A nurse is developing a teaching plan for a client who has psoriasis. Which of the following actions should the nurse include in the plan?
Avoid friction over scaly lesions while bathing.
Eliminate the use of products containing salicylic acid.
Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime.
Identify effective stress reduction techniques.
The Correct Answer is D
A. Avoid friction over scaly lesions while bathing is generally good advice, but it is not the primary focus in this situation.
B. Eliminate the use of products containing salicylic acid is not necessary unless the client has a known sensitivity or reaction to it, as salicylic acid is commonly used to treat psoriasis.
C. Maintain occlusive dressings on the lesions throughout the day and remove them at bedtime is not typically recommended for psoriasis, as it can exacerbate the condition or increase irritation. Topical treatments, if prescribed, should be used as directed.
D. Psoriasis is often exacerbated by stress. Therefore, teaching the client effective stress reduction techniques (e.g., meditation, deep breathing, yoga) can help in managing flare-ups.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Thrombotic stroke typically presents with gradual symptom onset, not the sudden headache and vomiting seen here.
B. Embolic stroke is associated with symptoms that appear suddenly and usually do not present with vomiting or seizures.
C. A hemorrhagic stroke is characterized by the sudden onset of a severe headache, vomiting, altered mental status, and sometimes seizures, which are all present in this patient. The high blood pressure and fever may indicate a hemorrhage in the brain or an associated infection.
D. Transient ischemic attack (TIA) presents with temporary neurological deficits and does not cause persistent symptoms like a seizure or vomiting.
Correct Answer is C
Explanation
A. Monitoring for CSF leakage is crucial to avoid infection and to maintain ICP accuracy.
B. Hyper-oxygenation may be used in certain cases but is not the priority.
C. Aseptic technique for all procedures and dressing changes is critical to prevent infection.
D. Administering IV mannitol can be important, but aseptic technique is the priority to prevent infection.
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