A nurse in a provider's office is collecting data from a client who has psoriasis.

Which of the following statements by the client should the nurse report to the provider?

I limit my time spent out in the sunlight

I do not use fabric softener when I wash my clothing.

I try not to look at the scales on my body.

I remove old medication on my skin before applying a new dose.

None

Answer and Explanation

The Correct Answer is A

A. Sunlight exposure can actually be beneficial for clients with psoriasis, as ultraviolet (UV) light can help reduce the growth of skin cells and alleviate symptoms. If the client is limiting their sunlight exposure, they might be missing out on a potential therapeutic benefit. However, it is important to balance sun exposure and avoid overexposure to prevent skin damage.

B. Avoiding fabric softener can be a proactive measure to prevent skin irritation, which is beneficial for someone with psoriasis.

C. This could indicate emotional distress or body image concerns, but it doesn’t necessarily need to be reported unless the client shows signs of depression or anxiety affecting their daily life.

D. This is correct practice to ensure the effectiveness of the medication.

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Correct Answer is A

Explanation

A. Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling of the gastrostomy tube. This can be done using appropriate securing devices, such as adhesive dressings or commercially available tube holders, as recommended by the healthcare provider. Securing the tubing to the child's abdomen helps prevent accidental dislodgement or pulling on the tube, which can be uncomfortable for the child and may cause complications. This action helps maintain the position of the tube and prevents tension or pulling on the insertion site.

B.Attaching an extension tube allows for easier access to the enteral feeding or medication administration port without needing to manipulate the primary tubing frequently. This action facilitates feeding or medication administration and minimizes the risk of contamination or damage to the primary tubing.Attaching an extension tube is done for feeding purposes, not during site care.

Applying lubricant to the site is not necessary or recommended. The gastrostomy tube should be kept clean and dry. If any secretions or debris are present, they should be gently cleaned with mild soap and water, followed by thorough rinsing and drying.

Taping the tube to the child's cheek is not a recommended practice. It can cause skin irritation, discomfort, or even accidental removal of the tube. Proper securing of the tube to the abdomen using appropriate devices is the preferred method to prevent dislodgement.

A. A client who has cirrhosis and severe pruritus B. A client who had a laparoscopic appendectomy 8 hr. ago and is awaiting discharge C. A client who has a femur fracture and reports numbness of the toes D. A client who had a renal biopsy 3 hr. ago and has pink-tinged urine

Correct Answer is C

Explanation

When prioritizing care, the nurse should consider the urgency and potential complications associated with each client's condition. Based on the given information, the nurse should plan to see the client who has a femur fracture and reports numbness of the toes first.

The client with a femur fracture and numbness of the toes is experiencing a potential neurovascular compromise. Numbness can indicate impaired circulation or nerve damage, which requires immediate assessment and intervention to prevent further complications.

The other clients also require attention, but their conditions are not as urgent as a potential neurovascular compromise. Here's a brief explanation of the other options:

Option A, A client who has cirrhosis and severe pruritus is incorrect: Pruritus (severe itching) can be distressing for the client, but it is not an immediate life-threatening condition that requires immediate intervention.

Option B, A client who had a laparoscopic appendectomy 8 hr ago and is awaiting discharge is incorrect: This client has already undergone surgery and is in the postoperative period. While they may require routine assessments and care, they are stable and can wait for the nurse's attention.

Option D A client who had a renal biopsy 3 hr ago and has pink-tinged urine is incorrect: Pink-tinged urine following a renal biopsy can be expected due to blood in the urine. While the nurse should monitor the client's condition closely, it is not an immediate concern unless there is excessive bleeding or signs of complications.

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A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements by the client should the nurse report to the provider?

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse in a provider's office is collecting data from a client who has psoriasis.

Which of the following statements by the client should the nurse report to the provider?