A nurse in a provider's office receives a telephone call from the parent of a preschooler whose hands and arms were in contact with poison ivy 5 min ago. Which of the following instructions should the nurse give the parent to minimize the manifestations of this type of contact dermatitis?

Apply olive or mineral oil to the skin areas that were exposed to the plant.

Flush both arms and hands with cool running water right away.

Scrub both arms and hands with antibacterial soap and hot water.

Have the child avoid contact with other family members.

Answer and Explanation

The Correct Answer is B

A. Apply olive or mineral oil to the skin areas that were exposed to the plant. Oils can spread the urushiol (the irritant in poison ivy) and worsen the reaction.
B. Flush both arms and hands with cool running water right away. Washing with cool water can help remove the urushiol from the skin and reduce the severity of the reaction.
C. Scrub both arms and hands with antibacterial soap and hot water. Hot water can open pores and increase absorption of urushiol; antibacterial soap is not necessary.
D. Have the child avoid contact with other family members. While it's important to prevent the spread of urushiol, the immediate priority is to wash it off.

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Correct Answer is A

Explanation

A. Keep the collection bag below the level of the bladder. This prevents backflow of urine, which can introduce bacteria into the bladder and cause infection.
B. Irrigate the catheter routinely with sterile water every other day. Routine irrigation is not recommended as it can introduce pathogens and increase the risk of infection.
C. Use an antiseptic to cleanse the periurethral area twice each day. Cleansing with soap and water is recommended; frequent antiseptic use can irritate the skin and is not necessary.
D. Disconnect the catheter from the drainage tubing to collect urine specimens. Disconnecting the catheter can introduce bacteria and increase the risk of infection. Specimens should be collected using a sterile technique without disconnecting the system.

A. Offer to give the client a back massage using warm lotion. B. Explain that the client might not receive another dose for a few hours. C. Ask the client about his previous pain relief measures. D. Request that the provider prescribe another dose of opioid analgesia.

Correct Answer is C

Explanation

A. Offer to give the client a back massage using warm lotion. This is a non-pharmacological intervention but may not address the client's acute pain effectively.
B. Explain that the client might not receive another dose for a few hours. This does not address the client's immediate need for pain relief.
C. Ask the client about his previous pain relief measures. This allows the nurse to assess the effectiveness of previous interventions and understand the client's pain history.
D. Request that the provider prescribe another dose of opioid analgesia. This might be necessary, but assessment of the client's pain and relief measures should be conducted first.

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A nurse in a provider's office receives a telephone call from the parent of a preschooler whose hands and arms were in contact with poison ivy 5 min ago. Which of the following instructions should the nurse give the parent to minimize the manifestations of this type of contact dermatitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an indwelling urinary catheter. To reduce the client's risk of developing a catheter-associated urinary tract infection, which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a postoperative client who received a dose of opioid pain medication 30 min ago. The client is now requesting another dose of pain medication to relieve continuing acute pain. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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