When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Administering systemic antibiotics as ordered.

Placing mitts on the client's hands.

Continuing to administer antibiotics for 21 days as ordered.

Applying topical antibiotics as ordered.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.

Choice B rationale

Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.

Choice C rationale

Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.

Choice D rationale

Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.

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Correct Answer is B

Explanation

Choice A rationale

Temporal lobe damage affects auditory processing and memory rather than visual stimuli interpretation, impacting functions like language comprehension and memory formation.

Choice B rationale

Occipital lobe is the primary visual processing center of the brain, responsible for interpreting visual stimuli. Damage to this lobe impairs visual perception and recognition, aligning with the symptoms described.

Choice C rationale

Frontal lobe injury affects executive functions, behavior, and motor skills, not visual stimuli interpretation. Symptoms include problems with planning, movement, and personality changes rather than visual processing issues.

Choice D rationale

Parietal lobe processes sensory information such as touch, temperature, and pain, and helps in spatial orientation. It does not primarily interpret visual stimuli, making it less relevant to the described visual interpretation difficulty.

A. Administer a bolus of normal saline as prescribed. B. Administer bronchodilators as prescribed and monitor the client's LOC. C. Increase the client's bed height and reassess in 30 minutes. D. Inform the care team and assess for further signs of possible increased ICP.

Correct Answer is D

Explanation

Choice A rationale

Administering a bolus of normal saline may not directly address the cause of increased respiratory effort, which could be related to increased intracranial pressure (ICP). Normal saline administration is not the priority intervention in this case.

Choice B rationale

Bronchodilators are used to manage bronchoconstriction, not increased respiratory effort due to potential increased ICP. Monitoring the client's level of consciousness (LOC) is important, but bronchodilators are not indicated here.

Choice C rationale

Increasing the client's bed height can help with respiratory effort, but it does not directly address the potential underlying issue of increased ICP. Reassessing in 30 minutes might delay necessary interventions.

Choice D rationale

Increased respiratory effort in a client with a head injury may indicate rising ICP. Informing the care team and assessing for further signs of increased ICP is crucial for timely intervention to prevent further complications.

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When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with a brain tumor. The nurse's assessment reveals that the client has difficulty interpreting visual stimuli. Based on these findings, the nurse suspects injury to which lobe of the brain?

Correct Answer is B

Explanation

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the client's respiratory effort has increased. What is the nurse's most appropriate action?

Correct Answer is D

Explanation

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