Exhibits

Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.

Shower daily with antibacterial soap.

Complete full course of antibiotic therapy.

Refrain from sharing towels and razors with others.

Eat foods which contain protein and vitamin C.

Wash hands before and after touching open wounds including

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A,B"}}

Shower daily with antibacterial soap (Prevents Future Cellulitis): Keeping the skin clean reduces bacterial load and prevents infections.

Complete full course of antibiotic therapy (Prevents Future Cellulitis & Promotes Healing): Ensuring all bacteria are eradicated helps prevent recurrence and allows the infection to resolve fully.

Refrain from sharing towels and razors (Prevents Future Cellulitis): These items can spread bacteria, increasing the risk of reinfection.

Eat foods rich in protein and vitamin C (Promotes Healing): These nutrients aid in tissue repair and immune function, supporting recovery from cellulitis.

Wash hands before and after touching open wounds (Prevents Future Cellulitis & Promotes Healing): Proper hygiene prevents the spread of bacteria and reduces the risk of secondary infections.

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Correct Answer is C

Explanation

A. Brown, rough, greasy, wart-like papules on the face. These describe seborrheic keratosis, a benign skin growth, which is unrelated to overexposure from PUVA therapy.
B. Requires sunglasses because sunlight hurts eyes. PUVA therapy increases sensitivity to light, and clients are advised to wear sunglasses. However, light sensitivity alone does not indicate overexposure. Severe overexposure could cause ocular damage or photokeratitis, but this symptom alone is not diagnostic of excessive treatment.
C. Tenderness upon palpation and generalized erythema. Overexposure to PUVA therapy can cause phototoxic reactions, including skin tenderness, erythema (similar to a sunburn), and blistering. These signs indicate that the client has received too much ultraviolet A (UVA) exposure, requiring treatment adjustments to prevent further skin damage.
D. Thick skin plaques topped by silvery white scales. These are classic symptoms of psoriasis vulgaris and do not indicate overexposure. In fact, PUVA therapy is used to reduce these plaques, not cause them.

A. Body mass index greater than 35 kg/m2. B. Daily caloric intake of 3,500 calories. C. Client's expressed desire to lose 50 lb (22.7 kg). D. Body weight 10% over ideal body weight.

Correct Answer is A

Explanation

A. Body mass index greater than 35 kg/m². A BMI of ≥35 kg/m² indicates severe obesity and significantly increases the risk of chronic diseases such as hypertension, diabetes, and cardiovascular disease. Clients with a BMI ≥35, especially with comorbidities, should be referred for obesity counseling, lifestyle modifications, and possibly medical or surgical interventions.
B. Daily caloric intake of 3,500 calories. While consuming 3,500 calories daily may contribute to weight gain, caloric intake alone is not the primary indicator for an obesity counseling referral. BMI provides a more standardized measure of obesity risk.
C. Client's expressed desire to lose 50 lb (22.7 kg). A client’s motivation is important, but referral criteria for obesity counseling are based on clinical indicators like BMI rather than weight loss goals alone.
D. Body weight 10% over ideal body weight. Being 10% over ideal body weight does not necessarily indicate obesity. Obesity is typically defined as a BMI ≥30 kg/m², so this alone would not automatically warrant an obesity counseling referral.

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Exhibits Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet A light (PUVA) treatment. Which assessment finding indicates that the client has been overexposed to the treatment?

Correct Answer is C

Explanation

Which information is most important for the nurse to consider in determining a client's need for an obesity counseling referral? Reference Range: Body mass index (BMI) [18.0 kg/m2 to 24.9 kg/m

Correct Answer is A

Explanation

The nurse should recognize which response is the immune system's reaction to a source of inflammation?

An older adult client with no cognitive impairment had a left hip arthroplasty 72 hours ago and is now confused and lethargic. Which action should the nurse implement?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and to parameters the nurse should monitor to assess the client's progress.

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An older adult client comes to a free vaccination clinic requesting an influenza vaccination. Which action should the nurse implement?

The nurse is assessing the nutritional status of a group of clients in a long term care facility. Which pathophysiological process poses the highest risk for malnutrition in this population?

The nurse is caring for a school age child whose parent reports concern for the child's weight gain and obesity status. Which historical finding should the nurse recognize as potentially contributing to early obesity?

Exhibits

Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.