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:

Wash hands, apply a pediculicide to the client's scalp, and remove any observable mites.

Place the client on enteric precautions.

Isolate the client's bed linens until the client is no longer infectious.

Notify the nurse in the day surgery unit of a potential scabies outbreak.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

Choice A rationale

Cranial nerve VII (Facial nerve) controls muscles of facial expression and functions in taste sensations from the anterior two-thirds of the tongue, not balance.

Choice B rationale

Cranial nerve VI (Abducens nerve) controls lateral eye movement and has no role in balance or proprioception.

Choice C rationale

Cranial nerve VIII (Vestibulocochlear nerve) is responsible for hearing and balance. A positive Romberg test indicates issues with proprioception or vestibular function, which is directly linked to this nerve.

Choice D rationale

Cranial nerve IX (Glossopharyngeal nerve) involves taste sensation from the posterior third of the tongue and some swallowing functions, not balance.

A. Cushing triad. B. Decreased level of consciousness (LOC). C. Headache. D. Coma.

Correct Answer is B

Explanation

Choice A rationale

Cushing triad is a late sign of increased ICP, characterized by bradycardia, hypertension, and irregular respirations, appearing after other symptoms like decreased LOC.

Choice B rationale

Decreased LOC is one of the earliest signs of increased ICP as it reflects the brain's response to pressure changes, alerting the need for immediate intervention.

Choice C rationale

Headache can be an early sign but is not as sensitive or specific as changes in LOC when assessing for increased ICP.

Choice D rationale

Coma is a late sign of significantly increased ICP, indicating severe brain dysfunction, often following initial symptoms like decreased LOC.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

Correct Answer is C

Explanation

What is one of the earliest signs of increased intracranial pressure (ICP)?

Correct Answer is B

Explanation

A nurse employed in a school suspects an outbreak of pediculosis. Which of the following nursing actions should be taken to prevent and control the outbreak?

Which primary lesions are associated with acne caused by sebum blockage in hair follicles?

Pressure ulcers are caused by:

When learning about the nervous system, students learn that which nervous system regulates the expenditure of energy?

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The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

The nurse assesses two new wounds located on a client's right and left buttocks. Which intervention for wound management would the nurse employ? Select all that apply.

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: