Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?

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Biological Basis of Behavior Quizlet Questions

Question 1 of 5

Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?

Correct Answer: C

Rationale: Correct Answer: C Rationale: Applying dexamethasone cream in long, even, outward, and downward strokes in the direction of hair growth helps to spread the medication evenly, following the natural skin texture. This method ensures proper absorption and minimizes potential irritation. It also prevents damage to the hair follicles. Summary: A: Circular motion may not evenly distribute the cream, affecting absorption. B: Applying upward may not be suitable for dermatitis and could lead to irritation. D: Applying in the opposite direction of hair growth can cause discomfort and hinder absorption.

Question 2 of 5

Ruby is receiving thyroid replacement therapy develops the flu and forgets to take her thyroid replacement medicine. The nurse understands that skipping this medication will put the client at risk for developing which of the following lifethreatening complications?

Correct Answer: C

Rationale: The correct answer is C: Myxedema coma. Skipping thyroid replacement medication can lead to hypothyroidism worsening, potentially progressing to myxedema coma, a life-threatening condition characterized by extreme hypothyroidism. This can result in decreased consciousness, hypothermia, respiratory depression, and other serious complications. Exophthalmos (choice A) is associated with hyperthyroidism, not skipping thyroid medication. Thyroid storm (choice B) is a severe complication of hyperthyroidism, not hypothyroidism. Tibial myxedema (choice D) is a rare localized form of myxedema, not a life-threatening complication of skipping thyroid replacement therapy.

Question 3 of 5

The physician orders laboratory tests to confirm hyperthyroidism in a female client with classic signs and symptoms of this disorder. Which test result would confirm the diagnosis?

Correct Answer: B

Rationale: The correct answer is B: A decreased TSH level. In hyperthyroidism, there is an overproduction of thyroid hormones, leading to a negative feedback loop that suppresses the release of TSH from the pituitary gland. Therefore, a decreased TSH level is indicative of hyperthyroidism. Rationale: 1. A: No increase in TSH level after 30 minutes during TSH stimulation test - In hyperthyroidism, the TSH level would already be low, so no increase would be expected. 2. C: An increase in TSH level after 30 minutes during TSH stimulation test - This contradicts the pathophysiology of hyperthyroidism where TSH is suppressed. 3. D: Below-normal levels of serum T3 and T4 - While low T3 and T4 levels can occur in hypothyroidism, in hyperthyroidism, there is typically an excess of these hormones. In summary, a decreased TSH

Question 4 of 5

A 62-year-old male client was in a motor vehicle accident as an unrestrained driver. He's now in the emergency department complaining of difficulty of breathing and chest pain. On auscultation of his lung field, no breath sounds are present in the upper lobe. This client may have which of the following conditions?

Correct Answer: C

Rationale: The correct answer is C: Pneumothorax. In this scenario, the absence of breath sounds in the upper lobe of the lung field indicates a possible pneumothorax, where air enters the pleural space causing lung collapse. This condition is common in trauma cases like motor vehicle accidents. Bronchitis (A) and pneumonia (B) typically present with abnormal breath sounds but not the absence of breath sounds in a specific lobe. Tuberculosis (D) would not cause sudden absence of breath sounds in a specific lobe.

Question 5 of 5

The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin's disease?

Correct Answer: B

Rationale: The correct answer is B: Night sweat. Night sweats are a common early symptom of Hodgkin's disease, particularly in stage 1. This can be due to the body's response to the cancer cells. Pericarditis (A) is inflammation of the lining around the heart and is not typically an early symptom of Hodgkin's disease. Splenomegaly (C) is enlargement of the spleen, which can occur in later stages of the disease. Persistent hypothermia (D) is not a common symptom of Hodgkin's disease. Night sweats are a key indicator for healthcare providers to consider further evaluation for Hodgkin's disease.

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