A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?

Instruct the client to obtain a prescription for oral terbinafine.

Advise the client to obtain a prescription-strength formulation of the ointment.

Reassure the client that treatment of fungus infected toenails often takes several months.

Suggest that the client use the ointment twice a day to be more effective.

Answer and Explanation

The Correct Answer is A

A. Instruct the client to obtain a prescription for oral terbinafine: Since the client has been using an over-the-counter triple antibiotic ointment for two weeks without improvement, it indicates that the treatment is ineffective for fungal infections. Over-the-counter ointments are typically not effective for toenail fungal infections, which often require prescription-strength antifungal treatment. Oral terbinafine is a prescription antifungal medication that is more effective for treating such infections, so advising the client to obtain a prescription is the most appropriate action.
B. Advise the client to obtain a prescription-strength formulation of the ointment: Prescription-strength topical treatments are often used for fungal infections, but toenail fungal infections usually require oral antifungal medications to penetrate the nail effectively. Advising the client to obtain a prescription-strength ointment may not address the root cause, which often involves systemic treatment.
C. Reassure the client that treatment of fungus-infected toenails often takes several months: While it is true that toenail fungal infections can take several months to treat, the lack of improvement with the current treatment suggests that a more effective treatment is needed. Reassuring the client about the duration of treatment without addressing the ineffectiveness of the current treatment does not resolve the issue.
D. Suggest that the client use the ointment twice a day to be more effective: Increasing the frequency of application of the triple antibiotic ointment is unlikely to improve its effectiveness against a fungal infection. Fungal infections typically require specific antifungal agents, and simply using the current ointment more frequently will not address the underlying issue.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

A. Complete a medication variance report: This action is important if there is a concern about the medication’s impact or if the adverse effects might be related to an error in administration or dosage. Documenting and reporting these issues help ensure safety and provide information for evaluating the medication’s use.
B. Obtain a soft bristle toothbrush for client: Using a soft bristle toothbrush is a critical intervention to minimize gum trauma and bleeding, especially in clients on anticoagulants who are at higher risk for bleeding and gum tenderness. This helps reduce the risk of further bleeding and discomfort.
C. Report findings to healthcare provider: It is essential to inform the healthcare provider about the bleeding, tender gums, and bruising. These symptoms indicate potential complications related to the anticoagulant therapy that may require adjustment of the medication or additional interventions to manage the bleeding risk.
D. Provide a PRN NSAID for gum discomfort: NSAIDs (nonsteroidal anti-inflammatory drugs) should generally be avoided in clients on anticoagulants because they can further increase bleeding risk. Instead, other methods for managing discomfort should be considered, and this action could potentially exacerbate the bleeding issue.
E. Review most recent coagulation lab values: Checking the most recent coagulation lab values is important to assess whether the anticoagulant is at an appropriate level and to determine if adjustments are needed. This helps in managing and preventing further bleeding complications.

A. Before meals to prevent hyperglycemia. B. When unable to eat during sick days. C. When signs of severe hypoglycemia occur. D. At the onset of signs of diabetic ketoacidosis.

Correct Answer is C

Explanation

A. Before meals to prevent hyperglycemia: Glucagon is not used to prevent hyperglycemia. Instead, it is used in emergency situations to address severe hypoglycemia. Preventing hyperglycemia is typically managed with insulin and other diabetes management strategies, not glucagon.
B. When unable to eat during sick days: While it is important to manage blood glucose levels when unable to eat, glucagon is specifically used for severe hypoglycemia rather than during periods of illness where eating is difficult. During sick days, other measures, such as adjusting insulin or seeking medical advice, are more appropriate.
C. When signs of severe hypoglycemia occur: This is the correct instruction. Glucagon is an emergency treatment used to rapidly raise blood glucose levels in cases of severe hypoglycemia where the person is unconscious or unable to take oral glucose. Recognizing and administering glucagon during severe hypoglycemic episodes is crucial for preventing complications.
D. At the onset of signs of diabetic ketoacidosis: Glucagon is not used to treat diabetic ketoacidosis (DKA). DKA is managed with insulin, fluids, and electrolytes. Glucagon is specifically for severe hypoglycemia and is not indicated for DKA.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving the third dose of a new oral anticoagulant prescription, an older adult client develops bleeding and tender gums and has many new bruises. Which actions should the nurse implement? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

A glucagon emergency kit is prescribed for a client with type 1 diabetes mellitus. When should the nurse instruct the client and family that glucagon needs to be administered?

Correct Answer is C

Explanation

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)]

A client who is taking an oral contraceptive receives a new prescription for erythromycin. Which instruction should the nurse provide to the client?

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 main dextrose 5% in water (DW) 200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

A female client starts a new prescription, oxybutynin, for symptoms of an overactive bladder. The client tells the nurse that she is training to run in a half-marathon. Which Instruction should the nurse emphasize?

A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?

A male client receives a scopolamine transdermal patch 2 hours before surgery. Four hours after surgery, the client tells the nurse that he is experiencing pain and asks why the patch is not working. Which action should the nurse take?