Which is important for the nurse to assess when inspecting the skin of a patient?
Wear gloves only if the skin appears broken or inflamed.
Ask the patient about personal skin care.
Avoid potentially embarrassing questions about rashes or scars.
Have artificial, preferably fluorescent, lighting for proper illumination of the skin.
The Correct Answer is B
A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Correct Answer is D
Explanation
A. Groin: The groin is typically affected by tinea cruris (jock itch), not tinea corporis.
B. Soles of the feet: The soles of the feet are affected by tinea pedis (athlete's foot), not tinea corporis.
C. Scalp: The scalp is affected by tinea capitis, not tinea corporis.
D. Abdomen: Tinea corporis, also known as ringworm, can affect various parts of the body, including the abdomen.
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