The nurse is caring for an infant with candidal diaper rash. Which of the following topical medications would the nurse expect to administer as ordered?
A) Corticosteroids
B) Antifungals
C) Antibiotics
D) Retinoids
B
Response:
Candidal diaper rash would require a fungicide. The nurse would expect to administer topical antifungals as ordered. Corticosteroids are not typically recommended for young infants and are used for atopic dermatitis and certain cases of contact dermatitis. Antibiotics would be ineffective against fungal infections. Retinoids are indicated for moderate to severe acne.
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A head nurse is concerned about the frequency of patient violence on her unit. Which of the following actions would be likely to reduce such incidents? Select all that apply
a. Encourage staff to have numerous, brief, nondirective interactions with all patients starting at admission. b. Increase the percentage of males working on the unit so that the male presence will inhibit violent behavior. c. Make sure a thorough assessment of risk for violence is completed on all patients at admission. d. Train staff to implement seclusion and restraint promptly when a patient shows signs of escalating aggression. e. In supervision, facilitate self-awareness regarding staff's feelings about violence and any possible nontherapeutic responses that might result from these feelings. f. In cases where several or more patients on the unit are prone to violence, set stricter rules and limits on the unit to maintain a high degree of staff control.
A patient recovering from a total laryngectomy and permanent tracheostomy is being discharged. What observations indicate that discharge teaching has been effective?
Select all that apply. 1. The patient supports the head when moving in bed. 2. The patient drinks cool fluids throughout the day. 3. The patient is eager to go to the pool to go swimming. 4. The patient places a gauze sponge around the gastrostomy tube. 5. The patient covers the tracheostomy with a light gauze sponge.
"Shaken baby syndrome" refers to:
A) The increasing rate of epilepsy and other seizure disorders in infants B) A form of child abuse in which a baby is shaken hard enough to cause trauma and death C) The physical and developmental problems faced by infants of drug-addicted mothers D) The psychological trauma that children experience from perceived threats to their safety
An older male client comes to the clinic and states to the nurse that he hasn't been interested in sexual intercourse lately. He states: "I guess this is part of getting old, too."
What should the nurse explain about decreased sexual interest in older clients? 1. It does decrease and gradually disappears. 2. It should not be taken as seriously as it would be if the client were a younger person. 3. It is caused by decreased hormone activity and there is little that can be done about it. 4. It decreases but does not disappear.