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 A
Explanation
The correct answer ischoice A.
Choice A rationale:
Instructing the client to hold the drainage bag at waist height when ambulating is incorrect.The drainage bag should always be kept below the level of the bladder to prevent backflow of urine, which can lead to infections.
Choice B rationale:
Securing the tubing with adhesive tape to the lower abdomen is not recommended.The tubing should be secured to the thigh to prevent pulling and ensure proper drainage.
Choice C rationale:
Collecting a sterile specimen from the urinary drainage bag is not appropriate during ambulation.Specimens should be collected from the sampling port on the catheter tubing, not from the drainage bag.
Choice D rationale:
Coiling the tubing on the bed above the collection bag is incorrect.The tubing should be kept straight and free of kinks to ensure proper urine flow and prevent backflow.
Correct Answer is B
Explanation
Peer-reviewed journal articles undergo a rigorous review process by experts in the field before being published. This process ensures that the information presented is based on sound research methods, accurate data, and relevant evidence. Journal articles are considered reliable sources of information as they are reviewed by experts in the field, and the research findings can contribute to evidence-based practice.
First-hand experience with wound care products: While personal experience can be valuable, it may not always reflect the most up-to-date or evidence-based practices. Individual experiences can be subjective and may not have been subject to rigorous evaluation or research.
Information from a wound care product vendor: Information from a vendor may be biased and focused on promoting their own products. It is important to critically evaluate the information and consider whether it is supported by evidence and aligns with current best practices.
An entry on a nursing blog addressing wound healing: Blog entries can vary in quality and credibility. Not all blogs are written or reviewed by experts, and the information provided may not always be evidence-based or reliable. It is important to critically assess the source, author's qualifications, and references cited in the blog post.
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