A nurse in a provider's office receives a telephone call from the parent of a preschooler whose hands and arms were in contact with poison ivy 5 min ago. Which of the following instructions should the nurse give the parent to minimize the manifestations of this type of contact dermatitis?

Apply olive or mineral oil to the skin areas that were exposed to the plant.

Flush both arms and hands with cool running water right away.

Scrub both arms and hands with antibacterial soap and hot water.

Have the child avoid contact with other family members.

Answer and Explanation

The Correct Answer is B

A. Apply olive or mineral oil to the skin areas that were exposed to the plant. Oils can spread the urushiol (the irritant in poison ivy) and worsen the reaction.
B. Flush both arms and hands with cool running water right away. Washing with cool water can help remove the urushiol from the skin and reduce the severity of the reaction.
C. Scrub both arms and hands with antibacterial soap and hot water. Hot water can open pores and increase absorption of urushiol; antibacterial soap is not necessary.
D. Have the child avoid contact with other family members. While it's important to prevent the spread of urushiol, the immediate priority is to wash it off.

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Correct Answer is C

Explanation

A. Decrease in perspiration: A decrease in perspiration is a normal physiological change associated with aging. Sweat glands become less active, leading to reduced perspiration.
B. Thinning of the fingernails: While nail changes can occur with aging, thinning of the fingernails is not as commonly highlighted as a key physiological change compared to bone mass loss or decreased perspiration.
C. Loss of bone mass: Loss of bone mass is a well-documented physiological change associated with aging, leading to conditions like osteoporosis.
D. Decrease in pain threshold: The pain threshold may actually increase with age, making older adults less sensitive to pain rather than more sensitive.

A. Remove clean gloves and apply sterile gloves. B. Place the swab in the culture tube. C. Irrigate the wound with 0.9% sodium chloride. D. Rotate the swab over the sides of the wound.

Correct Answer is C

Explanation

A. Remove clean gloves and apply sterile gloves: This step is important to prevent contamination but is not the first step.
B. Place the swab in the culture tube: This is the final step in the process, not the first.
C. Irrigate the wound with 0.9% sodium chloride: The first step before collecting a wound culture is to irrigate the wound with sterile 0.9% sodium chloride (normal saline) to remove surface debris, which could contain contaminants rather than the actual infectious organisms. This ensures a more accurate specimen by collecting bacteria from the wound bed rather than from surface contaminants.
D. Rotate the swab over the sides of the wound: This step is performed after irrigating the wound and wearing sterile gloves.

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A nurse in a provider's office receives a telephone call from the parent of a preschooler whose hands and arms were in contact with poison ivy 5 min ago. Which of the following instructions should the nurse give the parent to minimize the manifestations of this type of contact dermatitis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is working with a group of older adult clients. Which of the following physiological changes should the nurse identify as a factor associated with aging?

Correct Answer is C

Explanation

A nurse is collecting a culture specimen from a client's nonhealing wound. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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