Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the treatment of cellulitis?
A. "Cellulitis can come back at any time."
"Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore."
"My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. Cellulitis is contagious."
"Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis."
"If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
This question is an excerpt from Nurse Dive's nursing test bank - Lpn fundamentals exam evolve ( Illinois college) proctored exam. Take the full exam now
Full Explanation
A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
Similar Questions
A patient is frequently late for appointments because he goes back to his room numerous times to assure himself that none of his belongings have been stolen. What does this behavior represent?
A. Obsessive-compulsive
Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.
B. Anxiety tension
Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.
C. Controlled repetition
Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.
D. Senseless behavior
Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.
Full Explanation
A. Obsessive-compulsive: This behavior involves persistent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions) aimed at reducing anxiety, fitting the definition of obsessive-compulsive disorder.
B. Anxiety tension: Anxiety tension is a broader term and does not specifically address the repetitive checking behavior seen in obsessive-compulsive disorder.
C. Controlled repetition: This term is not commonly used to describe a specific psychological condition related to repeated behaviors due to obsessive thoughts.
D. Senseless behavior: The behavior is not senseless but is driven by anxiety and obsessive-compulsive tendencies.
The nurse recognizes that an older adult patient with COPD has a higher incidence of developing which age-related skeletal change that will alter the ability to exchange air effectively?
A. Osteomyelitis
Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.
B. Osteoporosis
Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.
C. Kyphosis
Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.
D. Arthritis
Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.
Full Explanation
A. Osteomyelitis: Osteomyelitis is an infection of the bone and does not directly impact the skeletal changes affecting lung function.
B. Osteoporosis: While osteoporosis affects bone density and may cause fractures, it is not specifically linked to changes in lung function related to skeletal changes.
C. Kyphosis: Kyphosis, or excessive curvature of the thoracic spine, can compress the thoracic cavity and reduce lung expansion, which impacts effective air exchange in COPD patients.
D. Arthritis: Arthritis affects joint function but does not have a direct impact on the skeletal changes that alter lung function like kyphosis does.
A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?
A. Within 12 hours after burn trauma
Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.
B. 48 to 72 hours after burn trauma
48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.
C. 24 to 36 hours after burn trauma
24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.
D. 36 to 48 hours after burn trauma
36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.
Full Explanation
A. Within 12 hours after burn trauma: Fluid loss is significant initially but peaks later.
B. 48 to 72 hours after burn trauma: The greatest fluid loss typically occurs within the first 48 to 72 hours as capillary permeability is at its highest and fluid resuscitation needs are greatest.
C. 24 to 36 hours after burn trauma: Fluid loss is still considerable but not at its peak; the peak is generally observed a bit later.
D. 36 to 48 hours after burn trauma: Fluid loss continues to be high, but the peak is generally reached a little later than this timeframe.