When assessing the skin of an older adult patient who is complaining of pruritus, what should the nurse advise the patient to avoid to reduce further drying of her skin?
Hard-milled soap
Perfumed soap
Lotion soap
Antibacterial soap
The Correct Answer is B
A. Hard-milled soap: Hard-milled soaps can be less irritating than other types, but it’s more about the ingredients rather than the milling process.
B. Perfumed soap: Perfumed soaps often contain alcohol and other chemicals that can dry and irritate the skin, making pruritus worse.
C. Lotion soap: Lotion soaps often contain moisturizers and can be less drying, so they are generally recommended for dry skin.
D. Antibacterial soap: Antibacterial soaps can be harsh and drying due to the active ingredients that kill bacteria.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.
Correct Answer is A
Explanation
A. Bipolar disorder: The described behavior of extreme mood swings (elevated mood followed by significant depression) is characteristic of bipolar disorder.
B. Dysthymic disorder: Dysthymic disorder (now known as persistent depressive disorder) involves a chronic state of depression but does not typically feature such pronounced mood swings.
C. Hypomanic episode: A hypomanic episode would involve elevated mood but would not usually be followed by the severe depressive episode described.
D. Unipolar depression: Unipolar depression is characterized by a persistent low mood rather than the dramatic shifts described.
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