Which of the following interventions can help manage pain associated with impaired skin integrity?

Administering analgesic medications

Performing gentle massage on the affected area

Applying a heating pad to the affected area

Using topical antibiotics on the affected area

Answer and Explanation

The Correct Answer is A

A.   Administering analgesic medications: Analgesic medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids, can help alleviate pain associated with impaired skin integrity by reducing inflammation and blocking pain signals.
B.   Performing gentle massage on the affected area: While massage can sometimes provide relief for certain types of pain, it may not be appropriate for all types of impaired skin integrity and could potentially exacerbate the condition or cause further damage.
C.   Applying a heating pad to the affected area: Heat therapy may be contraindicated for certain types of impaired skin integrity, as it can increase inflammation and worsen pain. It is not
typically recommended as a primary intervention for managing pain in this context.
D.   Using topical antibiotics on the affected area: Topical antibiotics are used to treat or prevent infections but are not primarily indicated for pain management associated with impaired skin
integrity.

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Correct Answer is D

Explanation

A. Povidone-iodine: Povidone-iodine is an antiseptic agent used for skin disinfection but is not recommended for routine hand hygiene, especially in cases of Clostridium difficile infection.

B. Alcohol-based antiseptic: While alcohol-based hand sanitizers are effective for most routine hand hygiene situations, they may not be sufficient for removing spores of Clostridium difficile. Soap and water are preferred for hand hygiene in cases of C. difficile infection.
C. Chlorhexidine: Chlorhexidine is an antiseptic agent commonly used for skin disinfection, but like alcohol-based hand sanitizers, it may not effectively remove C. difficile spores. Soap and water are preferred.

D. Soap and water: Soap and water are recommended for hand hygiene in cases of Clostridium difficile infection because mechanical friction from hand washing helps physically remove
spores from the hands.

A. Obtain a sputum culture. B. Cough and deep breathe every 6 hours. C. Encourage fluid intake of 1500 mL/day. D. Position the client prone.

Correct Answer is A

Explanation

A. Obtain a sputum culture: Obtaining a sputum culture helps identify the causative organism of pneumonia, which guides appropriate antibiotic therapy.
B. Cough and deep breathe every 6 hours: While coughing and deep breathing exercises are important for preventing complications such as atelectasis, they are not specific to pneumonia treatment and may not be appropriate for all patients with pneumonia.
C. Encourage fluid intake of 1500 mL/day: Adequate fluid intake is generally recommended for overall health but is not a specific intervention for pneumonia treatment.
D. Position the client prone: Positioning the client prone is not a standard intervention for pneumonia treatment. Depending on the severity and type of pneumonia, the client's positioning may vary, but prone positioning is not routinely recommended.

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Which of the following interventions can help manage pain associated with impaired skin integrity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a Clostridium difficile infection. Which of the following cleansing agents should the nurse use for hand hygiene?

Correct Answer is D

Explanation

A nurse is assisting in the plan of care for a client showing signs of pneumonia. Which of the following nursing actions should be included?

Correct Answer is A

Explanation

Which of the following actions can the nurse take to help prevent a health care-associated infection in an incontinent patient?

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A nurse working on a medical-surgical unit suspects that several clients have Clostridium Difficile (C-Diff) when they all develop watery diarrhea. Which of the following actions should the nurse plan to take while waiting for the client's lab results?

A nurse inserts an indwelling urinary catheter for a client who is preoperative. Three days later, the client develops a urinary tract infection. The nurse should identify that the client has which of the following types of infections?

The nurse is collecting a culture of a wound. During the procedure, the patient asks what is a culture? Which of the following is the best response by the nurse to explain why she is culturing the wound?

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The nurse is taking care of a patient diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA). The nurse knows that this disease is difficult to treat and has a high mortality rate. Which medication would the nurse expect to be ordered to treat this infection?