A nurse in the outclient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?

A. While assessing for pain is important, it is not the priority in this situation. The presence of pink- colored urine and a palpable mass in the abdominal area are more concerning findings that warrant immediate investigation.

B. Obtaining a urine specimen for analysis is important for diagnosing the cause of the hematuria (blood in the urine), which is a common symptom of Wilms tumor. However, this is not the immediate priority compared to preventing potential harm to the child by avoiding pressure on the abdominal area.

C. Instructing the parent to avoid pressing on the abdominal area is the priority action. Wilms tumor can rupture with pressure, which can lead to the spread of cancer cells. It is crucial to minimize handling of the tumor to prevent tumor spillage into the abdominal cavity.

D. The decision to schedule additional diagnostic tests, such as an abdominal ultrasound, can be made based on the results of the urinalysis and further clinical assessment.

A. Pediculosis capitis, commonly known as head lice, is characterized by the presence of live lice and nits (lice eggs) attached to the hair shaft close to the scalp. They do not typically cause a rash on the back of the neck.
B. Impetigo is a bacterial skin infection characterized by red sores or blisters that rupture and form honey-colored crusts. It commonly affects areas of the body with broken skin, such as the face, hands, and arms.
C. Folliculitis is inflammation or infection of the hair follicles caused by bacteria or fungi. It can result in red, swollen, and pus-filled bumps around hair follicles.
D. Tinea capitis is a fungal infection of the scalp and hair follicles. It is characterized by the presence of white or grayish flakes that adhere to the hair shafts and cannot be easily brushed off, along with a rash or scaly patch on the scalp. The rash may extend to the back of the neck.