The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?
No purulent drainage present from lesions on the legs
Affected areas are free of localized redness and swelling
Scaly areas of the skin appear softer with less peeling
Full range of motion without pain of lower extremity joints . .
The Correct Answer is C
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice C rationale
Keratolytics are medications designed to dissolve skin flakes and scales. In the treatment of psoriasis, a condition characterized by thick, scaly patches of skin, the desired effect of a keratolytic would be to soften and reduce these scales.
Choice A rationale
While no purulent drainage present from lesions on the legs could be a positive sign in the treatment of psoriasis, it is not a direct result of the keratolytic properties of the applied preparation.
Choice B rationale
Affected areas being free of localized redness and swelling could be a positive sign in the treatment of psoriasis, but it is not a direct result of the keratolytic properties of the applied preparation.
Choice D rationale
Full range of motion without pain of lower extremity joints is not a direct result of the keratolytic properties of the applied preparation. It could be a positive sign in the overall treatment of psoriasis, but it is not directly related to the use of a keratolytic.
Correct Answer is B
Explanation
Choice A rationale
While it is generally recommended to take prednisone with meals to reduce stomach upset, this is not the most important instruction regarding the dosing schedule.
Choice B rationale
Prednisone is a corticosteroid that is often prescribed in a tapering schedule, meaning the dosage is gradually reduced over time. This is to allow the body to adjust and to minimize potential side effects, such as adrenal insufficiency, which can occur if prednisone is stopped suddenly.
Choice C rationale
While monitoring of blood glucose levels is important for patients taking prednisone, especially those with diabetes, as prednisone can increase blood sugar levels, it is not the most important instruction regarding the dosing schedule.
Choice D rationale
Monitoring of oral temperature daily is not typically required for patients taking prednisone.
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