The parent of an adolescent tells the clinic nurse, "My child has athlete's feet. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration.

Continue using the ointment for a full week, even after the symptoms disappear.

Antibiotics take two weeks to become effective against infections such as athlete's foot.

Stop using the ointment and encourage complete drying of feet and wearing clean socks.

Answer and Explanation

The Correct Answer is D

A. Applying too much ointment can deter its effectiveness. Apply a thin layer to prevent maceration: While overuse of ointments may cause skin breakdown, this does not address the root issue. Athlete's foot is a fungal infection, and triple antibiotic ointments are ineffective against fungi regardless of the quantity applied.

B. Continue using the ointment for a full week, even after the symptoms disappear: Triple antibiotic ointment targets bacterial infections, not fungal ones like athlete's foot (tinea pedis). Continuing an ineffective treatment delays proper care and may worsen the condition due to persistent fungal growth.

C. Antibiotics take two weeks to become effective against infections such as athlete's foot: This is incorrect, as antibiotics do not treat fungal infections. Athlete's foot requires antifungal therapy, either topical or systemic depending on severity, and proper hygiene to promote resolution.

D. Stop using the ointment and encourage complete drying of feet and wearing clean socks: Fungi thrive in moist, warm environments. Discontinuing the inappropriate antibiotic ointment, promoting foot hygiene, and keeping the feet dry with clean, breathable socks directly addresses the fungal nature of the condition and supports healing.

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Correct Answer is B

Explanation

A. Explain that weight loss will be reversed after the acute phase of the stroke has ended: This response minimizes the family’s concern and overlooks the current nutritional deficit. Waiting for the acute phase to pass without implementing strategies to support nutritional intake can result in malnutrition and delayed recovery.

B. Demonstrate the use of visual scanning during meals to the client and family: Visual perception deficits, such as unilateral neglect, are common after a CVA and may cause the client to ignore food on one side of the tray. Teaching visual scanning techniques helps the client become aware of the neglected side and promotes full food intake, directly addressing the nutritional concern.

C. Suggest that the family bring foods from home that the client enjoys eating: While bringing familiar foods may increase appetite, it does not address the underlying issue of impaired visual perception. Even with preferred foods, the client may still miss food on the affected side, leading to inadequate intake.

D. Encourage the family to offer to feed the client when she does not eat her entire meal: Feeding assistance should only be considered when the client is unable to feed herself. Promoting independence through visual scanning techniques enhances functional recovery and dignity, while dependency can hinder rehabilitation and motivation.

A. Central type obesity, with thin extremities. B. Visible swelling of the neck, with no pain. C. Warm, soft, moist, salmon colored skin. D. Husky voice and troubled by hoarseness.

Correct Answer is A

Explanation

A. Central type obesity, with thin extremities: This is a classic presentation of Cushing’s syndrome, resulting from prolonged exposure to high cortisol levels. Fat is redistributed to the trunk (trunkal obesity), face (moon face), and back of the neck (buffalo hump), while muscle wasting leads to thin arms and legs, reflecting catabolic effects on peripheral tissues.

B. Visible swelling of the neck, with no pain: This description more accurately reflects a goiter or thyroid enlargement, which is associated with thyroid disorders like hypothyroidism or Graves’ disease, not Cushing’s syndrome.

C. Warm, soft, moist, salmon colored skin: This description is not typical of Cushing's syndrome. In contrast, clients with Cushing’s syndrome often exhibit thin, fragile skin, easy bruising, and purple striae due to collagen breakdown.

D. Husky voice and troubled by hoarseness: These symptoms may indicate laryngeal involvement or hypothyroidism affecting the vocal cords, not hypercortisolism. Cushing’s syndrome typically affects fat distribution, skin integrity, and glucose metabolism, not vocal quality.

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The parent of an adolescent tells the clinic nurse, "My child has athlete's feet. I have been applying triple antibiotic ointment for two days, but there has been no improvement." Which instruction should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?

Correct Answer is B

Explanation

Which findings during the admission assessment should the nurse document that are related to a client diagnosed with Cushing's syndrome?

Correct Answer is A

Explanation

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