A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the client's condition?

Drug allergy.

Heat stroke.

Hormone change.

Suntan.

Answer and Explanation

The Correct Answer is A

drug allergy. A skin rash is a common symptom of an allergic reaction to a medication, and a drug allergy can occur at any time during drug therapy. A drug allergy may be due to an immune response, causing the immune system to overreact to a medication that it identifies as harmful to the body. The symptoms of a drug allergy may include a rash, hives, itching, or difficulty breathing. It is important for the nurse to determine which medication the client is taking and if the client has a history of allergies.

Heat stroke (B) occurs when the body is exposed to high temperatures, leading to symptoms such as high body temperature, confusion, and loss of consciousness. Hormone changes (C) can cause various changes in the body but do not usually cause skin rashes. A suntan (D) is a reaction of the skin to ultraviolet light and is not a cause of a skin rash.

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Correct Answer is ["B","C","D"]

Explanation

The Glasgow Coma Scale (GCS) is a tool used to assess a patient's level of consciousness following a traumatic brain injury. It is based on three categories: eye-opening, verbal response, and motor response. The tool scores a patient from 3 to 15, with 15 being the best possible score. A score of 8 or less indicates a severe brain injury. The tool does not assess thought process or cognitive ability.

A. Swelling. B. Change in the level of consciousness (LOC). C. Signs of increased intracranial pressure (ICP). D. Halo sign.

Correct Answer is D

Explanation

Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).

Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.

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A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a neurological deficit. In assessing the client, the nurse will utilize the standard Glasgow Coma Scale. What will the nurse be assessing on this patient? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Correct Answer is D

Explanation

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