A nurse is caring for a client who has been diagnosed with psoriasis. The nurse is creating an education plan for the client. What information should be included in this plan?
Pain management is likely needed
Watch skin every hour to prevent infection
Avoid public places until symptoms subside
Antifungal ointment will be part of long-term management
Moisturize skin regularly and avoid triggers
The Correct Answer is E
Choice A reason: Pain management is not a key information to include in the education plan for a client with psoriasis, as psoriasis is not usually a painful condition. It may cause itching, burning, or soreness, but these are not severe enough to require pain medication.
Choice B reason: Watching skin every hour to prevent infection is not a realistic or necessary information to include in the education plan for a client with psoriasis, as psoriasis is not an infectious condition. It is an autoimmune disorder that causes the skin cells to grow faster than normal, resulting in thick, scaly, red patches on the skin.
Choice C reason: Avoiding public places until symptoms subside is not a helpful or appropriate information to include in the education plan for a client with psoriasis, as psoriasis is not a contagious condition. It does not pose a risk to others, and isolating oneself may worsen the client's mental and emotional health.
Choice D reason: Antifungal ointment will not be part of the long-term management for a client with psoriasis, as psoriasis is not a fungal infection. It is an immune-mediated condition that requires different types of treatments, such as topical steroids, vitamin D analogues, phototherapy, or biologics.
Choice E reason: Moisturizing skin regularly and avoiding triggers is a correct information to include in the education plan for a client with psoriasis, as it helps to reduce the dryness, scaling, and inflammation of the skin. Triggers may vary from person to person, but some common ones are stress, infections, cold weather, alcohol, smoking, or certain medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Calcitriol (Fortica) is not the medication that will have the least effect in increasing the client's bone mass, as it is a synthetic form of vitamin D that helps the body absorb calcium and phosphorus, which are essential for bone health. Calcitriol also regulates the bone remodeling and prevents the bone resorption.
Choice B reason: Calcium (Caltrate) with Vitamin D (Caltria) is not the medication that will have the least effect in increasing the client's bone mass, as it is a combination of calcium and vitamin D that works synergistically to enhance the bone density and strength. Calcium is the main mineral component of the bone, and vitamin D helps the body absorb calcium and phosphorus.
Choice C reason: Alendronate (Fosamax) is not the medication that will have the least effect in increasing the client's bone mass, as it is a bisphosphonate that inhibits the activity of osteoclasts, which are the cells that break down the bone. Alendronate reduces the bone loss and increases the bone mass, and it is used to treat and prevent osteoporosis.
Choice D reason: Calcium (Caltrate) without Vitamin D (Calcio) is the medication that will have the least effect in increasing the client's bone mass, as it is a calcium supplement that does not contain vitamin D, which is necessary for the calcium absorption and utilization. Calcium alone may not be sufficient to prevent or treat osteoporosis, and it may also cause side effects such as constipation, kidney stones, or hypercalcemia.
Choice E reason: None of the above is not a correct choice, as there is one option that matches the medication that will have the least effect in increasing the client's bone mass.
Correct Answer is C
Explanation
Choice A reason: Excess growth of bone formation does not cause the bones to weaken, but rather the opposite. Osteoporosis is a condition that causes the bones to lose density and become brittle due to the imbalance between bone resorption and formation. The bone resorption exceeds the bone formation, leading to low bone mass and increased fracture risk.
Choice B reason: Men are not less likely than women to have secondary causes of osteoporosis, but rather more likely. Secondary osteoporosis is a type of osteoporosis that is caused by other diseases or medications that affect the bone metabolism. Men are more likely to have secondary osteoporosis due to conditions such as hypogonadism, hyperparathyroidism, hyperthyroidism, or chronic kidney disease, or medications such as glucocorticoids, anticonvulsants, or anticoagulants.
Choice C reason: A modifiable risk factor for osteoporosis is a person's level of activity, as it affects the bone health and strength. Physical activity, especially weight-bearing and resistance exercises, can stimulate the bone formation and prevent the bone loss. It can also improve the muscle strength, balance, and coordination, which can reduce the risk of falls and fractures.
Choice D reason: Osteoporosis is not categorized as a disease for the elderly, but rather a disease that can affect people of any age. Osteoporosis is more common in older adults, especially postmenopausal women, due to the hormonal changes and the natural decline of bone mass with aging. However, osteoporosis can also occur in younger people due to genetic factors, lifestyle factors, or secondary causes.
Choice E reason: None of the above is not a correct choice, as there is one option that matches the most accurate statement related to osteoporosis.
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