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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Lithotomy position requires the patient to lie on his back with his legs raised and spread apart, which may be difficult for a nonambulatory patient and may cause pressure on his lower back and pelvis.
B. This position allows for easy access to the rectum and prostate without causing discomfort or strain to the patient or examiner. The patient lies on his left side with his right leg flexed at the hip and knee and his left leg slightly flexed at the hip and straight at the knee.
C. Bent forward with hips flexed requires the patient to stand up and lean over a table or chair, which may also be challenging for a nonambulatory patient and may cause dizziness or loss of balance.
D. Standing position requires the patient to stand up straight with his feet apart, which may not provide adequate exposure or comfort for the examination.
Correct Answer is D
Explanation
A. While antiepileptic drugs are sometimes used to manage neuropathic pain, the priority in George's case is preventing complications related to diabetic neuropathy.
B. Dialysis is not indicated for neuropathy management.
C. While managing blood glucose levels is important in diabetes management, immediate insulin administration may not be necessary unless George is experiencing hyperglycemic crisis.
D. This is the priority intervention to prevent complications such as diabetic foot ulcers and infections.
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