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 B

Explanation

A. While impaired mucociliary clearance can contribute to respiratory symptoms in COPD, it is not directly reflected in the PaCO2 level.
B. In COPD, the respiratory drive can be blunted, leading to inadequate response to elevated PaCO2 levels by the chemoreceptors.
C. Reflex bronchoconstriction may occur in response to various stimuli but is not directly related to the PaCO2 level.
D. Filtration of air primarily refers to the removal of particulate matter and pathogens by the respiratory system and is not directly related to PaCO2 levels.

A. Start George on antiepileptic drugs for neuropathic pain B. Initiate immediate dialysis to manage neuropathy C. Administer a bolus of rapid-acting insulin D. Teach George about foot care and daily foot inspections

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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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

A 62-year-old man named John with a history of COPD is admitted for worsening shortness of breath. John's recent arterial blood gas (ABG) Indicates a PaCO2 level of 55 mmHg. Which of the following mechanisms is most compromised In John's respiratory system?

Correct Answer is B

Explanation

George, 65, has a 10-year history of diabetes mellitus. He complains of tingling sensations and numbness in his feet. His HbA1c is 9%, and a monofilament test reveals a loss of sensation. Which of the following interventions should be prioritized?

Correct Answer is D

Explanation

David, a 30-year-old man, is examined for potential hernias. The healthcare provider asks him to bear down during the examination. What is the primary reason for this instruction?

Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?

Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Sarah, a 45-year-old woman with a 10-year history of COPD, presents with a pH of 7.30, PaO2 of 50, and PaCO2 of 60. She is currently taking tiotropium bromide. Which Interventions are most appropriate? Select all that apply.

Mark, a new father, is concerned about passing on his current viral infection to his two- week-old baby. What should the occupational health nurse inform him regarding his - baby's risk of contracting his infection?

Linda, a 45-year-old patient, is admitted for pneumonia. She has a productive cough.Which respiratory defense mechanism is primarily responsible for removing the pathogenic microorganisms?

Anna, 45, presents with lymphadenopathy and an abnormal CBC. The healthcare provider orders flow cytometry. What is the primary reason for using flow cytometry in Anna's case?