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 C
Explanation
A. The client is unable to make vocal sound would be more consistent with a verbal response score of 1.
B. The client is unconscious is not correct, as a GCS score of 13 indicates they are not in a deep coma.
C. A GCS score of 3 for eye opening indicates that the patient responds to verbal stimuli (eye-opening to speech), a score of 5 for best verbal response indicates they can speak but not necessarily coherently, and a 5 for best motor response indicates purposeful movement, like following commands.
D. The client can follow simple motor commands would typically reflect a motor response score of 6, not
Correct Answer is ["A","B","D"]
Explanation
A. Decreasing Glasgow Coma scores indicate a worsening neurological status and reduced consciousness.
B. Swelling of the optic nerve (papilledema) is a sign of increased ICP and indicates worsening conditions.
C. A respiratory rate of 12/min may be within normal range for some individuals but can also be a sign of impending respiratory depression in cases of severe ICP. However, it is not as immediately concerning as the other options in this case.
D. Changes in pupil size and shape are classic signs of worsening ICP. Unequal or nonreactive pupils are a key indicator.
E. Blood pressure of 108/74 mm Hg is not concerning unless it represents a significant drop from the baseline; other signs of worsening ICP are more critical in this case.
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