The school nurse is advising a group of high school girls about ways to avoid permanent skin damage from sun exposure. Which information is most important to include in the teaching plan?
a. Avoid using cosmetics that have sunscreen added.
b. Consider a spray tan in the summer.
c. Limit sunbathing times on a cloudy day.
d. Wear light, loose clothing while in sun.
Question 2Which statement accurately describes a subtotal thyroidectomy?
a. It allows the patient to take minimum amounts of antithyroid drugs.
b. It allows continued production and release of thyroid hormones from the remainder of the gland.
c. It reduces exophthalmos.
d. It poses less postoperative risk than a total thyroidectomy.
Question 3A 93-year-old resident eats only a few bites at meals and then refuses to eat more. Which intervention might the nurse use to help delay skin breakdown from diminished nutrition?
a. Spoon-feed the resident.
b. Request an order for a feeding tube.
c. Inform the resident of the need to increase intake.
d. Offer 4 ounces of fluid every hour.
Question 4A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings of nausea, sweating, and diarrhea shortly after eating meals. What response by the nurse is most appropriate?
a. This is common after the type of surgery you had.
b. How much, if any, alcohol do you con-sume each day?
c. Avoid large meals, limit sweets, and drink small amounts of liquids between meals.
d. You may be experiencing a postoperative infection.
Question 5The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen. The patient is receiving total parenteral nutrition (TPN), and the physician has prescribed insulin coverage on a sliding scale.
The patient reports he has never had diabetes before. What response is best for the nurse to make?
a. It is likely you have developed diabetes as a result of your illness.
b. Do you have a family history for di-abetes?
c. The TPN you are receiving has high amounts of glucose.
d. Insulin is needed to manage your sto-mach's inability to adequately metabolize food at this time.
Question 6When planning care for an 80-year-old African American woman, which intervention is most important for the nurse to include?
a. Bathe the patient twice weekly.
b. Use liberal amounts of soap and water.
c. Use quick, brisk motions to dry the pa-tient's skin.
d. Apply emollient to limbs and back.
Question 7The nurse is educating a patient who has a new prescription for methimazole (Tapazole). Which instruction is most important for the nurse to include?
a. Double the next medication dose if the previous dose is forgotten.
b. Take the medication on a strict sche-dule.
c. Ask the pharmacist for a less expensive generic substitute.
d. The medication is approved for use in pregnant women.
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