A 16-year-old male diagnosed with genital warts presents for chemical ablation with podophyllin (Podofin) 25% topical solution. The lesions appear on the glans and scrotum. When applying the solution to the affected areas, the nurse practitioner should NOT:
apply acetic acid to the external genitalia 3-5 minutes prior to chemical ablation.
apply petroleum jelly 3-5 mm away from the lesions prior to applying podophyllin (Podofin)
use a cotton-tipped wooden applicator when applying podophyllin (Podofin) directly on the lesions.
dust the lesions with talcum powder once the ablation is complete.
The Correct Answer is A
Rationale:
A. Applying acetic acid to the external genitalia before chemical ablation is NOT recommended. Acetic acid is sometimes used for diagnostic purposes (to highlight lesions by turning them white), but it can irritate the skin and increase the risk of chemical injury when combined with podophyllin.
B. Applying petroleum jelly around the lesions is appropriate because it protects surrounding healthy skin from the caustic effects of podophyllin.
C. Using a cotton-tipped wooden applicator is the correct technique to apply podophyllin precisely to the lesions without spreading it to healthy tissue.
D. Dusting the lesions with talcum powder after ablation helps absorb residual medication and reduce local irritation, which is considered standard post-application care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Pericardial effusion is the accumulation of fluid in the pericardial sac surrounding the heart, not in the pleural cavity.
B. Parapneumonic pleural effusion is fluid that accumulates in the pleural space secondary to pneumonia; it is usually serous, purulent, or bloody but not specifically lymphatic.
C. Pleural empyema is pus in the pleural space, typically resulting from infection, not lymphatic fluid.
D. Chylothorax is the accumulation of lymphatic fluid (chyle) in the pleural cavity, usually due to trauma, obstruction, or congenital malformation of the thoracic duct. It is characterized by a milky appearance and high triglyceride content.
Correct Answer is B
Explanation
Rationale:
A. By age 2, most children are typically able to perform gross motor skills such as kicking a ball.
B. Inability to kick a ball at this age may suggest a gross motor developmental delay. This finding warrants further assessment of overall motor development and may indicate the need for early intervention services.
C. While motor delays can be associated with autism, inability to kick a ball alone is not a specific sign of autism spectrum disorder.
D. Vision problems may affect coordination, but gross motor delays like difficulty kicking are more directly linked to neuromuscular or developmental issues.
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