Which intervention should the practical nurse (PN) reinforce for a client with pruritus?
Encourage a warm sleeping environment.
Keep fingernails trimmed short.
Discourage use of skin lubricants.
Do not take any type of tub bath.
The Correct Answer is B
Encouraging a warm sleeping environment might exacerbate itching for some individuals.
Keeping fingernails trimmed short prevents skin damage from scratching and reduces the risk of infection.
Using skin lubricants can often alleviate pruritus by moisturizing the skin.
Tub baths with certain additives can exacerbate itching, but not all types of tub baths need to be avoided.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Birth, 2 months, 12 months, and boosters every 7 to 10 years. - This schedule doesn't align with the typical whooping cough vaccination schedule.
B. 1, 6, 9 months, and boosters at 12 months of age and before entering school. - This schedule doesn't match the typical whooping cough vaccination schedule.
C. 1 year of age, 6 years of age, and with each exposure. - This schedule doesn't align with the standard vaccination recommendations for whooping cough.
D. 2, 4, 6 months, and boosters at 15 to 18 months and 4 to 6 years of age. - This schedule aligns with the recommended vaccination schedule for whooping cough by the CDC, providing primary vaccinations at 2, 4, and 6 months and booster doses later in childhood.
Correct Answer is C
Explanation
A. Checking for kinks in the drainage tubing might be a part of troubleshooting, but the observed clots and thick red fluid require immediate attention, so informing the charge nurse is the priority.
B. Delaying assessment for another hour could potentially exacerbate the issue if there's a problem with the irrigation or if the client's condition worsens.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Immediately stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation.
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