The nurse teaches a client to administer topical medications. Rank the instructions the nurse provides to the client in the correct order
1. Apply medication to applicator or gloved hand.
2. Check for irritation from the topical medication.
3. Gently cleanse affected area and remove debris.
4. Put on an even layer in direction of hair growth.
3, 1, 4, 2
3. The client gently cleanses the affected area to prepare the tissue for an application of a topical medication because, if left on the tissue, previously applied medication becomes residue. Moreover, to be effective, the medication must permeate the resi-due, delaying onset of action. The residue can also promote microorganism growth; so, for infection control, the client removes the residue.
1. To prevent contamination of the medication container, the client applies medication to a clean surface such as a gloved hand or applicator.
4. The client applies medication in long, smooth strokes to obtain a smooth even layer of medication.
2. Once the application is complete, the client checks for tissue irritation and adverse effects.
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What child behavior indicates to the nurse that temper tantrums have become a problem? (Select all that apply.)
a. The child is 2 to 3 years old b. Tantrums occur at bedtime c. Tantrums occur past 5 years of age d. Tantrums last longer than 15 minutes e. Tantrums occur more than five times a day
Which of the following herbal products would be of most concern if taken by a patient being treated for seizures?
1. Feverfew 2. Goldenseal 3. Ginger 4. Ginkgo
The client receives filgrastim (Neupogen). He asks the nurse, "That is such a funny name; where do you suppose it comes from?" What is the best response by the nurse?
1. "It comes from the interleukins it stimulates; this one stimulates neuocytes." 2. "It comes from the blood cell it stimulates; this one stimulates neutrophils." 3. "It comes from the stem cells it stimulates, such as filgrastims." 4. "It is a complicated process; the drug companies are secretive about it."
A nurse is teaching an in-service education class about caring for homeless populations. When explaining the difference between the care provided by Safe Havens and Shelter Plus Care, which of the following would the nurse include?
A) "Shelter Plus Care offers more services to a larger population than does Safe Havens." B) "Safe Havens provides shelter for as many as 100 people at a time." C) "Safe Havens provides traditional support services as well as short-term housing." D) "Shelter Plus Care offers a variety of supportive services in addition to long-term housing."