A nurse is planning teaching for a client who will be discharged with a central venous access device. Which of the following actions should the nurse plan to take first?

Make a priority list of information the client should learn.

Determine the client's learning needs.

Obtain written information to give the client.

Select a visual method to reinforce verbal teaching for the client.

Answer and Explanation

The Correct Answer is B

A. Make a priority list of information the client should learn: While making a priority list of information is important, it should come after assessing the client's learning needs. This ensures that the most relevant and important information is prioritized.

B. Determine the client's learning needs: The first step in planning teaching is to assess the client’s learning needs. This allows the nurse to tailor the teaching plan to the client’s level of understanding, cultural preferences, and specific concerns related to the central venous access device.

C. Obtain written information to give the client: Written information is helpful but should not be the first step. It is more effective when tailored to the client’s learning needs, which should be assessed first to ensure relevance.

D. Select a visual method to reinforce verbal teaching for the client: Visual methods can be helpful for reinforcing verbal teaching, but this step should follow the assessment of the client’s learning needs. Teaching strategy should align with the client’s preferred learning style.

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Correct Answer is A

Explanation

A. This image shows well-demarcated, erythematous plaques covered with silvery-white scales—classic features of plaque psoriasis. These lesions typically appear on extensor surfaces like the elbows, knees, and scalp, and may itch or crack.

B. This image shows a yellow crusting lesion which suggests impetigo or a secondary skin infection, not psoriasis. Impetigo typically presents with honey-colored crusts, caused by bacterial infection, usually. Psoriasis lesions are usually dry and scaly, not moist or oozing.

C. This image shows red bumps on arm suggesting an allergic reaction, folliculitis, or possibly contact dermatitis. These are small papules often scattered or in clusters, and do not have the thick scaling seen in psoriasis.

D. The fourth image shows linear striae-like marks likely striae distensae (stretch marks), unrelated to psoriasis. Stretch marks are atrophic, linear scars typically due to skin stretching from growth or weight changes. They lack inflammation, plaques, and scale—all key signs of psoriasis.

A. Apply a moisture barrier ointment to the area in contact with urine. B. Assist with toileting every 4 hr while awake. C. Instruct the client to consume fluids between 0600 and 2200. D. Cleanse the skin with antibacterial soap and hot water after each incontinence episode.

Correct Answer is A

Explanation

A. Apply a moisture barrier ointment to the area in contact with urine: Applying a moisture barrier ointment is an essential intervention to protect the skin from moisture-related irritation and breakdown. This helps prevent skin damage from prolonged exposure to urine.

B. Assist with toileting every 4 hr while awake: While regular toileting is important for managing urinary incontinence, the client should be encouraged to use the bathroom based on individual needs. Toileting every 4 hours may not meet the client’s needs for more frequent voiding.

C. Instruct the client to consume fluids between 0600 and 2200: Limiting fluid intake to specific hours is not recommended unless there is a medical need. Adequate hydration is essential, and restricting fluid intake could lead to dehydration or urinary tract infections.

D. Cleanse the skin with antibacterial soap and hot water after each incontinence episode: Antibacterial soap and hot water can be too harsh on the skin, potentially leading to dryness and irritation. It’s better to use mild soap and warm water to cleanse the skin gently.

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A nurse is planning teaching for a client who will be discharged with a central venous access device. Which of the following actions should the nurse plan to take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving treatment for psoriasis. Which of the following images depicts what the nurse should expect to observe?

Correct Answer is A

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A nurse is planning care for a client who has urinary incontinence. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is A

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