The camp nurse is teaching adolescents about the prevention of tinea pedis. Which instruction should the nurse include in the teaching plan?
Avoid using cosmetics that block sebaceous glands.
Wear water shoes in the public shower.
Do not share a brush or comb with anyone.
Use moisturizing creams to retain skin moisture.
The Correct Answer is B
Rationale:
A. Avoid using cosmetics that block sebaceous glands: This advice is more relevant to preventing acne rather than tinea pedis. Tinea pedis, or athlete's foot, is caused by a fungal infection, not by clogged sebaceous glands.
B. Wear water shoes in the public shower: Tinea pedis is commonly transmitted in moist, communal environments like showers and locker rooms. Wearing protective footwear minimizes contact with contaminated surfaces, helping prevent infection.
C. Do not share a brush or comb with anyone: This applies to the prevention of tinea capitis (fungal scalp infection), not tinea pedis. Hair grooming items are not typically involved in the transmission of athlete’s foot.
D. Use moisturizing creams to retain skin moisture: Fungi thrive in warm, moist environments. Applying moisturizers excessively, especially between the toes, can promote fungal growth rather than prevent it. Dry, clean feet are key to prevention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Consistently applies TED hose before getting dressed in the morning: TED hose are designed to promote venous return, not arterial circulation. They may actually worsen arterial insufficiency by further reducing peripheral perfusion.
B. Inspects feet daily for any irritation or skin breakdown: Daily foot inspection is essential for diabetes management but does not directly improve arterial circulation or relieve claudication symptoms.
C. Frequently elevates legs throughout the day: Leg elevation reduces venous congestion but may decrease arterial blood flow to the extremities, worsening symptoms of peripheral artery disease.
D. Completely stops cigarette/cigar smoking: Smoking cessation significantly improves arterial circulation by reducing vasoconstriction and atherosclerotic progression, directly addressing the underlying cause of intermittent claudication.
Correct Answer is ["B","D","E"]
Explanation
Rationale:
A. Ask the client if someone brought her to the clinic: This may be useful in a general assessment but is not directly relevant to the client's urinary symptoms, bruising, or potential abuse concerns. It does not guide immediate care.
B. Review list of daily medications for aspirin or other anticoagulants: Ecchymoses may indicate increased bleeding risk, especially in older adults on aspirin or anticoagulants. Reviewing medications helps determine if bruising is medication-related or from trauma.
C. Question her if she previously or currently uses any illicit drugs: There’s no clinical indicator pointing toward drug use. This line of questioning may be inappropriate or unnecessary unless other findings support it.
D. Inquire if she is being emotionally or physically abused: Unexplained bruising, especially in older adults, can signal possible abuse. The nurse should screen for abuse sensitively and privately.
E. Determine number of sexual partners she has had recently: Given her report of sexual activity and urinary burning, assessing recent sexual history helps guide further STI screening and urinary symptom evaluation.
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