corticosteroid cream to a client who has mild psoriasis. Which of the following instructions should the nurse include? (Select all that apply)

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

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

Place the child in a bath with colloidal oatmeal

A nurse is caring for a client who has shingles with multiple skin lesions. Which of the following actions by the nurse require intervention by the nurse's supervisor?

The nurse admits another client who has shingles to the client's double room.

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

a. Elevated blood glucose

A nurse is assessing a client who presents to the providers office for evaluation of multiple nevi. Which of the following findings should the nurse report to the provider as a possible sign of malignancy?

a. Irregular borders

A nurse is caring for a client who just experienced a generalized seizure. Which of the following actions should the nurse perform first?

a. Keep the client in a side-lying position

A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?

a. Malignant melanoma

A nurse is in a client's room when the client begins having atoni-clonic seizure. Which of the following actions should the nurse take first?

a. turn the client's head to the side

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching

b. I should apply sunscreen prior to going outside even in the winter months.

A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which of the following actions should the nurse take prior to administering the client medication?

c. Ask the client take some small sips of water

Skin A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition, Which of the following questions by the newly licensed nurse requires intervention?

c. How do you handle stress?

A nurse is teaching a client who has multiple sclerosis and anew prescription for baclofen. Which of the following statements should the nurse include in the teaching?

c. This medication can cause your skin to bruise easily

A nurse is developing a teaching plan for a client who has psoriasis. Which of the following information should the nurse include in the plan?

c. Use bath oils to soften and soothe the skin

A nurse is providing teaching to a client who has a superficial lesion and has had a biopsy that indicates malignant melanoma. The nurse should include which of the following options as the treatment of choice?

d. Surgical excision

A nurse is providing teaching to a client who has psoriasis and anew prescription for the topical corticosteroid cream betamethasone valerate. Which of the following information should the nurse include in the teaching?

d. Wrapping plastic around the site can increase the medication's effectiveness


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