Which of the ff nursing interventions would a nurse perform to avoid maceration from irritating drainage or the wound compresses in a client with breast abscess?

Correct Answer: A

Rationale: Applying zinc oxide to the surrounding skin can help protect it from becoming macerated due to irritating drainage or wound compresses. Zinc oxide acts as a barrier that helps prevent moisture from affecting the skin, thus reducing the risk of maceration. It provides a protective layer and promotes healing by keeping the affected area dry and free from further irritation. It is an effective intervention to maintain skin integrity and promote optimal wound healing in clients with a breast abscess.

Correct Answer: C

Rationale: The correct statement indicating the patient has a good understanding of the treatment regimen is statement C: "I'll take my medication in the morning, every morning." This statement shows that the patient acknowledges the importance of taking their prescribed bumetanide (Bumex) every morning as directed. Consistency in taking the medication as prescribed is crucial for the effective control of hypertension. Statements A and B are unrelated to the treatment regimen and do not address medication adherence. Statement D reflects a misconception that medication can be stopped once blood pressure decreases, which is inaccurate and potentially harmful.

Correct Answer: C

Rationale: Assessing the patient's pain level should take priority in this situation because pain management is crucial for the comfort and well-being of the patient with a brain tumor undergoing radiation treatments. Pain can affect the patient's overall quality of life and participation in treatment. By promptly assessing the patient's pain level, the nurse can determine the need for appropriate pain management interventions to ensure the patient's comfort and enhance treatment outcomes. It is important to address the patient's pain to provide holistic care and improve the patient's overall experience during the treatment process.

Correct Answer: A

Rationale: The correct statement justifying the administration of the prescribed anticonvulsant phenytoin to a client before intracranial surgery is "To reduce the risk of seizures before and after surgery." Patients undergoing intracranial surgery are at an increased risk of seizures due to the manipulation of the brain tissue and the potential for increased intracranial pressure during the procedure. Administering an anticonvulsant like phenytoin before surgery helps reduce the risk of seizures both during the surgery and in the postoperative period. This proactive approach not only protects the patient from the potential harm associated with seizures but also contributes to a smoother recovery process.

Correct Answer: B

Rationale: The nurse should wake up a client who is to undergo an EEG at midnight to ensure that the client receives optimum sleep before the procedure. Optimum sleep helps regulate the client's breathing patterns during the EEG, resulting in more accurate readings. Adequate rest is essential for brain activity monitoring to be as normal as possible. Waking the client at midnight allows for enough time for the client to fall back asleep before the EEG is conducted, ensuring the best possible conditions for the procedure.