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 C

Explanation

A. Risk of infection: While infection is a general concern in many conditions, osteomalacia is not primarily associated with immune suppression or increased infection risk. The condition involves impaired bone mineralization, which does not inherently compromise the immune system or create high infection susceptibility.

B. Altered tissue perfusion: Osteomalacia does not directly impact vascular function or blood flow. This nursing problem is more relevant in conditions like peripheral artery disease or cardiac dysfunction, rather than in disorders involving bone demineralization.

C. Risk for injury: Osteomalacia leads to soft, weakened bones due to vitamin D deficiency and poor calcium absorption, increasing the risk of fractures and falls. Because this condition directly affects bone integrity and mobility, preventing injury is the most urgent priority in the care plan.

D. Sleep pattern disturbance: While musculoskeletal discomfort from osteomalacia may interfere with sleep, this issue does not carry the same level of immediate clinical risk as falls or fractures. Managing injury risk takes precedence to preserve functional status and safety.

A. Measure hourly urine output. B. Ambulate client in hallway. C. Auscultate bowels sounds. D. Palpate the abdomen.

Correct Answer is C

Explanation

A. Measure hourly urine output: While monitoring urine output is essential after nephrectomy to assess remaining kidney function, it does not directly evaluate the cause of abdominal pressure and nausea. These symptoms are more likely associated with gastrointestinal function than urinary output in the immediate postoperative phase.

B. Ambulate client in hallway: Early ambulation is encouraged after abdominal surgery to promote bowel motility and prevent complications such as ileus. However, if the client is already experiencing discomfort and nausea, further assessment is required before initiating activity to avoid worsening symptoms.

C. Auscultate bowel sounds: Abdominal pressure and nausea may indicate paralytic ileus, a common postoperative complication, especially after abdominal surgeries. Listening for the presence, frequency, and quality of bowel sounds helps evaluate gastrointestinal recovery and guides further management.

D. Palpate the abdomen: Palpation may be appropriate later in the assessment, but it can be uncomfortable or even contraindicated immediately after abdominal surgery. It should not be the first step, particularly when auscultation provides non-invasive insight into bowel activity.

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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

Which nursing problem has the highest priority when planning care for a client with osteomalacia?

Correct Answer is C

Explanation

Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?

Correct Answer is C

Explanation

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