A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?

“I will apply sunscreen before and after swimming."

“I will use sunblock with an SPF of 10 when I am outdoors."

“I will use an indoor tanning bed instead of going outside."

“I will plan to spend time tanning between 10 a.m. and 2 p.m.”

Answer and Explanation

The Correct Answer is A

Rationale:

A. “I will apply sunscreen before and after swimming.” Sunscreen should be applied at least 15–30 minutes before sun exposure and reapplied after swimming or sweating, even if labeled water-resistant, to maintain UV protection.

B. “I will use sunblock with an SPF of 10 when I am outdoors.” SPF 10 offers minimal protection and is below the recommended minimum of SPF 30 for effective skin cancer prevention. Higher SPF levels provide greater protection against harmful UV rays.

C. “I will use an indoor tanning bed instead of going outside.” Indoor tanning beds emit concentrated UV radiation and are strongly associated with increased risk for skin cancer, including melanoma. They should not be used as a safer alternative to sun exposure.

D. “I will plan to spend time tanning between 10 a.m. and 2 p.m.” UV radiation is most intense between 10 a.m. and 2 p.m., making this the highest-risk period for skin damage. Sun exposure during these hours should be minimized or avoided to prevent skin cancer.

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Correct Answer is C

Explanation

Rationale:

A. Document assessment findings and interventions after providing care for a group of clients: Delaying documentation can lead to inaccuracies or omissions due to forgetfulness. Real-time or immediate documentation ensures completeness and supports continuity of care.

B. Gather supplies for a client's dressing change after removing the old dressing: Supplies should be gathered in advance to minimize delays and reduce the risk of contamination or client exposure. Doing so afterward is inefficient and interrupts workflow.

C. Complete activities for one client before moving to the next client: Focusing on one client at a time improves efficiency, reduces errors, and supports prioritization. It allows for full attention on care tasks and appropriate time management across the shift.

D. Delay cleaning personal work area until the end of the shift: Maintaining a clean and organized workspace throughout the shift helps prevent errors, improves efficiency, and supports infection control, especially in high-traffic care areas.

A. Carbamazepine B. Lorazepam C. Clonazepam D. Lamotrigine

Correct Answer is B

Explanation

Rationale:

A. Carbamazepine: Carbamazepine is an anticonvulsant used for long-term seizure control and prevention, particularly for focal seizures. It is not effective for rapid seizure termination during status epilepticus.

B. Lorazepam: Lorazepam is a benzodiazepine commonly used as the first-line treatment for status epilepticus due to its rapid onset and effectiveness in stopping prolonged seizure activity. It can be administered IV for immediate action.

C. Clonazepam: Clonazepam is a long-acting benzodiazepine used for seizure management but not typically used to treat status epilepticus due to its slower onset of action compared to lorazepam or diazepam.

D. Lamotrigine: Lamotrigine is used as a maintenance medication to prevent seizures, particularly in generalized and focal epilepsy. It is not appropriate for emergency treatment of active seizure episodes like status epilepticus.

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A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?

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