The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old.
How is infant skin different from adult skin?

Less perfusion.

Greater moisture.

More perspiration.

Greater absorption.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Infant skin has greater perfusion compared to adult skin due to a higher ratio of capillaries to surface area. This increased blood flow contributes to the infant's ability to dissipate heat but also makes their skin more susceptible to flushing and temperature changes.

Choice B rationale

While infants have a higher percentage of total body water, their stratum corneum, the outermost layer of skin, is thinner and has a lower lipid content, leading to a higher transepidermal water loss compared to adults. This makes their skin more prone to dryness.

Choice C rationale

Infants have a higher density of eccrine sweat glands, but their thermoregulatory system is immature. They are less efficient at perspiring and have a higher risk of hyperthermia. Their sweat glands are not fully developed or functional, which is different from increased perspiration.

Choice D rationale

Infant skin has a thinner stratum corneum and a higher surface area-to-weight ratio compared to adult skin. This anatomical difference results in a greater percutaneous absorption of topical medications and other substances. This is why care must be taken with the amount of medication applied.

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Correct Answer is B

Explanation

Choice A rationale

Ambulation is contraindicated for a client with a confirmed deep vein thrombosis due to the significant risk of dislodging the thrombus. This could lead to a pulmonary embolism, a life-threatening complication. The nurse must ensure the client remains on bed rest to prevent this from occurring, thus this is not a delegated task for the AP.

Choice B rationale

Applying a warm moist pack is a safe and effective comfort measure for a client with a deep vein thrombosis. The warmth helps to promote vasodilation, which can reduce pain and inflammation associated with the DVT. This task is within the scope of practice for an assistive personnel to perform under the direct supervision of the nurse.

Choice C rationale

Massaging the leg of a client with a deep vein thrombosis is strictly contraindicated. This action can physically dislodge the thrombus from the vein wall, causing it to travel through the bloodstream. If the thrombus reaches the lungs, it becomes a pulmonary embolism, which is a medical emergency.

Choice D rationale

Applying an ice pack is not an appropriate comfort measure for a client with a deep vein thrombosis. Cold can cause vasoconstriction, which may worsen the pain and swelling associated with the DVT. It could also potentially increase the risk of thrombus formation by slowing blood flow.

A. African-American churches. B. Asian-American groceries. C. High school sports camps. D. Women's health clinics.

Correct Answer is A

Explanation

Choice A rationale

African Americans have a disproportionately high prevalence and severity of hypertension compared to other racial groups. This is due to a complex interplay of genetic predispositions, socioeconomic factors, and systemic health disparities. Targeting this community through culturally competent outreach at churches is highly effective.

Choice B rationale

While some Asian populations have a genetic predisposition to certain health conditions, hypertension prevalence is not as markedly high in this group as in African Americans. Community outreach for hypertension screening should focus on populations with the highest risk to maximize public health impact.

Choice C rationale

High school sports camps primarily target a young, generally healthy population. While health education is always valuable, the prevalence of hypertension is much lower in this demographic than in older adult populations. Screening resources would be better allocated to older, higher-risk groups.

Choice D rationale

Women's health clinics serve a broad population, but hypertension affects both genders. While important, this venue does not specifically target the population with the highest prevalence and risk, which data indicates are African-American communities, especially older adults.

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The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has a deep vein thrombosis (DVT). What comfort measure does the nurse delegate to the assistive personnel (AP)?

Correct Answer is B

Explanation

A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience would the nurse provide this service?

Correct Answer is A

Explanation

TPN 2,000 mL is ordered to infuse from 1900 to 0700. Using an IV controller, how many milliliters per hour should be infused?

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A nurse plans care for a client who is immobile. Which interventions would the nurse include in this client's plan of care to prevent pressure sores? (Select all that apply.)

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?

A client has peripheral arterial disease (PAD). What statement by the client indicates a misunderstanding about self-management activities?

A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?

A client has been diagnosed with a deep vein thrombosis and is to be discharged on warfarin. The client is adamant about refusing the drug because "it's dangerous.”. What action by the nurse is best?

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old.
How is infant skin different from adult skin?