A nurse is assisting in the care plan for a patient with widespread herpes zoster lesions. What actions should the nurse include in the plan?
Apply mystatin cream to the blistered areas.
Implement contact precautions.
Use warm compresses on the crusted lesions.
Administer the shingles vaccine.
The Correct Answer is B
Choice A rationale
Applying mystatin cream to the blistered areas is not typically recommended for herpes zoster lesions. Mystatin is an antifungal medication, and herpes zoster is caused by a virus, not a fungus.
Choice B rationale
Implementing contact precautions is recommended for patients with widespread herpes zoster lesions. This helps to prevent the spread of the virus to other people.
Choice C rationale
Using warm compresses on the crusted lesions is not typically recommended. While warm compresses can help with some skin conditions, they are not usually part of the care plan for herpes zoster.
Choice D rationale
Administering the shingles vaccine is not typically done once a patient already has widespread herpes zoster lesions. The vaccine is used to prevent shingles, not to treat active cases.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Ulcerative colitis is a chronic inflammatory bowel disease that increases the risk of colorectal cancer. Long-standing ulcerative colitis causes continuous inflammation and damage to the cells of the colon, which can lead to cancer over time.
Choice B rationale
Chronic constipation does not directly increase the risk of colorectal cancer. However, a diet low in fiber and high in fat and red meat, which can contribute to constipation, is associated with an increased risk of colorectal cancer.
Choice C rationale
Biliary colic is a symptom of gallstones and is not a risk factor for colorectal cancer.
Choice D rationale
Duodenal ulcers are a type of peptic ulcer disease and are not a risk factor for colorectal cancer.
Correct Answer is C
Explanation
Choice A rationale
Drinking contrast medium is not typically required for an esophagogastroduodenoscopy (EGD). Contrast media are often used in imaging studies such as CT scans or certain types of X- rays, not for EGD45.
Choice B rationale
Shaving the client from axillae to groin is not necessary for an EGD. This might be required for certain types of surgeries, but an EGD is a non-surgical procedure that involves inserting a flexible tube with a light and camera into the esophagus, stomach, and duodenum.
Choice C rationale
Ensuring the signed consent is in the medical record is crucial before any procedure, including an EGD45678. It is a legal and ethical requirement that ensures the client is informed about the procedure, its purpose, its risks and benefits, and any alternatives.
Choice D rationale
Administering a cleansing enema is not typically required for an EGD. While bowel preparation, such as using a laxative or enema, might be necessary before some procedures like a colonoscopy, it is not usually needed for an EGD45.
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