Dr. Martinez prescribes an emollient for a client with pruritus of recent onset. The client asks why the emollient should be applied immediately after a bath or shower. How should the nurse respond?

Correct Answer: B

Rationale: The correct answer is B because applying an emollient after a bath or shower helps seal in moisture and prevents evaporation of water from the hydrated epidermis, promoting hydration and maintaining skin integrity. This is crucial for managing pruritus. Summary: A: While emollients can help reduce skin irritation, the main purpose of applying it after a bath is to prevent water loss. C: Emollients do not enhance skin absorption of medication. D: Cooling the skin is not the primary reason for applying emollients after a bath.

Correct Answer: A

Rationale: The correct answer is A: With a circular motion, to enhance absorption. Applying dexamethasone cream in a circular motion helps distribute the medication evenly and promotes better absorption into the skin. This method ensures that the active ingredients are spread uniformly over the affected area, maximizing the therapeutic effects. Incorrect choices: B: In a thick layer - Applying a thick layer may lead to excessive absorption or wastage of the medication. C: With a downward stroke - Applying in a downward stroke may not distribute the cream evenly and may not facilitate absorption. D: Using a cotton ball only - Using a cotton ball may not provide the necessary pressure to evenly distribute the cream on the skin.

Correct Answer: A

Rationale: The correct answer is A because a nurse who never had German Measles is not at risk of contracting herpes zoster from the client. Herpes zoster is caused by the reactivation of the varicella-zoster virus, which causes chickenpox. If a person has never had chickenpox, they are at risk of getting it from a client with herpes zoster. Roseola and mumps are not related to herpes zoster, so choices C and D are incorrect.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Applying repellents to clothing reduces skin exposure. 2. It minimizes direct contact with skin, preventing potential irritation. 3. It also decreases absorption risks. 4. This method is safer, especially for children with sensitive skin. Summary of incorrect choices: B: DEET is not the only effective repellent; there are safe alternatives. C: Oil of lemon eucalyptus is not recommended for babies due to potential skin sensitivity. D: Washing off after 2 hours may reduce efficacy; reapplication is necessary for continued protection.

Correct Answer: D

Rationale: The correct answer is D: Tinea manus. Tinea manus refers to fungal infections on the hands. The other choices, A, B, and C, refer to fungal infections on the scalp, body, and groin respectively. Therefore, D is the correct answer as it pertains to fungal skin diseases affecting the hands specifically.