A nurse in the outclient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?
Intense pain
Unilateral lesions
Silvery, white scales
Serous drainage
The Correct Answer is C
A. Psoriasis can be associated with discomfort, but it is not typically characterized by intense pain. The primary symptoms are related to skin changes rather than pain.
B. Psoriasis usually presents with bilateral lesions that are symmetrical in distribution. Unilateral lesions are less common in psoriasis.
C. Silvery, white scales. This is a hallmark sign of psoriasis. Clients often have patches of thick, red skin with these distinctive silvery scales.
D. Psoriasis does not typically cause serous drainage. It is a dry skin condition that leads to scaling and flaking rather than wet or serous discharge
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Release of sodium bicarbonate from renal compensation: In response to metabolic acidosis, the kidneys may attempt to compensate by excreting hydrogen ions and retaining bicarbonate ions. However, this mechanism does not contribute to the development of diabetic ketoacidosis.
B. Diabetic ketoacidosis (DKA) is a serious complication of diabetes mellitus, particularly type 1 diabetes, resulting from a relative or absolute deficiency of insulin. In the absence of sufficient insulin, the body cannot properly utilize glucose for energy, leading to increased lipolysis (breakdown of fat) and subsequent production of ketone bodies (such as acetone, acetoacetate, and beta-hydroxybutyrate) as an alternative fuel source. The accumulation of ketone bodies in the blood lowers the blood pH, leading to metabolic acidosis characteristic of DKA.
C. Excretion of excess potassium from cellular death: Diabetic ketoacidosis can lead to electrolyte imbalances, including hyperkalemia due to shifts of potassium out of cells as acidosis worsens. However, this is a consequence of DKA rather than a primary cause.
D. In type 1 diabetes mellitus, there is an absolute deficiency of insulin, leading to hyperglycemia. Elevated glucose levels contribute to the osmotic diuresis seen in DKA, but they are not the primary cause of ketoacidosis.
Correct Answer is A
Explanation
Notifying the provider allows for assessment of the situation, possibly perform a medical evaluation to determine if the bruises are of medical concern, and decide on further actions.
B. Ask the toddler what caused the bruises is not always reliable to provide information of sensitive issues. However, asking them can sometimes provide useful information.
C. Ask the parents what caused the bruises may mislead the team as the parents may lie about the bruises if they are perpetrators of child abuse.
D. Notification of social service is important in suspected cases of neglect or abuse. However, this should follow assessment by the provider
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