A nurse is observing a newly licensed nurse perform focused data collection on a client who has developed a skin condition. Which of the following questions by the newly licensed nurse requires intervention by the nurse?
"How do you handle stress?"
"Does your skin condition keep you awake at night?"
"How does your skin condition make you feel about yourself?"
"Have you had any changes in your diet?"
The Correct Answer is A
A. "How do you handle stress?" While stress may influence some skin conditions (e.g., psoriasis, eczema), this question is not directly related to a focused skin assessment and may be too vague or irrelevant.
B. "Does your skin condition keep you awake at night?" Skin conditions such as eczema or urticaria can cause pruritus, leading to sleep disturbances. This is a relevant question.
C. "How does your skin condition make you feel about yourself?" Skin conditions can affect body image and self-esteem, making this an important question for psychosocial assessment.
D. "Have you had any changes in your diet?" Certain food allergies or deficiencies can trigger dermatologic conditions (e.g., celiac disease, atopic dermatitis), making this question appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Amber color. Normal urine color ranges from pale yellow to deep amber, depending on hydration. Amber urine alone is not abnormal.
B. White blood cells (WBC) 10. Normal WBC levels in urine should be ≤5 per high-power field (HPF). A count of 10 WBCs suggests infection or inflammation, such as a urinary tract infection (UTI).
C. pH 5.0. Normal urine pH ranges from 4.5 to 8.0, so a pH of 5.0 is within normal limits and does not require reporting.
D. Occasional casts. Occasional hyaline casts are normal, especially with dehydration or vigorous exercise. However, cellular casts (e.g., red blood cell casts) could indicate kidney disease.
Correct Answer is D
Explanation
A. Nausea – Not a primary manifestation of hypoxia. Hypoxia primarily affects oxygen delivery to tissues, leading to respiratory and neurological changes.
B. Dysphagia – Difficulty swallowing is not a common sign of hypoxia. It is more often associated with neurological conditions or structural abnormalities.
C. Warm, dry skin – Hypoxia typically causes cool, clammy skin due to vasoconstriction and poor oxygenation, not warm, dry skin.
D. Cyanosis – Correct. Cyanosis (bluish discoloration of the skin, lips, or nail beds) occurs due to inadequate oxygenation of the blood, making it a key sign of hypoxia.
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