The nurse prepares to obtain a culture from a patient who has a possible fungal infection on the foot. Which items should the nurse gather for this procedure?

Correct Answer: A

Rationale: The correct answer is A: Sterile gloves. When obtaining a culture for a fungal infection, sterile gloves are essential to prevent contamination. The nurse needs to maintain aseptic technique to ensure accurate results and prevent potential spread of infection. Patch test instruments (B) are used for allergy testing, not for obtaining cultures. Cotton-tipped applicators (C) are usually used for wound care or specimen collection, but not ideal for obtaining fungal cultures. Syringe and intradermal needle (D) are typically used for administering medications or taking blood samples, not for fungal culture collection.

Correct Answer: D

Rationale: The correct answer is D: Surgical excision. This is the most appropriate procedure for removing a suspicious mole that is irregular, enlarging, and potentially malignant. Surgical excision allows for the complete removal of the mole along with a margin of healthy tissue to ensure that all abnormal cells are eliminated. Curettage (A) involves scraping the skin surface and may not be sufficient for complete removal. Cryosurgery (B) freezes and destroys tissue but may not be adequate for excising a potentially malignant lesion. Punch biopsy (C) is used for sampling a small portion of the mole for diagnostic purposes, not for complete removal.

Correct Answer: C

Rationale: The correct answer is C because the inability to detect when the eyelids are touched may indicate nerve damage, which is a critical post-operative complication following a blepharoplasty. This should be reported immediately to the surgeon for prompt evaluation and intervention to prevent further complications. Choice A is incorrect because incisional pain is expected after surgery and can be managed with pain relief medications. Choice B, a heart rate of 110 beats/min, is elevated but not an immediate concern unless other symptoms are present. Choice D, pale and cold skin around the incision, may indicate poor circulation but is not as urgent as nerve damage in this context.

Correct Answer: C

Rationale: The correct answer is C because oral corticosteroids, used to treat severe asthma, can lead to musculoskeletal issues like osteoporosis and muscle weakness. Corticosteroids can decrease bone density and increase the risk of fractures. A: Taking multivitamins and calcium supplements promotes bone health. B: Hormone replacement therapy does not directly impact the musculoskeletal system. D: NSAIDs are not typically associated with musculoskeletal risks unless used in high doses for prolonged periods.

Correct Answer: B

Rationale: The correct answer is B. UAP can safely obtain a blood sample for uric acid from a patient with gout as it is a non-invasive task that does not require specialized nursing knowledge. The rationale includes: 1. UAP training often includes basic phlebotomy skills. 2. Blood sample collection is a routine task that can be delegated. 3. Uric acid testing is a common diagnostic procedure for gout. Other choices require higher-level nursing assessment and intervention skills, which UAP are not trained or qualified to perform. A: Assessing muscle strength requires nursing judgment. C: Performing straight-leg-raise testing involves potential risk of injury. D: Checking for knee crepitation before surgery requires specific knowledge and expertise.