The nurse at the assisted living facility inspects the skin of a resident with intense pruritus. Which of the following symptoms would support the need for treatment of scabies?
A) The itching is worse during the day.
B) The lesions are concentrated on the abdomen.
C) The lesions are linear with a vesicle on one end.
D) The vesicles follow a nerve route.
Question 2Your patient is a 78-year-old man who has had outpatient surgery. You are getting him up for his first walk postoperatively. To decrease the potential for orthostatic hypotension, what should you plan to have the patient do?
A) Sit in a chair for 10 minutes prior to ambulating.
B) Encourage the patient to drink plenty of fluids to increase circulating blood volume.
C) Stand upright for 2 to 3 minutes prior to ambulating.
D) Sit upright on the side of the bed for 15 minutes prior to ambulating.
Question 3In teaching a patient how to decrease the chance of further problems with urolithiasis, barring any other contraindication, the nurse would encourage him to
a. increase his fluid intake.
b. avoid contact sports.
c. restrict his protein intake.
d. take one baby aspirin daily.
Question 4It is 2 days after a difficult patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him.
The most likely explanation for his behavior is that he a. is used to having things done his way.
b. has an obsessive-compulsive disorder.
c. has no other responsibilities to keep him occupied.
d. is having problems accepting the urinary diversion.
Question 5During an assessment an older male patient states that he has not been happy in life because he does not deserve to be loved. The nurse realizes that this patient believes love has been withheld because of which criteria? (Select all that apply.)
A) Productivity
B) Social position
C) Education level
D) Physical condition
E) Material possessions
Question 6The nurse discusses hand hygiene with the staff specifically regarding Clostridium difficile. Which of the following should the nurse include in teaching plan?
A) Avoid the use of bleach and bleach cleaners in C. difficile isolation rooms, as the bleach does not kill the spores.
B) Hand washing is required with running water and soap to remove the spores from the caregivers' hands.
C) The spores are transmitted only from direct contact, so wear gloves when touching the patient.
D) Use of alcohol-based hand cleansers is appropriate for use before and after each patient contact.
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