A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing.

To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury.

To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?

Related to percutaneous absorption of the topical corticosteroid.

Related to vasodilatory effects of the topical corticosteroid.

Related to potential interactions between the topical corticosteroid and other ordered drugs.

Related to topical corticosteroid application to the face, neck, and intertriginous sites.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Percutaneous absorption of topical corticosteroids increases systemic exposure, potentially causing side effects like adrenal suppression, hyperglycemia, and Cushing's syndrome. This is particularly significant when potent corticosteroids are applied to large body areas or under occlusive dressings, enhancing absorption and systemic effects.

Choice B rationale

Topical corticosteroids primarily induce vasoconstriction, not vasodilation, reducing inflammation and redness in skin conditions. Incorrect understanding of their vasodilatory effects may misguide nursing interventions, making it less relevant to the injury risk in atopic dermatitis treatments.

Choice C rationale

Topical corticosteroids have minimal systemic interactions compared to oral or intravenous forms, making drug interaction concerns less pertinent. The risk of significant drug interactions is low unless the medication is systemically absorbed in substantial amounts.

Choice D rationale

Application to face, neck, and intertriginous sites increases the risk of local side effects like skin atrophy, but is not a primary concern for systemic injury risk. These areas have thinner skin, enhancing absorption and risk of local adverse effects, but not necessarily systemic harm.

Nursing Test Bank

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Correct Answer is C

Explanation

Choice A rationale

Pediculicides are used to treat lice, not scabies. Proper hand hygiene is important, but applying pediculicide is not necessary for scabies management.

Choice B rationale

Enteric precautions are for infections transmitted via the fecal-oral route, not for scabies, which requires contact precautions.

Choice C rationale

Isolating the client's bed linens and applying contact precautions help prevent the spread of scabies to other clients.

Choice D rationale

Notifying the day surgery unit of a potential scabies outbreak is important, but it does not directly prevent infection in other clients.

A. Lamellae. B. Osteoblasts. C. Osteocytes. D. Osteoclasts. E. Osteoclasts.

Correct Answer is B

Explanation

Choice A rationale

Lamellae are layers of bone tissue arranged in concentric circles in compact bone, not cells responsible for bone matrix secretion.

Choice B rationale

Osteoblasts are the cells responsible for the secretion of bone matrix. They produce collagen and other substances necessary for bone formation and growth.

Choice C rationale

Osteocytes are mature bone cells derived from osteoblasts. They maintain bone tissue but do not secrete bone matrix.

Choice D rationale

Osteoclasts are cells involved in the resorption of bone tissue, not the secretion of bone matrix. They break down bone tissue during growth and repair.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:

Correct Answer is C

Explanation

A child is growing at a rate appropriate for their age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth?

Correct Answer is B

Explanation

A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client's risk of fracture?

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the client's respiratory effort has increased. What is the nurse's most appropriate action?

A client's fracture is healing and compact bone is replacing spongy bone around the periphery of the fracture. This process characterizes what phase of the bone healing process?

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?