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?
The nurse wears gloves when providing direct care to the patient.
The nurse admits another client who has shingles to the client’s double room.
The nurse wears a gown when bathing the client.
The nurse wears an N95 respirator mask
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: older adults have thin skin hence massaging bony prominences increases the risk of skin breakdown and pressure ulcers formation.
Choice B rationale: frequent client repositioning every 2-3 hourly is one of the mitigations used to prevent skin breakdown especially in older adults who are bedridden. It aids in the distribution of pressure on bony prominences and also relieves the pressure on the areas at risk and maintains muscle mass and tissue integrity.
Choice C rationale: a high protein diet is important for healthy skin formation. However, in this case frequent repositioning is more crucial for maintaining skin integrity in older adults.
Choice D rationale: cornstarch application can be used to prevent skin damage from friction. However, this is not as important as frequent repositioning.
Correct Answer is A
Explanation
Choice A rationale: Basal cell carcinoma commonly presents as a small, translucent papule with rolled borders. It may have a pearly or shiny appearance and often develops on sun-exposed areas, such as the nose.
Choice B rationale: This description is more characteristic of melanoma, not basal cell carcinoma.
Choice C rationale: This description may be more indicative of squamous cell carcinoma.
Choice D rationale: This description does not align with the typical presentation of basal cell carcinoma.
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