A nurse in the outclient clinic is assessing a client who has psoriasis. The nurse should expect which of the following findings?
Intense pain
Unilateral lesions
Silvery, white scales
Serous drainage
The Correct Answer is C
A. Psoriasis can be associated with discomfort, but it is not typically characterized by intense pain. The primary symptoms are related to skin changes rather than pain.
B. Psoriasis usually presents with bilateral lesions that are symmetrical in distribution. Unilateral lesions are less common in psoriasis.
C. Silvery, white scales. This is a hallmark sign of psoriasis. Clients often have patches of thick, red skin with these distinctive silvery scales.
D. Psoriasis does not typically cause serous drainage. It is a dry skin condition that leads to scaling and flaking rather than wet or serous discharge
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Monitoring the child's blood count is essential to assess the effectiveness of the iron supplements and ensure the child's anemia is being treated properly.
B. Dietary fiber does not enhance iron absorption; in fact, high levels of fiber can inhibit the absorption of iron. It is generally recommended to maintain a balanced diet while taking iron supplements.
C. Iron supplements are best absorbed on an empty stomach. However, if they cause stomach upset, they may be taken with a small amount of food or as directed by a healthcare provider.
D. Iron supplements should be administered in divided doses throughout the day to enhance absorption and minimize gastrointestinal side effects.
Correct Answer is C
Explanation
A. While assessing for pain is important, it is not the priority in this situation. The presence of pink- colored urine and a palpable mass in the abdominal area are more concerning findings that warrant immediate investigation.
B. Obtaining a urine specimen for analysis is important for diagnosing the cause of the hematuria (blood in the urine), which is a common symptom of Wilms tumor. However, this is not the immediate priority compared to preventing potential harm to the child by avoiding pressure on the abdominal area.
C. Instructing the parent to avoid pressing on the abdominal area is the priority action. Wilms tumor can rupture with pressure, which can lead to the spread of cancer cells. It is crucial to minimize handling of the tumor to prevent tumor spillage into the abdominal cavity.
D. The decision to schedule additional diagnostic tests, such as an abdominal ultrasound, can be made based on the results of the urinalysis and further clinical assessment.
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