Foundations and Adult Health Nursing 8th Edition Cooper Test Bank
, Foundations and Adult Health Nursing 8th Edition Cooper Test Bank
MULTIPLE CHOICE
1. What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
a. Use Burow’s solution to help promote healing.
b. Rub the skin briskly to decrease pruritus.
c. Limit bathing to three times a week.
d. Ensure that bath area is at least 85 degrees and dehumidified
ANS: A.
Pruritus is responsible for most of the discomfort. Wet dressings and using Burow’s solution help promote the healing process. A cool
environment with increased humidity decreases the pruritus. Give daily baths with an application to cleanse the skin.
DIF: Cognitive Level: Application REF: 78 OBJ: 14
TOP: Pruritus KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago.
What should the nurse do?
a. Assess frequently for herpes zoster.
b. Be aware of the patient’s immunity to chickenpox.
c. Encourage the patient to have a pneumonia vaccine.
d. Arrange for the patient to receive gamma globulin.
ANS: A
Herpes zoster is caused by the same virus that causes chickenpox (Herpes varicella). The greatest risk occurs to patients who have a
lowered resistance to infection, such as those on chemotherapy, aging, or receiving large doses of prednisone, in whom the disease could
be fatal because of the patient’s compromised immune system.
DIF: Cognitive Level: Application REF: 70 OBJ: 5
TOP: Shingles KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
, Foundations and Adult Health Nursing 8th Edition Cooper Test Bank
3. A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug?
a. Apply lightly, being careful not to completely cover the lesion.
b. After application, wrap in warm wet dressings.
c. Use gloves.
d. Rub medication into lesions.
ANS: C
The topical application requires that the nurse uses gloves, completely covers the lesion gently, then leaves it open to the air.
DIF: Cognitive Level: Comprehension REF: 69 OBJ: 5
TOP: Anti-infective KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
4. A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most
likely are:
a. chickenpox.
b. impetigo.
c. shingles.
d. herpes simplex type I.
ANS: B
Impetigo is seen at all ages but is particularly common in children. The crust is honey-colored and easily removed and is associated with
pruritus. The disease is highly contagious and spreads by contact.
DIF: Cognitive Level: Comprehension REF: 74 OBJ: 6
TOP: Infection KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus.
Why would the nurse use a Woods lamp?
a. To dry out the lesions.
b. To reduce the pruritus.
c. To kill the fungus.
d. To cause fluorescence of the infected hairs.
, Foundations and Adult Health Nursing 8th Edition Cooper Test Bank
MULTIPLE CHOICE
1. What should the nurse do when administering a therapeutic bath to a patient who has severe pruritus?
a. Use Burow’s solution to help promote healing.
b. Rub the skin briskly to decrease pruritus.
c. Limit bathing to three times a week.
d. Ensure that bath area is at least 85 degrees and dehumidified
ANS: A.
Pruritus is responsible for most of the discomfort. Wet dressings and using Burow’s solution help promote the healing process. A cool
environment with increased humidity decreases the pruritus. Give daily baths with an application to cleanse the skin.
DIF: Cognitive Level: Application REF: 78 OBJ: 14
TOP: Pruritus KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A frail, older adult home health patient who had chickenpox as a child has been exposed to varicella (chickenpox) several days ago.
What should the nurse do?
a. Assess frequently for herpes zoster.
b. Be aware of the patient’s immunity to chickenpox.
c. Encourage the patient to have a pneumonia vaccine.
d. Arrange for the patient to receive gamma globulin.
ANS: A
Herpes zoster is caused by the same virus that causes chickenpox (Herpes varicella). The greatest risk occurs to patients who have a
lowered resistance to infection, such as those on chemotherapy, aging, or receiving large doses of prednisone, in whom the disease could
be fatal because of the patient’s compromised immune system.
DIF: Cognitive Level: Application REF: 70 OBJ: 5
TOP: Shingles KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
, Foundations and Adult Health Nursing 8th Edition Cooper Test Bank
3. A patient has herpes zoster (shingles) and is being treated with acyclovir (Zovirax). What should the nurse do when administering this drug?
a. Apply lightly, being careful not to completely cover the lesion.
b. After application, wrap in warm wet dressings.
c. Use gloves.
d. Rub medication into lesions.
ANS: C
The topical application requires that the nurse uses gloves, completely covers the lesion gently, then leaves it open to the air.
DIF: Cognitive Level: Comprehension REF: 69 OBJ: 5
TOP: Anti-infective KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
4. A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most
likely are:
a. chickenpox.
b. impetigo.
c. shingles.
d. herpes simplex type I.
ANS: B
Impetigo is seen at all ages but is particularly common in children. The crust is honey-colored and easily removed and is associated with
pruritus. The disease is highly contagious and spreads by contact.
DIF: Cognitive Level: Comprehension REF: 74 OBJ: 6
TOP: Infection KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus.
Why would the nurse use a Woods lamp?
a. To dry out the lesions.
b. To reduce the pruritus.
c. To kill the fungus.
d. To cause fluorescence of the infected hairs.
