A client has very dry skin. Which is the best intervention for the nurse to teach the client?
a. "Be sure to use lots of moisturizer several times a day."
b. "Avoid wearing stockings or other con-stricting clothing."
c. "Use antimicrobial soap so scratching won't cause infection."
d. "After you bathe, put lotion on before your skin is totally dry."
D
The client should bathe in warm water for at least 20 minutes and then apply lotion immediately because this will keep the moisture in the skin. Just using moisturizer will not be as helpful be-cause the moisturizer is not what rehydrates the skin; it is the water. Constricting clothing is not related to dry skin, and antimicrobial soaps are actually more drying than other kinds of soap.
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A Native American man who lives a traditional lifestyle is scheduled to have heart surgery. The tribal chief has requested that the tribe's medicine man perform a ritual before the patient goes to surgery
The nurse's response to this request should be A) "I'm sorry, but that will not be possible." B) "I will need to inform the doctor and see if he will allow this." C) "As long as the ritual does not interfere with the patient's preoperative care, it will be okay." D) "I don't think that will help, but you have the right to perform the ritual."
Pyrimethamine (Daraprim) has been ordered for the patient as prophylactic treatment of malaria. The nurse recognizes the action of this drug prevents relapse of the disease by acting on what?
A) Changing the metabolic pathways for reproduction B) Disrupting the mitochondria of the plasmodium C) Blocking the use of folic acid D) Increasing the acidity of plasmodial food vacuoles
The charge nurse is making assignments for the nursing assistants in a long-term care facility. A message was left that a 96-year-old male client did not want an African American nurse aide caring for him
Although care is provided to all clients consistently without bias to race or other ethnic and cultural aspects, the charge nurse recognizes that this is a characteristic of A) unacceptable racial bias. B) life trajectory differences. C) complexity of the cultural care triad. D) ethnicity.
The client whose father and uncle died of colorectal cancer asks the nurse how to modify a diet to reduce the risk of this cancer. The nurse can suggest
a. decreasing consumption of alcohol. b. decreasing consumption of unrefined whole-grain products. c. increasing consumption of organ meats. d. increasing consumption of vitamin A.