Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes.
Which of the following statements by the client indicates the effectiveness of the teaching?
A. "I should apply antibiotic ointment to the lesions.".
Choice A is incorrect because antibiotic ointment is not used to treat genital herpes lesions. Antiviral medication is used to manage symptoms and prevent outbreaks.
B. "I should expect my lesions to resolve in 6 weeks.".
This statement indicates that the client understands that genital herpes lesions can take time to heal and that they may not resolve immediately.
C. "I should use natural skin condoms during sexual intercourse.".
Choice C is incorrect because natural skin condoms are not effective in preventing the spread of genital herpes. Latex condoms should be used during sexual intercourse to reduce the risk of transmission.
D. "I should expect to take my medication for 3 weeks.".
Choice D is incorrect because the duration of antiviral medication treatment for genital herpes varies and may be longer than 3 weeks. It’s important for the client to follow their healthcare provider’s instructions for taking medication.
E. "I should expect to take my medication for 3 weeks.".
This question is an excerpt from Nurse Dive's nursing test bank - ATI Adult Medical Surgical 2019 Proctored Exam. Take the full exam now
Full Explanation
This statement indicates that the client understands that genital herpes lesions can take time to heal and that they may not resolve immediately.
Choice A is incorrect because antibiotic ointment is not used to treat genital herpes lesions.
Antiviral medication is used to manage symptoms and prevent outbreaks.
Choice C is incorrect because natural skin condoms are not effective in preventing the spread of genital herpes.
Latex condoms should be used during sexual intercourse to reduce the risk of transmission.
Choice D is incorrect because the duration of antiviral medication treatment for genital herpes varies and may be longer than 3 weeks.
It’s important for the client to follow their healthcare provider’s instructions for taking medication.
Similar Questions
A nurse is caring for a client who has a sealed radiation implant.
Which of the following actions should the nurse take?
A. Limit family member visits 30 min per day.
This statement indicates that the nurse understands the importance of limiting the exposure of family members to radiation from the sealed implant.
B. Give the dosimeter badge to the oncoming nurse at the end of the shift.
Choice B is incorrect because the dosimeter badge should not be given to the oncoming nurse at the end of the shift. The dosimeter badge is used to measure an individual’s exposure to radiation and should be worn by the same person throughout their shift.
C. Apply a second pair of gloves before touching the client's implant if it dislodges.
Choice C is incorrect because if the client’s implant dislodges, the nurse should not touch it with their hands, even if they are wearing gloves. The nurse should follow the facility’s protocol for handling dislodged implants.
D. Remove soiled linens from the room after each change.
Choice D is incorrect because soiled linens from a client with a sealed radiation implant do not need to be removed from the room after each change. The linens can be handled according to standard precautions.
Full Explanation
This statement indicates that the nurse understands the importance of limiting the exposure of family members to radiation from the sealed implant.
Choice B is incorrect because the dosimeter badge should not be given to the oncoming nurse at the end of the shift.
The dosimeter badge is used to measure an individual’s exposure to radiation and should be worn by the same person throughout their shift.
Choice C is incorrect because if the client’s implant dislodges, the nurse should not touch it with their hands, even if they are wearing gloves.
The nurse should follow the facility’s protocol for handling dislodged implants.
Choice D is incorrect because soiled linens from a client with a sealed radiation implant do not need to be removed from the room after each change.
The linens can be handled according to standard precautions.
A nurse is caring for a client who is receiving a blood transfusion.
The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins.
The nurse should anticipate administering which of the following prescribed medications?
A. Diphenhydramine.
Choice A is incorrect because diphenhydramine is an antihistamine medication that is not used to treat fluid overload.
B. Furosemide.
“Furosemide.” The nurse should anticipate administering furosemide because the client’s symptoms of bounding peripheral pulses, hypertension, and distended jugular veins may indicate fluid overload. Furosemide is a diuretic medication that can help reduce fluid overload by increasing urine output.
C. Acetaminophen.
Choice C is incorrect because acetaminophen is a pain reliever and fever reducer that is not used to treat fluid overload.
D. Pantoprazole.
Choice D is incorrect because pantoprazole is a proton pump inhibitor that is used to treat acid reflux and stomach ulcers, not fluid overload.
Full Explanation
“Furosemide.” The nurse should anticipate administering furosemide because the client’s symptoms of bounding peripheral pulses, hypertension, and distended jugular veins may indicate fluid overload.
Furosemide is a diuretic medication that can help reduce fluid overload by increasing urine output.
Choice A is incorrect because diphenhydramine is an antihistamine medication that is not used to treat fluid overload.
Choice C is incorrect because acetaminophen is a pain reliever and fever reducer that is not used to treat fluid overload.
Choice D is incorrect because pantoprazole is a proton pump inhibitor that is used to treat acid reflux and stomach ulcers, not fluid overload.
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact.
Which of the following interventions should the nurse include in the plan of care?
A. Apply an occlusive dressing.
Choice A is incorrect because applying an occlusive dressing to intact skin over bony prominences is not an appropriate intervention for preventing pressure injuries.
B. Turn and reposition the client every 4 hr.
Choice B is incorrect because turning and repositioning the client every 4 hours may not be frequent enough to prevent the development of pressure injuries. The client should be turned and repositioned more frequently, at least every 2 hours.
C. Support bony prominences with pillows.
The nurse should include this intervention in the plan of care because it can help relieve pressure on the reddened areas over the client’s bony prominences and prevent the development of pressure injuries.
D. Massage the reddened areas three times daily.
Choice D is incorrect because massaging reddened areas over bony prominences is not recommended as it can cause further damage to the skin and underlying tissues.
Full Explanation
The nurse should include this intervention in the plan of care because it can help relieve pressure on the reddened areas over the client’s bony prominences and prevent the development of pressure injuries.
Choice A is incorrect because applying an occlusive dressing to intact skin over bony prominences is not an appropriate intervention for preventing pressure injuries.
Choice B is incorrect because turning and repositioning the client every 4 hours may not be frequent enough to prevent the development of pressure injuries.
The client should be turned and repositioned more frequently, at least every 2 hours.
Choice D is incorrect because massaging reddened areas over bony prominences is not recommended as it can cause further damage to the skin and underlying tissues.