A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Visualize the abdominal incision.

Notify the healthcare provider.

Obtain sterile towels soaked in saline.

Assure the client that such feelings occur with wound infections.

Answer and Explanation

The Correct Answer is A

Choice A reason:

The correct answer is a) because visualizing the abdominal incision will help the nurse assess for wound dehiscence or evisceration, which requires immediate intervention.

Choice B reason: Notifying the healthcare provider is necessary but comes after assessing the wound.

Choice C reason: Obtaining sterile towels soaked in saline is important if dehiscence or evisceration is confirmed but is not the first action.

Choice D reason: Reassuring the client is important but does not address the immediate need to assess the wound.

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Correct Answer is B

Explanation

Choice A reason: While being fair-skinned and older increases risk, exposure to UV radiation is a significant factor.

Choice B reason:

The correct answer is b) because a fair-skinned client who works outdoors (construction worker) has higher exposure to UV radiation, increasing the risk of skin cancer.

Choice C reason: Having a family history of skin cancer is a risk factor, but dark-skinned individuals have lower risk compared to fair-skinned individuals with high UV exposure.

Choice D reason: Tanning bed use increases risk, but fair-skinned individuals with prolonged UV exposure have a higher overall risk.

A. Antibiotics take two weeks to become effective against infections such as athlete's foot. B. Continue using the ointment for a full week, even after the symptoms disappear. C. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration. D. Stop using the ointment and encourage complete drying of feet and wearing clean socks.

Correct Answer is D

Explanation

Choice A reason: Antibiotics are not effective against fungal infections like athlete's foot.

Choice B reason: Continuing the use of antibiotics will not help with a fungal infection.

Choice C reason: Applying a thin layer of ointment is not relevant for treating athlete's foot with antibiotics.

Choice D reason:

The correct answer is d) because athlete's foot is a fungal infection, and proper foot hygiene, including keeping the feet dry and wearing clean socks, is essential for treatment.

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A male client who had abdominal surgery 5 days ago and was hospitalized because of a wound infection tells the nurse that he feels like his insides just spilled out when he coughed. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client has the highest risk for developing skin cancer?

Correct Answer is B

Explanation

The parent of an adolescent tells the clinic nurse, "My child has athlete's foot. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Correct Answer is D

Explanation

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