A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?
Have you had any changes in your diet?
How do you handle stress?
How does your skin condition make you feel?
Does your skin condition keep you awake at night?
None
None
The Correct Answer is B
Choice A reason:
Asking about dietary changes is relevant to a skin assessment, as diet can influence skin health. However, this question does not require intervention unless the dietary changes are directly related to the skin condition. If the client has been advised to follow a specific diet for their skin condition, then the nurse should ensure compliance with that diet.
Choice B reason:
This question shifts the focus from the skin condition’s characteristics and impact to general coping mechanisms. It does not help determine the lesion’s symptoms, triggers, or functional effects, and thus does not align with a targeted skin assessment framework, requiring intervention.
Choice C reason:
Exploring how the skin issue affects the client’s feelings reveals psychosocial stressors and the emotional burden of living with a visible condition. This insight supports holistic care planning, adherence strategies, and therapeutic rapport.
Choice D reason:
Sleep disturbances can be a consequence of skin conditions, especially if they involve itching or pain. This question is pertinent to the assessment and does not require intervention. The information gathered can help in formulating a comprehensive care plan that addresses the client's comfort and sleep quality.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Testicular torsion is a condition where the spermatic cord becomes twisted, cutting off the blood supply to the testicle. It is not a typical complication following a prostatectomy. Testicular torsion is generally an acute condition that affects younger males and is unrelated to prostate surgery.
Choice B reason:
Erectile dysfunction (ED) is a common complication after prostatectomy. The surgery can damage the nerves and blood vessels that control erections, leading to ED. While nerve-sparing techniques aim to reduce this risk, some degree of erectile dysfunction is still possible after the procedure.
Choice C reason:
Cystitis, which is inflammation of the bladder, can occur after a prostatectomy due to the use of a catheter or as a result of the surgery itself. However, it is not as common or as significant a long-term complication as erectile dysfunction.
Choice D reason:
Paralytic ileus, a temporary cessation of bowel movements, can occur after any abdominal surgery due to the manipulation of the intestines or as a side effect of anesthesia. While it can be a complication of prostatectomy, it is typically resolved within a few days to weeks after surgery.
Correct Answer is B
Explanation
Choice A reason:
Urinary retention is not commonly reported as an adverse effect of tamoxifen. While urinary symptoms can occur, they are not as prevalent as other side effects such as hot flashes or mood changes.
Choice B reason:
Hot flashes are a well-documented adverse effect of tamoxifen. They occur due to the antiestrogenic effects of the medication, which can mimic menopausal symptoms, including hot flashes. Tamoxifen is a medication used to treat breast cancer and is known to cause several adverse effects. Based on the information provided by reliable health sources, hot flashes are a common side effect experienced by patients taking tamoxifen
Choice C reason:
Constipation is not typically listed as a common adverse effect of tamoxifen. Gastrointestinal symptoms may occur, but they are more often related to nausea or vomiting rather than constipation.
Choice D reason:
Tinnitus, or ringing in the ears, is not a recognized common adverse effect of tamoxifen. While patients may experience a range of side effects, tinnitus is not frequently associated with the use of tamoxifen.
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