Cellulitis of the right lower extremity may present with which assessment finding?

Paresthesia of the right lower extremity

Delayed capillary refill time

Pallor of the right toes

Hot, tender edematous area

Answer and Explanation

The Correct Answer is D

A.   Paresthesia (numbness or tingling) is not a typical finding in cellulitis and may suggest nerve involvement or other conditions.
B.   Delayed capillary refill time would indicate poor circulation or possible shock but is not a direct sign of cellulitis.
C.   Pallor of the right toes could suggest circulatory issues but is not associated with cellulitis.
D.   Cellulitis is an infection of the skin and underlying tissues, usually presenting with warmth (hot), tenderness, redness, and swelling (edema) at the site of infection.

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Correct Answer is D

Explanation

A. Encourage the client to use his right hand when feeding himself: This would be inappropriate since the patient likely has impaired vision in the left field.
B. Provide a nonskid mat to alleviate plate movement: This may be helpful for safety, but it does not address the visual deficit.
C. Encourage the use of wide grip utensils: This may assist with fine motor skills but doesn't directly help with vision problems.
D. Remind the client to look for food on the left side of the tray: This is important because homonymous hemianopsia affects one visual field, and the nurse should encourage the patient to scan their environment to locate food.

A. Avoid friction over scaly lesions while bathing. B. Eliminate the use of products containing salicylic acid. C. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime. D. Identify effective stress reduction techniques.

Correct Answer is D

Explanation

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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Cellulitis of the right lower extremity may present with which assessment finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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