You take the health history for a 60-year-old client who has been admitted to same-day surgery for elective facial dermabrasion. Which information is most important to convey to the plastic surgeon?

Correct Answer: D

Rationale: The correct answer is D because daily intake of aspirin can increase the risk of bleeding during surgery, which is crucial information for the plastic surgeon. Not using sunscreen (A) is important for post-operative care but not as critical as bleeding risk. Family history of melanoma (B) is pertinent for skin cancer risk but not directly impacting the surgery. Fasting for 8 hours (C) is a standard pre-operative instruction and not as urgent as bleeding risk.

Correct Answer: C

Rationale: The correct answer is C: Avoid walking barefoot. This practice helps prevent spreading the fungal infection to other areas and reduces the risk of reinfection. Walking barefoot in public places can expose the affected foot to more fungi. Explanation: 1. Walking barefoot increases the risk of spreading the infection. 2. Shoes act as a barrier to protect the affected foot. 3. Avoiding barefoot walking reduces the chances of reinfection. 4. It is a key preventive measure in managing onychomycosis. Summary: A: Incorrect. Antifungal medications for onychomycosis need to be taken for several weeks to months, not just 5 to 10 days. B: Incorrect. Changing footwear alone does not target the root cause of the infection. D: Incorrect. Keeping the feet moist can exacerbate the fungal growth.

Correct Answer: C

Rationale: The correct answer is C because during burn injury recovery, protein needs increase significantly to promote tissue repair and wound healing, which is typically two to four times higher than normal. Higher calorie intake is also required to support the increased metabolic demands of healing. Option A is incorrect as it underestimates protein needs. Option B is incorrect as it suggests inadequate protein intake. Option D is incorrect as it recommends insufficient calories for the increased protein needs.

Correct Answer: D

Rationale: The correct answer is D because topical hydrocortisone does not block photosensitivity caused by drugs. Topical hydrocortisone is a corticosteroid used to reduce inflammation in the skin, not to block photosensitivity. A is incorrect because obesity can actually lead to decreased sweating, not increased sweating. B is incorrect because benzophenones primarily protect against UVB rays, not both UVA and UVB. C is incorrect because while UVA rays do contribute to skin cancer, UVB rays are considered the primary cause.

Correct Answer: D

Rationale: The correct answer is D: Plantar wart. Papillomavirus infection on the skin is commonly known as a wart. Plantar warts specifically appear on the soles of the feet. Warts are caused by the human papillomavirus (HPV). Furuncle (A) and carbuncle (B) are skin abscesses caused by bacterial infections. Erysipelas (C) is a bacterial skin infection causing redness and swelling. Plantar wart is the most appropriate choice due to its association with papillomavirus and its specific location on the skin.