The student nurse is preparing a presentation on parasitic skin infestations. What should the student include in the presentation?

Choice A reason: Administering pain medication as ordered is not the best action, as it does not address the cause of the new onset of pain. The nurse should first assess the client and the surgical site to rule out any complications or problems that may require immediate intervention.

Choice B reason: Assessing the client for signs and symptoms of systemic infection is not the best action, as it is not the most likely cause of the new onset of pain. Systemic infection would manifest with fever, chills, malaise, or leukocytosis, which are not mentioned in the scenario. The nurse should focus on the local signs and symptoms of the surgical site and the affected extremity.

Choice C reason: Assessing the surgical site and the affected extremity is the best action, as it allows the nurse to identify any potential complications or problems that may explain the new onset of pain. The nurse should look for signs of infection, inflammation, bleeding, hematoma, or dislocation of the hip prosthesis, such as redness, swelling, warmth, drainage, bruising, or deformity.

Choice D reason: Reassuring the client that pain is a direct result of increased activity is not the best action, as it may dismiss the client's concern and delay the detection of any serious complications or problems. The nurse should not assume that the pain is normal or expected, but rather investigate the cause and severity of the pain.

Choice E reason: Notifying the surgeon immediately is not the best action, as it is premature and unnecessary without first assessing the client and the surgical site. The nurse should gather relevant data and information before contacting the surgeon, unless there is an obvious or urgent problem that requires immediate attention.

Choice A reason: Grouped vesicles on the genitalia are not a typical presentation of shingles, but a sign of genital herpes, which is a sexually transmitted infection caused by a different type of herpes virus.

Choice B reason: Hematoma on upper right arm is not a common presentation of shingles, but a sign of bleeding or bruising under the skin, which may be caused by trauma, injury, or coagulation disorders.

Choice C reason: Group of vesicles in linear patches along the spinal nerves is a classic presentation of shingles, as it indicates the reactivation of the varicella-zoster virus, which causes chickenpox in childhood and remains dormant in the nerve cells. The virus can cause a painful rash that follows the distribution of the affected nerves, usually on one side of the body.

Choice D reason: Group of vesicles occurring on the lips and oral mucous membranes are not a characteristic presentation of shingles, but a sign of oral herpes, which is a common infection caused by a different type of herpes virus.

Choice E reason: None of the above is not a correct choice, as there is one option that matches the presentation of shingles