A patient is seen by a primary care NP to evaluate a rash. The NP notes three ring-shaped lesions with elevated, erythematous borders and two smaller, scaly patches on the patient's abdomen
The patient has not used any over-the-counter medications on the rash. The NP should prescribe: a. terbinafine (Lamisil).
b. oxiconazole (Oxistat).
c. ketoconazole (Nizoral).
d. miconazole (Lotrimin AF).
D
When initiating treatment for tinea corporis, start with an older agent, such as miconazole, because this is available over-the-counter and in generic form and is cheaper. Other agents may be used if the infection does not respond to miconazole or if there are localized side effects to the product.
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An implementation the nurse may use to improve safety during a transfer is:
a. weighing the patient first. b. using a transfer belt. c. putting shoes on the patient. d. supporting a flaccid arm.
A 6-year-old was taken to the hospital after having a seizure at home. The patient's mother tells the nurse that she has been ill for the past week and has had a fever with nausea and vomiting
The patient's mother believes that the seizure was caused by a fever of 99.5° F, which the patient had during the course of her illness. What is the nurse's best response? a. "With a temperature that high, we can only hope that there is no permanent damage." b. "Fevers in this range are part of the body's natural defense system" c. "Febrile seizures are common in children Nancy's age." d. "The child will need antibiotics. Does she have any allergies?"
After reviewing the various contraceptive options with a client, the client opts for the etonogestrel/ethinyl estradiol vaginal ring
After teaching the client about this choice, the nurse determines that the teaching was effective when the client states which of the following? A) "Once I insert the ring, it won't come out." B) "The ring should stay in place for 3 weeks." C) "When bleeding starts, that's the signal to change the ring." D) "I can reuse the ring several times before discarding it."
A male patient tells the nurse that he has "excruciating pain" in his perineal region that started a few days after having an indwelling urinary catheter removed. Upon inspection, the nurse sees a dime-sized reddened area on the patient's perineum below the scrotal sac. What nursing intervention is priority?
1. Have the wound further evaluated for possible Fournier's gangrene. 2. Apply ice to the region. 3. Give the patient prn acetaminophen. 4. Place a scrotal support on the patient.