The nurse identifies which of the following interventions in the treatment of fungal infections? (Select all that apply.)
Use an antifungal cleanser daily.
Eliminate the conditions that created the problem.
Thoroughly clean and dry skin daily.
Apply 4x4 dressings to the affected site.
Correct Answer : B,C
Choice A: Use an antifungal cleanser daily. This is not a correct answer. Antifungal cleansers are not recommended for treating fungal infections, as they can irritate the skin and disrupt the natural balance of the skin flora¹. Antifungal cleansers may also reduce the effectiveness of other antifungal medications².
Choice B: Eliminate the conditions that created the problem. This is a correct answer. Fungal infections are often caused by factors that create a favorable environment for fungi to grow, such as moisture, warmth, poor hygiene, or weakened immunity³. Eliminating these conditions can help prevent or treat fungal infections by reducing the fungal load and restoring the skin barrier.
Choice C: Thoroughly clean and dry skin daily. This is also a correct answer. Cleaning and drying the skin daily can help remove dirt, sweat, and dead skin cells that can harbor fungi and cause infections. Drying the skin well, especially in the folds and creases, can also prevent moisture buildup that can promote fungal growth.
Choice D: Apply 4x4 dressings to the affected site.This is not a correct answer. Applying dressings to the affected site can trap moisture and heat, which can worsen fungal infections. Dressings may also interfere with the absorption of topical antifungal medications. Dressings are only indicated for fungal infections that cause open wounds or ulcers, and they should be changed frequently and kept clean and dry..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Wearing well-fitting shoes is a good intervention for the older adult man to reduce his discomfort, as it can prevent pressure, friction, or injury to his feet, which can worsen the burning sensation. The nurse would advise the older adult man to choose shoes that are comfortable, supportive, and breathable, and to avoid shoes that are too tight, too loose, or have high heels or pointed toes.
Choice B reason: Soaking the feet in warm water is not a recommended intervention for the older adult man to reduce his discomfort, as it can dry out his skin, increase the risk of infection, or cause thermal injury if the water is too hot. The nurse would advise the older adult man to wash his feet daily with mild soap and lukewarm water, and to dry them thoroughly, especially between the toes.
Choice C reason: Applying antifungal powder on the feet is not a necessary intervention for the older adult man to reduce his discomfort, unless he has a fungal infection, such as athlete's foot, which can cause itching, burning, or cracking of the skin. The nurse would advise the older adult man to check his feet regularly for any signs of infection, such as redness, swelling, or pus, and to seek medical attention if he has any.
Choice D reason: Wearing knee-high nylon stockings is not a helpful intervention for the older adult man to reduce his discomfort, as it can impair his blood circulation, trap moisture, or irritate his skin. The nurse would advise the older adult man to wear socks that are made of cotton or wool, and to change them daily or whenever they are wet or dirty.
Correct Answer is C
Explanation
Choice A reason: This is incorrect because any exertion on the part of an older adult with heart disease does not necessarily result in death. Exertion can increase the oxygen demand of the heart and cause angina, or chest pain, but it can also be beneficial for the cardiovascular health and fitness of the older adult, if done within the limits of their tolerance and under medical supervision.
Choice B reason: This is incorrect because myocardial infarction is not the same as heart attack, cardiac arrest, or coronary thrombosis, although they are related terms. Myocardial infarction is the medical term for the death of a part of the heart muscle due to lack of blood supply. Heart attack is the common term for myocardial infarction. Cardiac arrest is the sudden loss of heart function, which can be caused by myocardial infarction or other factors. Coronary thrombosis is the formation of a blood clot in a coronary artery, which can lead to myocardial infarction.
Choice C reason: This is correct because both excessive undernutrition and overnutrition can contribute to heart disease. Undernutrition can cause malnutrition, anemia, and low immunity, which can increase the risk of infections and inflammation that can damage the heart. Overnutrition can cause obesity, diabetes, and high cholesterol, which can increase the risk of atherosclerosis and hypertension that can impair the blood flow to the heart.
Choice D reason: This is incorrect because a person with diabetes should have their blood pressure checked regularly, but this is not a statement about heart disease in Kenya. Diabetes is a risk factor for heart disease, as it can damage the blood vessels and nerves that control the heart. However, this statement is applicable to any person with diabetes, regardless of their location.
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