The school nurse is educating a group of parents about impetigo. Which statement indicates understanding by the parents?

"I should squeeze the lesions to help them heal faster."

"It is caused by a group of closely related filamentous fungi"

"I should apply the mupirocin ointment directly to the lesions."

"I do not need to worry about this being spread to other children."

Answer and Explanation

The Correct Answer is C

A. Squeezing lesions increases the risk of spreading infection and worsening skin breakdown.

B. Impetigo is a bacterial infection (most commonly Staphylococcus aureus or Streptococcus pyogenes), not a fungal infection.

C. Topical antibiotics like mupirocin are the standard treatment for localized impetigo. This is the proper action.

D. Impetigo is highly contagious, spreading through direct contact or via fomites (towels, clothing). Parents must take precautions to prevent transmission.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

Assess for symptoms of hyperglycemia – Non-essential: The client’s presentation is consistent with fluid overload and hypertension, not hyperglycemia. Assessing for hyperglycemia may be done but is not a priority.
Assess for bilateral peripheral edema – Essential: Bilateral edema is a key indicator of fluid overload and cardiovascular compromise, requiring immediate assessment.
Measure intake and output every hour – Essential: Accurate I&O monitoring is critical for managing fluid status in clients with edema and hypertension.
Review the client's most recent CBC results – Non-essential: While helpful for general assessment, CBC does not directly address the acute fluid overload and cardiovascular status.
Hold furosemide – Contraindicated: Furosemide, a loop diuretic, is typically indicated for fluid overload. Holding it could worsen edema and hypertension.
Place the client in Trendelenburg position – Contraindicated: Trendelenburg can increase venous return and worsen pulmonary edema or hypertension, making it unsafe for this client.

A. Promote the client's hope for recovery. B. Encourage the client to focus on use of other senses. C. Assess and promote the client's coping skills. D. Emphasize that lifestyle will be unchanged.

Correct Answer is C

Explanation

A. Macular degeneration is progressive and irreversible, so promoting hope for recovery may be unrealistic and could lead to frustration or false expectations.

B. While encouraging the use of other senses may help with adaptation, this does not directly address the client’s psychosocial needs.

C. Assessing and supporting the client’s coping skills is essential in helping them adjust to permanent vision loss, maintain independence, and prevent depression or anxiety. Psychosocial interventions are critical in chronic, irreversible conditions.

D. Blindness will change the client’s lifestyle, so emphasizing that nothing will change is misleading and could hinder realistic adjustment.

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The school nurse is educating a group of parents about impetigo. Which statement indicates understanding by the parents?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a client with a sodium level of 138 mEq/L (135-145 mEq/L), bounding pulses, blood pressure of 159/92 mmHg, pedal edema and confusion. Indicate which prescriptions ordered by the provider and nursing actions are essential, non-essential, or contraindicated.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"}}

Explanation

The nurse is caring for a client who is legally blind as a result of macular degeneration. When attempting to meet this client's psychosocial needs, what nursing action is most appropriate?

Correct Answer is C

Explanation

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