The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches." How should the PN respond?

Antibiotics take a week to be eﬀective against the infection.

Athlete's foot is a fungus. Antibiotics will not relieve symptoms.

When the itching stops, continue to use the ointment for two weeks.

A thick layer of the medication is needed to stop the itching.

Answer and Explanation

The Correct Answer is B

The PN should inform the client that athlete's foot is a fungal infection and that antibiotics are not eﬀective against fungi. The client needs to use an antifungal medication to treat the infection. The other options are not accurate or appropriate responses.

Antibiotics take a week to be eﬀective against the infection (A) is not accurate because antibiotics are not eﬀective against fungal infections.

When the itching stops, continue to use the ointment for two weeks (C) is not appropriate because the client is using the wrong type of medication.

A thick layer of the medication is needed to stop the itching (D) is not accurate because the client is using the wrong type of medication.

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Correct Answer is B

Explanation

The information that poses the greatest risk for developing postpartum endometritis in this situation is that the client experienced spontaneous rupture of membranes (SROM) for 36 hours prior to delivery. SROM for an extended period of time increases the risk of infection, including postpartum endometritis, which is an infection of the uterus. The practical nurse (PN) should recognize this risk factor and monitor the client closely for signs of infection. The other information listed may also be important to consider, but SROM for 36 hours poses the greatest risk for developing postpartum endometritis in this situation.

A. Promotes maturation of the lungs. B. Aids in digestion and milk absorption. C. Prevents hemorrhagic disease. D. Controls hyperbilirubinemia.

Correct Answer is C

Explanation

Phyto menadione injectable, also known as vitamin K1, is commonly given to newborns to prevent hemorrhagic disease of the newborn (HDN), a bleeding disorder that can occur due to vitamin K deficiency in the first few days of life. Vitamin K is important for the production of clotting factors in the liver, and newborns are at risk of vitamin K deficiency because it does not cross the placenta well and their intestinal ﬂora is not yet established. The other options do not accurately describe the purpose of administering Phyto menadione injectable to newborns.

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The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches." How should the PN respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The father of a newborn asks the practical nurse (PN) why an injection is being given to his baby. Which response by the PN best explains the purpose of administering Phyto menadione injectable to newborns?

Correct Answer is C

Explanation

The practical nurse (PN) is assigned to assist in the care of a client at 34-weeks gestation with premature rupture of membranes (PROM). Four hours after admission, the PN recognizes an increasing trend in the maternal heart rate. Which action should the PN take?

A mother calls the clinic to report that her child has just swallowed "poison" and is vomiting. In preparing to instruct the mother about the necessary action to take, which substance should the practical nurse (PN) consider to be the least traumatic to the esophagus when the child vomits?

The practical nurse (PN) is interviewing a middle-aged married male who is being treated for depression and reports an increasing lack of interest in sexual intimacy with his wife. Which information is most important for the PN to obtain?

The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches. How should the PN respond?

The practical nurse (PN) is assigned to assist in the care of a laboring client at 42-weeks gestation. While providing perineal care, the PN observes the umbilical cord protruding from the vagina. Which action should the PN take?

During morning rounds, a client who is admitted with obsessive-compulsive disorder is in the dayroom repeatedly washing the top of the same table. Which intervention should the practical nurse (PN) implement when approaching the client?

Another person tells the practical nurse (PN) that her 7-year-old child frequently wets the bed at night. Which information should the PN provide?

During a well-baby clinic visit, a mother tells the practical nurse (PN) that her 12-month-old infant is not yet eating solid foods and drinks whole milk from a bottle. Based on these assessment findings, this infant is at the greatest risk for developing which condition?