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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Dim vision could be a sign of many conditions but is not the first indicator the nurse should assess for neurologic status.
B. Papilledema (swelling of the optic disc) is a late sign of increased intracranial pressure and is not immediately available on assessment.
C. Body temperature is important but not as directly related to the neurological status as LOC.
D. The level of consciousness (LOC) is one of the most important initial indicators of a patient's neurologic status, as it helps assess brain function and the severity of potential neurological injury. A decrease in LOC can indicate significant brain injury or dysfunction.
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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