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 cleanse my skin using an antibacterial soap.”
"I will dry my skin by patting it with a towel.”
"I will use an astringent on my face.”
"I will limit my time in the tanning bed to 15 minutes.”
The Correct Answer is B
Choice A rationale:
Cleansing the skin with an antibacterial soap is not typically recommended for clients with systemic lupus erythematosus (SLE) unless there is a specific medical indication for antibacterial soap. Using mild, non-irritating, hypoallergenic soap is usually preferred to avoid skin irritation in individuals with SLE.
Choice B rationale:
This is the correct answer. Patting the skin dry with a towel instead of rubbing it helps to prevent excessive friction and irritation, which can be particularly important for individuals with SLE who may have sensitive skin. The client demonstrates an understanding of appropriate skin care by choosing this option.
Choice C rationale:
Using an astringent on the face is generally discouraged for individuals with SLE. Astringents can be harsh and may irritate the skin, which can exacerbate skin problems commonly associated with SLE. This statement indicates a misunderstanding of appropriate skin care.
Choice D rationale:
Limiting time in the tanning bed is advisable for anyone, as excessive exposure to UV radiation can increase the risk of skin damage and skin cancers. However, individuals with SLE are especially sensitive to UV radiation, and they should avoid tanning beds altogether. This statement indicates a lack of understanding of the specific needs of individuals with SLE regarding sun exposure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Instruct the client to take a brisk walk." Rationale: This action is not appropriate for a pregnant client experiencing dizziness, a racing heart, and pallor while lying on their back. It may exacerbate their symptoms and is not recommended.
Choice B rationale:
"Position the client on their left side." Rationale: This is the correct action to take. The client's symptoms, such as dizziness, racing heart, and pallor, suggest that they may be experiencing supine hypotensive syndrome, a common issue in pregnancy. Placing the client on their left side helps relieve pressure on the inferior vena cava, improving blood flow to the fetus and reducing symptoms.
Choice C rationale:
"Check the client's temperature." Rationale: Checking the client's temperature is not the most relevant action to address the reported symptoms. Dizziness, racing heart, and pallor are not typically associated with fever.
Choice D rationale:
"Provide the client with a glass of orange juice." Rationale: While providing orange juice can be helpful in some cases of low blood sugar (hypoglycemia), it is not the primary intervention for a pregnant client with the reported symptoms. These symptoms are more indicative of supine hypotensive syndrome, and the priority is to change the client's position to alleviate the condition.
Correct Answer is A
Explanation
Choice A rationale:
This is the correct answer. Older adults often experience decreased kidney function as a normal part of aging. Medications that are excreted primarily by the kidneys may require dosage adjustments to prevent potential toxicity.
Choice B rationale:
Increased liver function is not a typical physiological change in older adults. Liver function tends to decrease with age, which can affect the metabolism and clearance of certain medications.
Choice C rationale:
Increased metabolism is not a common physiological change in older adults. Metabolic rate tends to decrease with age, which can affect the metabolism of drugs.
Choice D rationale:
While pulmonary function may decrease with age, it is not the primary physiological change to consider when administering medications to older adults. Kidney function is a more critical factor in medication dosing for this population.
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