A nurse is providing teaching to a client who has widespread psoriasis and a prescription for phototherapy. The nurse should include the following information in the teaching?
“You should purchase dark grasses in case the light bothers your eyes.”
“Treatment might be interrupted if areas of redness and tenderness develop."
“Treatments will be given a series of three days on and three days off.”
"You will have a morning and afternoon session on each treatment day."
The Correct Answer is A
Choice A rationale: Phototherapy can sometimes cause sensitivity to light, and wearing dark glasses can help protect the eyes from excessive light exposure.
Choice B rationale: It is not typical to interrupt phototherapy due to redness and tenderness, as some skin reactions may occur during treatment but can be managed without interruption.
Choice C rationale: The schedule of phototherapy can vary, and the choice of days on and off may not necessarily be fixed in a three-day pattern.
Choice D rationale: The frequency and timing of phototherapy sessions depend on the specific treatment plan prescribed by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: A superficial wound with no exudate (fluid drainage) can benefit from a film dressing. Film dressings are transparent, adhesive, and provide a protective barrier while allowing visualization of the wound. They are suitable for wounds with minimal or no drainage.
Choice B rationale: Foam dressings are often used for wounds with moderate to heavy exudate. They provide absorption and insulation but may not be the best choice for a wound with no exudate.
Choice C rationale: Alginate dressings are absorbent and suitable for wounds with moderate to heavy exudate. They may not be necessary for a superficial wound with no drainage.
Choice D rationale: Hydrofiber dressings are absorbent and can handle moderate to heavy exudate. Like alginate dressings, they may not be the most appropriate choice for a wound with no exudate.
Correct Answer is D
Explanation
Choice A rationale: pruritus is one of the symptoms of malignant melanoma, as well as changes in the shape, size, color, or texture of a mole or other skin lesion. However, pruritus is not specific to the disease and should always serve as a clue prompting further examination.
Choice B rationale: pain is a very rare symptom in malignant melanoma especially during the early stages of the disease. However, pain may occur in advanced stages of the disease when deeper tissues have been invaded and in cases of metastasis to distant sites.
Choice C rationale: purulent discharge is an indication of an underlying infection rather than malignant melanoma.
Choice D rationale: purplish skin discoloration is common in Kaposi’s sarcoma which manifests as purplish skin nodules rather than malignant melanoma. Furthermore, it may suggest bruising or bleeding under the skin. Malignant melanoma can have various colors, such as black, brown, red, blue, or white, depending on the type and amount of melanin produced by the tumor cells.

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