ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 65 : Caring for Clients With Skin, Hair, and Nail Disorders Questions
Question 1 of 5
The nurse is working with community groups. At what location would the nurse anticipate a possible scabies outbreak?
Correct Answer: C
Rationale: The nurse is correct to anticipate a potential scabies outbreak in a college dormitory. Outbreaks are common where large groups of people are confined or housed. Spread of scabies is from skin-to-skin contact. Although there are groups of people at the shopping mall, swimming pool, and gymnasium, typically, there is no personal contact.
Question 2 of 5
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
Correct Answer: D
Rationale: The nurse is correct to instruct the client to use hot water throughout the wash cycle. Using hot water kills scabies and infectious agents on the laundry. If using the correct wash settings, the client does not need to use commercial-grade laundry detergent; the clothing does not need pretreated nor washed through two cycles.
Question 3 of 5
The nurse is caring for a client prescribed oral griseofulvin for treatment of a fungal toenail infection. Which instruction by the nurse is essential in understanding the treatment plan?
Correct Answer: C
Rationale: Fungal infections are difficult to treat and often take many weeks of medication to eradicate. Taking medication with meals, administering daily, and using stool softeners are good teaching components but not essential in understanding the treatment plan.
Question 4 of 5
The nurse is caring for a client diagnosed with herpes zoster. Which statement by the client needs further clarification by the nurse?
Correct Answer: D
Rationale: The nurse is correct to clarify that even though the client has herpes zoster, the client can get herpes zoster again. The virus is contagious and can reoccur. All of the other options are accurate statements that demonstrate the client's understanding.
Question 5 of 5
The nurse is providing instruction to a client newly diagnosed with herpes zoster. Which two medications does the nurse anticipate to reduce pain and severity of disease symptoms?
Correct Answer: A
Rationale: The nurse is correct to instruct the client that medications prescribed to care for an outbreak of shingles include acyclovir (most frequently prescribed medication for shingles) and prednisone, a corticosteroid. Oral acyclovir, when taken within 48 hours of the appearance of symptoms, reduces the severity and prevents the development of additional lesions. Also, a brief course of corticosteroids reduces pain. Additional treatments include antipruritic and analgesic medications but are not as important as the acyclovir.