A client with psoriasis reports an increase in symptoms. Which action should the practical nurse (PN) implement?
Initiate contact isolation precautions.
Explain the need to keep the affected areas dry.
Prepare the client for allergen testing.
Review stress reduction strategies with the client.
The Correct Answer is D
Choice A reason: Initiating contact isolation precautions is not necessary for psoriasis. Psoriasis is not an infectious or contagious condition, so isolation is not required. The focus should be on managing symptoms and providing appropriate care to alleviate the client's discomfort.
Choice B reason: Explaining the need to keep the affected areas dry is not an appropriate action for psoriasis management. Psoriasis is characterized by dry, scaly patches of skin, and keeping the areas dry may worsen the condition. It is important to keep the skin moisturized and hydrated to reduce flaking and discomfort.
Choice C reason: Preparing the client for allergen testing is not relevant in this context. Psoriasis is an autoimmune condition, not an allergic reaction. Allergen testing is not typically used in the diagnosis or management of psoriasis. The focus should be on addressing factors that can exacerbate symptoms, such as stress, infections, and certain medications.
Choice D reason: Reviewing stress reduction strategies with the client is the most appropriate action. Stress is known to be a significant trigger for psoriasis flare-ups. By helping the client identify and implement stress reduction techniques, the PN can assist in managing the client's symptoms and improving their overall well-being. Techniques such as mindfulness, relaxation exercises, and counseling can be beneficial in reducing stress and minimizing psoriasis symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Being able to ambulate without assistance is generally an indicator of improved mobility or reduced motor impairment. However, it does not directly reflect the effectiveness of carbamazepine in treating trigeminal neuralgia. Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve in the face, causing severe facial pain. The goal of carbamazepine in this context is to reduce or eliminate this pain, so ambulation is not a relevant measure of the medication's effectiveness in this case.
Choice B reason: Distal pulses that are intact with strong volume are important indicators of good peripheral circulation. While this is a positive clinical finding, it does not relate to the primary purpose of carbamazepine administration in a client with trigeminal neuralgia. The primary goal is to alleviate the facial pain associated with the condition, so assessing peripheral pulses does not indicate the desired outcome of the medication.
Choice C reason: No seizure activity observed is an important outcome in clients taking carbamazepine for seizure disorders. However, in the context of trigeminal neuralgia, carbamazepine is used primarily for its pain-relieving properties. The absence of seizure activity is not the main indicator of the medication's effectiveness for this specific condition. Therefore, while seizure control is relevant for other uses of carbamazepine, it is not the primary measure of success for treating trigeminal neuralgia.
Choice D reason: Client denies pain is the most relevant and desired outcome when administering carbamazepine for trigeminal neuralgia. This medication is effective in reducing or eliminating the severe facial pain associated with the condition. By denying pain, the client indicates that the medication is effectively managing the symptoms of trigeminal neuralgia, which is the primary therapeutic goal in this context.
Correct Answer is C
Explanation
Choice A reason: Lymph nodes are important components of the immune system and play a crucial role in filtering harmful substances and housing lymphocytes. While HIV/AIDS can affect lymph nodes, it is not the primary target of the virus.
Choice B reason: The spleen is another vital organ in the immune system that helps filter blood and fight infections. However, it is not the specific target of HIV.
Choice C reason: T cells, specifically CD4+ T cells, are the main target of HIV (the virus that causes AIDS). HIV infects and destroys these cells, leading to a weakened immune system. The progressive loss of CD4+ T cells impairs the body's ability to fight off infections and certain cancers, which is characteristic of AIDS.
Choice D reason: B cells are responsible for producing antibodies and play a key role in the humoral immune response. While HIV/AIDS can indirectly impact B cell function due to the overall compromised immune system, B cells are not the primary cells affected by the virus.
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