A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

Avoid friction over scaly lesions while bathing.

Eliminate the use of products containing salicylic acid.

Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime.

Identify effective stress reduction techniques.

Answer and Explanation

The Correct Answer is D

A.   Avoid friction over scaly lesions while bathing is generally good advice, but it is not the primary focus in this situation.
B.   Eliminate the use of products containing salicylic acid is not necessary unless the client has a known sensitivity or reaction to it, as salicylic acid is commonly used to treat psoriasis.
C.   Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime is not typically recommended for psoriasis, as it can exacerbate the condition or increase irritation. Topical treatments, if prescribed, should be used as directed.
D.   Psoriasis is often exacerbated by stress. Therefore, teaching the client effective stress reduction techniques (e.g., meditation, deep breathing, yoga) can help in managing flare-ups.

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Correct Answer is D

Explanation

A. The BP must be lower than 180/105 mm Hg to receive fibrinolytic agents, not 130/70 mm Hg.
B. Elevated BPs are common immediately after a stroke, but drug therapy to lower BP is not initiated unless it reaches high levels (typically > 220/120 mm Hg).
C. A lower BP does not act as a protective response; maintaining a higher BP can be necessary initially after a stroke to ensure adequate cerebral perfusion.

D. If BP is 220/120 mm Hg or higher after ischemic stroke, aggressive antihypertensive therapy is initiated to reduce the risk of hemorrhagic transformation and other complications.

A. Brudzinski's sign B. Bradykinesia C. Nuchal rigidity D. Kernig's sign

Correct Answer is A

Explanation

A. Brudzinski's sign is a clinical sign of meningeal irritation where passive neck flexion causes involuntary flexion of the hips and knees. It is a positive sign of meningitis.
B. Bradykinesia refers to slow movement, commonly associated with Parkinson’s disease.
C. Nuchal rigidity is stiffness in the neck, a sign of meningitis, but it does not describe the involuntary leg movement seen in this case.
D. Kernig's sign involves resistance to extending the leg while the hip is flexed, not the involuntary flexion of the legs.

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A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement is accurate about the recommendations for BP management after an ischemic stroke?

Correct Answer is D

Explanation

A nurse is assessing a client who has meningitis and notes when passively flexing the client's neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?

Correct Answer is A

Explanation

A nurse is caring for a client who has had a stroke involving the right hemisphere. Which of the following alterations in function should the nurse expect?

Which laboratory result would the nurse anticipate when reviewing the cerebrospinal fluid analysis of a patient with bacterial meningitis?

A nurse is receiving a transfer report for a client who has a head injury. The client has a Glasgow Coma Scale (GCS) score of 3 for eye opening, 5 for best verbal response, and 5 for best motor response. Which of the following is an appropriate conclusion based on this data?

A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?

A nurse admits a client who has a subarachnoid hemorrhage and increased intracranial pressure (ICP). Which of the following medications should the nurse expect to administer to decrease ICP?

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed- head injury. Which of the following actions should the nurse take?