When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Administering systemic antibiotics as ordered.

Placing mitts on the client's hands.

Continuing to administer antibiotics for 21 days as ordered.

Applying topical antibiotics as ordered.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.

Choice B rationale

Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.

Choice C rationale

Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.

Choice D rationale

Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.

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Correct Answer is D

Explanation

Choice A rationale

Ligaments connect bones and stabilize joints. Age-related changes in ligaments result in decreased elasticity, leading to joint stiffness but not directly causing loss of height.

Choice B rationale

Bones undergo resorption and may lose density with age, leading to osteoporosis. While this contributes to height loss, it is not typically associated with diminished range of motion or flexibility as primary symptoms.

Choice C rationale

Muscles lose mass and strength with aging, a condition known as sarcopenia. This affects flexibility and range of motion but does not lead directly to height loss.

Choice D rationale

Joints are affected by age-related changes such as cartilage wear and synovial fluid reduction, leading to stiffness, loss of flexibility, diminished range of motion, and height loss due to spinal disc compression and vertebral changes.

A. Coping strategies. B. Wrist circumference. C. Clinical examination findings. D. BMI. E. Dietary data.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale

Coping strategies are relevant to overall health and well-being, but they are not directly related to nutritional assessment. Nutritional assessments focus on physical and dietary data rather than psychological coping mechanisms.

Choice B rationale

Wrist circumference can be used as an anthropometric measure of body frame size, but it is not a standard parameter in a comprehensive nutritional assessment. More common measurements include height, weight, and BMI.

Choice C rationale

Clinical examination findings are critical in nutritional assessments to identify physical signs of malnutrition, such as muscle wasting, edema, or skin changes. These observations help assess the client’s nutritional status and needs.

Choice D rationale

BMI (Body Mass Index) is a widely used indicator of body fat based on height and weight. It helps classify individuals into categories like underweight, normal weight, overweight, or obese, providing insight into nutritional health.

Choice E rationale

Dietary data, including food intake, preferences, and restrictions, are essential components of a nutritional assessment. Understanding a client's dietary habits allows the nurse to identify nutritional deficiencies or excesses and plan appropriate interventions

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When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

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Naxlex Comprehensive Predictor Exams

A client is exhibiting diminished range of motion, loss of flexibility, stiffness, and loss of height. The history and physical findings are associated with age-related changes of which area?

Correct Answer is D

Explanation

A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment. What assessment parameters should the nurse include? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

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