A nurse in a provider's office is reinforcing teaching about skin care with a client who has a new diagnosis of systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching?
"I will use an astringent on my face."
"I will cleanse my skin using an antibacterial soap."
"I will dry my skin by patting it with a towel."
"I will limit my time in the tanning bed to 15 minutes."
The Correct Answer is C
Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect the skin. Proper skin care is important for individuals with SLE to minimize potential flare-ups or exacerbation of skin symptoms. The recommended approach to skin care in SLE includes gentle cleansing and moisturizing.
"I will use an astringent on my face." Astringents are typically not recommended for individuals with SLE as they can be harsh on the skin and may cause irritation or dryness.
"I will cleanse my skin using an antibacterial soap." While it is important to keep the skin clean, using an antibacterial soap is not specifically required for individuals with SLE. Gentle,
Non-irritating cleansers without antibacterial properties are generally recommended.
"I will limit my time in the tanning bed to 15 minutes." Exposure to ultraviolet (UV) radiation, such as from tanning beds, can be particularly harmful to individuals with SLE. UV radiation can trigger or worsen skin manifestations and may lead to disease flares. Therefore, it is generally advised for individuals with SLE to avoid tanning beds altogether.
In addition to gentle cleansing and moisturizing, individuals with SLE should also practice sun protection, including wearing sunscreen with a high sun protection factor (SPF) and using protective clothing and accessories (such as hats and sunglasses) when exposed to the sun. Regular check-ups with a healthcare provider and following their recommendations are important for managing SLE and its associated skin manifestations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
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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