Sarah, a 30-year-old with a family history of eczema, presents with a scaly, erythematous plaque on her right cheek. Blood tests reveal normal inflammatory markers. What should the nurse do?

Discuss the need for topical antibiotics.

Prepare Sarah for a skin biopsy.

Advise on the application of tretinoin.

Teach her to use a corticosteroid cream.

Answer and Explanation

The Correct Answer is D

A. There's no indication of a bacterial infection, so antibiotics are not warranted.

B.   A biopsy may be considered if the diagnosis is uncertain, but it's not the first-line action.
C.   Tretinoin is typically used for conditions like acne or photoaging, not for eczematous lesions.
D.   Corticosteroid creams are commonly used to reduce inflammation and itching associated with eczema, making this the most appropriate action.

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Correct Answer is D

Explanation

A. Decreased lung compliance doesn't directly enhance gas diffusion; it may impair it due to decreased lung expansion.

B. Decreased lung compliance doesn't necessarily indicate compromised pulmonary blood supply; it's more related to the lung's ability to expand and contract.
C. Decreased lung compliance suggests that ventilation may be impaired because the lungs are less able to expand and contract effectively.
D. Decreased lung compliance means the lungs are stiffer, requiring more effort to breathe, thus increasing the work of breathing.

A. Schedule her for a radical neck dissection. B. Initiate radiation therapy. C. Discontinue Lisinopril and initiate a diuretic. D. Administer a PET scan. E. Provide dietary counseling for weight management.

Correct Answer is ["B","D","E"]

Explanation

A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.

E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

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Sarah, a 30-year-old with a family history of eczema, presents with a scaly, erythematous plaque on her right cheek. Blood tests reveal normal inflammatory markers. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Brian, a 58-year-old patient, is noted to have a decreased lung compliance during his pulmonary function tests. What does this suggest about the physiology of his respiration?

Correct Answer is D

Explanation

Correct Answer is ["B","D","E"]

Explanation

Nurse Mary needs to decide on nursing management for patients with different conditions. Match each patient's condition to the best nursing management strategy

Tom, a 34-year-old man with a history of vocal cord paralysis post-thyroidectomy, comes to your clinic. He is currently taking levothyroxine. Which of the following nursing - interventions are appropriate for Tom? Select all that apply

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Karen, 35, comes in with recurring skin rashes and joint pain. The physician suspects an autoimmune disorder and orders an ELISA test to detect specific antibodies.

Lisa, 49, has actinic keratosis on her left cheek and opts for treatment with topical 5-FU. She is generally healthy with no other significant past medical history. What should the nurse instruct her?

47. Nurse Karen is reviewing medication orders for patients with different types of throat infections. Match each patient's condition to the appropriate pharmacological intervention.