A nurse is assessing a client following the application of an aquathermia pad. Which of the following is the first indication to the nurse that the client is experiencing a superficial burn injury to the application site?

Erythema

Eschar

Blistering

Absence of pain

Answer and Explanation

The Correct Answer is A

Choice A rationale: Erythema (redness) is the first indication of a superficial burn injury. Superficial burns, also known as first-degree burns, involve only the outer layer of the skin and are characterized by redness without blistering.
Choice B rationale: Eschar is associated with deeper burns and is not the first indication of a superficial burn.
Choice C rationale: Blistering is associated with partial-thickness burns (second-degree burns) and does not occur in superficial burns.
Choice D rationale: Pain is typically present in superficial burns, and the absence of pain is not a characteristic of superficial burns.

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Correct Answer is A

Explanation

Choice A rationale: Pruritus (itching) and reddened, oozing lesions are common symptoms of contact dermatitis, which can result from exposure to irritants or allergens.
Choice B rationale: Tinea pedis, or athlete's foot, typically presents with scaling, redness, and itching between the toes.
Choice C rationale: Pediculosis refers to infestation with lice, which may cause itching and small, red papules, but it usually does not involve oozing lesions.
Choice D rationale: Alopecia refers to hair loss and is not typically associated with pruritus and oozing lesions.

A. The nurse wears gloves when providing direct care to the patient. B. The nurse admits another client who has shingles to the client’s double room. C. The nurse wears a gown when bathing the client. D. The nurse wears an N95 respirator mask

Correct Answer is B

Explanation

Choice A rationale: Wearing gloves is appropriate when providing direct care to a client with shingles to prevent the spread of the virus.
Choice B rationale: Shingles is caused by the varicella-zoster virus, and it is highly contagious. Placing a client with shingles in a double room increases the risk of spreading the virus to other clients, especially those with compromised immune systems.
Choice C rationale: Wearing a gown is appropriate when there is a risk of contact with the client's lesions to prevent the spread of the virus.
Choice D rationale: While wearing a mask may be indicated for certain respiratory conditions, it is not typically required when caring for a client with shingles.

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A nurse is assessing a client following the application of an aquathermia pad. Which of the following is the first indication to the nurse that the client is experiencing a superficial burn injury to the application site?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who reports pruritus and reddened, oozing lesions on her lower leg. The nurse should suspect which of the following disorders?

Correct Answer is A

Explanation

A nurse is caring for a client who has shingles with multiple skin lesions. Which of the following actions by the nurse require intervention nurse's supervisor?

Correct Answer is B

Explanation

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