A nurse is reinforcing teaching about the care of a client who has tinea corporis with a newly licensed nurse. Which of the following should the nurse include in the teaching?
Place on airborne precautions.
Avoid direct contact.
Isolate for 24 hr. after lesions appear.
Administer a broad-spectrum antibiotic.
The Correct Answer is B
Choice A Reason:
Place on airborne precautions. This is incorrect. Tinea corporis isn't transmitted through the air. Airborne precautions are specific infection control measures for diseases transmitted through airborne particles, like tuberculosis or measles, which are caused by specific bacteria or viruses.
Choice B Reason:
Avoid direct contact is correct. Direct contact is a crucial precaution to prevent the spread of tinea corporis. It's a contagious infection, often transmitted through skin-to-skin contact or by sharing contaminated items such as clothing, towels, or bedding. Encouraging precautions like not sharing personal items and avoiding direct skin contact helps prevent the spread of the infection to others.
Choice C Reason:
Isolate for 24 hr. after lesions appear is incorrect. While it's essential to take precautions to prevent spread, isolating for only 24 hours after lesions appear might not be sufficient. The infection can remain contagious until it's effectively treated and lesions have resolved. More extended isolation or precautions might be necessary until the infection is no longer transmissible.
Choice D Reason:
Administer a broad-spectrum antibiotic is incorrect. Tinea corporis is a fungal infection, not a bacterial one, so antibiotics would not be effective against it. Antifungal medications, such as topical or oral antifungals, are the primary treatment for tinea corporis. Using an antibiotic would not treat the fungal infection and might lead to inappropriate medication use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Nerve damage is incorrect. Nerve damage typically presents with symptoms such as altered sensation, numbness, tingling, or shooting pain along the path of the nerve. The symptoms described in the scenario are more indicative of localized inflammation rather than nerve-related issues.
Choice B Reason:
Infection is incorrect. Infection at the insertion site can manifest with redness, warmth, tenderness, and possibly purulent drainage. While infection is a potential complication of IV therapy, the symptoms described might indicate a different issue.
Choice C Reason:
Infiltration is correct. Infiltration occurs when the IV fluid leaks into the surrounding tissues. Symptoms often include swelling, coolness, and tenderness at the site due to the fluid accumulating in the tissue instead of going into the vein. These symptoms align with the description provided.
Choice D Reason:
Phlebitis is incorrect. Phlebitis is the inflammation of a vein, typically presenting with redness, warmth, and tenderness along the vein's path.
Correct Answer is C
Explanation
"You will not become fatigued when you use assistive devices. “This statement might provide an unrealistic expectation. While assistive devices can help, they might still require physical effort and could potentially cause fatigue, especially during initial use or extended periods.
Choice B Reason:
"Plan to hire a home care aid to perform all of your ADLs." This statement is not appropriate.
While home care assistance can be beneficial, aiming to have someone perform all ADLs might limit the client's independence and ability to regain skills. The goal is often to support the client in performing ADLs independently whenever possible.
Choice C Reason:
"Install grab bars in your shower to assist with your balance." This statement is true. Installing grab bars in the shower can significantly enhance safety and stability during activities like showering, reducing the risk of falls for someone who might experience balance or mobility challenges following a CVA.
Choice D Reason:
"Place a towel in the shower to prevent slipping." This statement is inappropriate. While placing a towel might offer some traction, it might not provide sufficient stability or support, especially for someone with balance issues post-CVA. Grab bars offer more reliable support to prevent falls in the shower.
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