A client with Eczema asks, "What happens in my skin that causes all these symptoms?" How should the nurse explain the pathophysiology of Eczema?

"Eczema is mainly a result of overactive mast cells.".

"It's due to a healthy skin barrier preventing allergens.".

"Eczema involves an abnormal immune response and skin barrier dysfunction.".

"The primary cause of Eczema is excessive water retention in the skin.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

"Eczema is mainly a result of overactive mast cells." This statement is not entirely accurate.

While mast cells and their release of histamines play a role in eczema symptoms, the pathophysiology of eczema is more complex.

It involves not only mast cell activation but also abnormalities in the skin barrier and immune system response.

Choice B rationale:

"It's due to a healthy skin barrier preventing allergens." This statement is not accurate.

In eczema, there is a dysfunction in the skin barrier, which allows allergens and irritants to penetrate more easily.

A healthy skin barrier is supposed to provide protection against these environmental factors.

Choice C rationale:

"Eczema involves an abnormal immune response and skin barrier dysfunction." This statement is accurate.

Eczema is characterized by both an abnormal immune response and dysfunction in the skin barrier.

The immune system reacts excessively to environmental triggers, leading to inflammation and the classic symptoms of eczema, such as redness, itching, and dry skin.

Choice D rationale:

"The primary cause of Eczema is excessive water retention in the skin." This statement is not accurate.

Eczema is not primarily caused by excessive water retention in the skin.

In fact, the skin barrier dysfunction in eczema can lead to increased loss of moisture from the skin, contributing to dryness and exacerbating symptoms.

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Correct Answer is C

Explanation

Choice A rationale:

"Applying sunscreen daily is the primary treatment for Eczema." This statement is not accurate.

While sunscreen can be important to protect the skin from UV radiation, it is not a primary treatment for eczema.

Eczema management primarily involves measures to moisturize the skin, reduce inflammation, and manage symptoms.

Choice B rationale:

"Using over-the-counter antihistamines can help relieve symptoms." This statement is partially accurate.

Over-the-counter antihistamines may help relieve itching associated with eczema, but they are not a primary treatment for the condition.

Topical treatments and moisturizers are more commonly used for eczema management.

Choice C rationale:

"Topical corticosteroids and moisturizers are common treatments for Eczema." This statement is accurate.

Topical corticosteroids are a common treatment for eczema to reduce inflammation, while moisturizers are used to hydrate and maintain the skin barrier.

These treatments are foundational in eczema management.

Choice D rationale:

"Eczema can only be managed through surgical procedures." This statement is not accurate.

Surgical procedures are not a primary treatment for eczema.

Eczema is a chronic skin condition that can be managed through non-surgical means, such as topical medications, lifestyle modifications, and skin care routines.

A. Family history of Eczema. B. Previous diagnoses of hypertension. C. Current dietary preferences. D. Past surgical procedures.

Correct Answer is A

Explanation

Choice A rationale:

When assessing a patient for eczema, the nurse should prioritize inquiring about a family history of eczema.

Eczema has a genetic component, and individuals with a family history of the condition are at a higher risk of developing it themselves.

Understanding the family history can help in making an accurate diagnosis and determining the potential risk factors for the patient.

Choice B rationale:

Previous diagnoses of hypertension are not directly related to the assessment of eczema.

While a comprehensive medical history is essential, hypertension is not a significant risk factor or indicator of eczema.

Choice C rationale:

Current dietary preferences, while important for overall health, are not a primary consideration when assessing for eczema.

Eczema is primarily a skin condition influenced by genetics, environment, and external factors, but it is not directly related to dietary preferences.

Choice D rationale:

Past surgical procedures are also not a primary consideration when assessing for eczema.

The focus of the assessment should be on the patient's personal and family medical history, current symptoms, and potential triggers or aggravating factors related to eczema.

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A client with Eczema asks, "What happens in my skin that causes all these symptoms?" How should the nurse explain the pathophysiology of Eczema?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with Eczema asks, "What can be done to treat this condition?" What treatment options should the nurse discuss with the client?

Correct Answer is C

Explanation

A nurse is assessing a patient with Eczema and gathering information about the patient's medical history. Which aspect of the patient's history should the nurse prioritize when assessing for Eczema?

Correct Answer is A

Explanation

A nurse is providing education to a group of patients with Eczema. Which skincare measures should the nurse emphasize to help manage Eczema effectively? Select all that apply.

A nurse is assessing a patient with Eczema. The patient presents with red, dry, and itchy patches of skin, along with swelling and blisters on the flexural surfaces of the elbows and knees. Which statement accurately describes the appropriate treatment for this patient's condition?

A client with Eczema is at risk of developing complications. Which of the following complications is specifically mentioned in the text?

A client with Eczema is experiencing intense itching, leading to scratching and potential secondary infections. What statement reflects the nurse's appropriate intervention in managing the itching and preventing complications?

A client with Eczema is experiencing itching. What non-pharmacological measure should the nurse recommend to manage itching?

A client with Eczema asks, "What happens in my skin that causes all these symptoms?" How should the nurse explain the pathophysiology of Eczema?

A nurse is discussing prevention strategies for Eczema with a group of patients. Select all that apply:.

A nurse is providing education to a patient with Eczema. Which of the following statements accurately reflects the nurse's guidance on skincare practices?