It is most important for the practical nurse (PN) to observe for which complication when caring for a client who had a long bone fracture repaired yesterday?

Choice A reason: Initiating contact isolation precautions is not necessary for psoriasis. Psoriasis is not an infectious or contagious condition, so isolation is not required. The focus should be on managing symptoms and providing appropriate care to alleviate the client's discomfort.
Choice B reason: Explaining the need to keep the affected areas dry is not an appropriate action for psoriasis management. Psoriasis is characterized by dry, scaly patches of skin, and keeping the areas dry may worsen the condition. It is important to keep the skin moisturized and hydrated to reduce flaking and discomfort.
Choice C reason: Preparing the client for allergen testing is not relevant in this context. Psoriasis is an autoimmune condition, not an allergic reaction. Allergen testing is not typically used in the diagnosis or management of psoriasis. The focus should be on addressing factors that can exacerbate symptoms, such as stress, infections, and certain medications.
Choice D reason: Reviewing stress reduction strategies with the client is the most appropriate action. Stress is known to be a significant trigger for psoriasis flare-ups. By helping the client identify and implement stress reduction techniques, the PN can assist in managing the client's symptoms and improving their overall well-being. Techniques such as mindfulness, relaxation exercises, and counseling can be beneficial in reducing stress and minimizing psoriasis symptoms.

Choice A reason: Driving a car is an activity that should be limited until after the first postoperative visit. Postoperative clients might experience discomfort, dizziness, or medication side effects that can impair their ability to drive safely. The stress and physical demands of driving can also affect the healing process, so it's important to avoid this activity until the healthcare provider gives clearance.
Choice B reason: Eating high-fiber foods is generally encouraged postoperatively to prevent constipation and ensure smooth bowel movements. There is no reason to limit high-fiber foods after a transurethral prostatectomy unless otherwise specified by the healthcare provider.
Choice C reason: Kegel exercises can help strengthen the pelvic floor muscles and are often recommended after prostate surgery to improve bladder control. However, it is important to follow the healthcare provider's guidance on when to start these exercises and how frequently they should be done.
Choice D reason: Walking around the house is a light activity that can aid in recovery by promoting circulation and preventing blood clots. It is usually recommended to start light activity soon after surgery, unless contraindicated by the healthcare provider.