The health care provider diagnoses impetigo in a patient who has crusty vesicopustular lesions on the lower face. Which instructions should the nurse include in the teaching plan?

a. Clean the infected areas with soap and water.
b. Apply alcohol-based cleansers on the lesions.
c. Avoid use of antibiotic ointments on the lesions.
d. Use petroleum jelly (Vaseline) to soften crusty areas.


ANS: A
The treatment for impetigo includes softening of the crusts with warm saline soaks and then soap-and-water removal. Alcohol-based cleansers and use of petroleum jelly are not recommended for impetigo. Antibiotic ointments, such as mupirocin (Bactroban), may be applied to the lesions.

Nursing

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A patient's white blood cell count is:

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What is the first thing the nurse should do before involving the family in the care of a dying patient?

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A patient with chronic pain who has been receiving morphine sulfate 20 mg IV over 24 hours is to be discharged home on oral sustained-release morphine (MS Contin), which will be administered twice a day

What dosage of MS Contin will be needed for each dose to obtain an equianalgesic dose for the patient? (Morphine sulfate 10 mg IV is equianalgesic to morphine sulfate 30 mg orally.) What will be an ideal response?

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T.H. is a 55-year-old man with an 8-month history of progressive muscle weakness. Initially, he tripped over

things and seemed to drop everything. He lost interest in activities because he was always exhausted. He sought medical assistance when his speech became slurred and he started to drool. During the initial evaluation, the physician noted frequent, severe muscle cramps, muscle twitching, and inappropriate, uncontrollable periods of laughter. After undergoing a series of tests, T.H. was diagnosed with amyo trophic lateral sclerosis (ALS). He is upset and bewildered about a disease that he has "never even heard of." You are a home health nurse who is seeing T.H. for the first time. How would you explain ALS to T.H.?

Nursing