The clinic nurse notes that the physician has documented a diagnosis of herpes zoster (shingles) in the male client's chart. Based on an understanding of the cause of this disorder, the nurse determines that this definitive diagnosis was made following which diagnostic test?

Correct Answer: C

Rationale: The correct answer is C: Culture of the lesion. A culture of the lesion is the definitive diagnostic test for herpes zoster as it can identify the presence of the varicella-zoster virus. Blood tests may show antibodies but do not confirm the active infection. Skin biopsy is not typically necessary for diagnosis. Visual inspection alone is not sufficient to confirm herpes zoster as it can be similar to other skin conditions.

Correct Answer: D

Rationale: The correct answer is D: Report the bite to authorities. This is important to ensure proper follow-up care, prevention of rabies transmission, and identification of potentially dangerous dogs. Antibiotics may be needed but should be prescribed by a healthcare provider. Offering a toy may provide comfort but is not the priority. Discharge teaching can be done after addressing the immediate safety concerns. Reporting the bite to authorities is crucial for public health and safety.

Correct Answer: D

Rationale: Step 1: Lyme disease is caused by the bacterium Borrelia burgdorferi transmitted through tick bites. Step 2: The incubation period for Lyme disease is typically 3-30 days after a tick bite. Step 3: Early symptoms include fever, fatigue, headache, and a characteristic bulls-eye rash. Step 4: The bulls-eye rash (erythema migrans) is a hallmark sign of early Lyme disease. Step 5: Inability to bear weight is not typically a symptom of Lyme disease. Step 6: Therefore, the correct statement includes the manifestation of Lyme disease 3-30 days after a tick bite (Choice D). Other choices are incorrect as they do not align with typical signs and symptoms of Lyme disease.

Correct Answer: C

Rationale: The correct answer is C: 'The odor is an expected reaction to the pressure dressing.' The rationale is that in the scenario provided, the male client is being treated with an occlusive dressing for the pressure ulcer. Occlusive dressings can sometimes lead to a foul odor due to the accumulation of exudate and bacteria under the dressing, which is a normal part of the healing process. The nurse's response should reassure the wife that the odor is expected and not necessarily indicative of an infection. Option A: 'I will contact your husband's doctor when he makes rounds.' This response does not address the wife's concern about the foul odor and delays providing necessary information. Option B: 'The odor is secondary to an infection and he is taking antibiotics.' This response assumes an infection without proper assessment and may mislead the wife about the cause of the odor. Option D: 'I am sorry the odor bothers you. We will bathe your husband.' This response does not address the underlying cause

Correct Answer: C

Rationale: Correct Answer: C Rationale: The nurse should discuss rotating two or three different types of shampoos daily with the client diagnosed with seborrheic dermatitis of the scalp. This is because using different shampoos can help prevent the scalp from becoming resistant to one specific shampoo and can also help target different aspects of the condition. Using the same shampoo repeatedly may lead to decreased effectiveness over time. Additionally, rotating shampoos can help prevent the buildup of product residue on the scalp, which can exacerbate seborrheic dermatitis symptoms. This approach promotes scalp health and reduces the risk of irritation and flare-ups. Incorrect Choices: A: Using a fine-toothed comb after shampooing may exacerbate irritation and inflammation in seborrheic dermatitis. B: Applying hydrocortisone 1% twice a day may provide temporary relief but is not a long-term solution for managing seborrheic dermatitis and can have side effects with prolonged