A nurse is teaching a patient diagnosed with psoriasis about disease management. Which statement made by the patient indicates a correct understanding of the condition?

"Psoriasis is a contagious skin disorder, so I should avoid close contact with others."

"Stress and hormonal changes can trigger flare-ups of my condition.”

“I will need to use antiviral medication to have some relief of the symptoms."

“I should use hot water and harsh soaps to remove the thick scales.”

Answer and Explanation

The Correct Answer is B

A. "Psoriasis is a contagious skin disorder, so I should avoid close contact with others." Psoriasis is an autoimmune condition, not an infectious disease, so it is not contagious. Close contact does not spread the condition.

B. "Stress and hormonal changes can trigger flare-ups of my condition." Psoriasis flare-ups can be triggered by stress, hormonal changes, infections, and certain medications. Managing stress and other triggers can help reduce flare-ups.

C. “I will need to use antiviral medication to have some relief of the symptoms." Psoriasis is not caused by a viral infection, so antiviral medications are not an effective treatment. Treatment usually involves topical corticosteroids, phototherapy, and immunomodulatory medications.

D. “I should use hot water and harsh soaps to remove the thick scales.” Hot water and harsh soaps can worsen skin irritation and dryness, leading to increased inflammation and exacerbation of psoriasis symptoms. Instead, lukewarm water and mild, fragrance-free soaps should be used.

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Correct Answer is A

Explanation

A. "Allopurinol helps to lower uric acid levels and prevent future gout attacks." Allopurinol is a xanthine oxidase inhibitor that decreases uric acid production, helping to prevent future gout attacks rather than treating acute flares.

B. “I should take allopurinol during an acute gout attack to relieve pain immediately." Allopurinol is not used for acute gout attacks because it does not have immediate pain-relieving or anti-inflammatory effects. In fact, starting or increasing allopurinol during an acute attack may worsen symptoms.

C. “I should avoid drinking water while taking allopurinol to prevent kidney stones." Adequate hydration is essential while taking allopurinol to prevent uric acid kidney stones and to help eliminate excess uric acid from the body.

D. "Allopurinol works by reducing inflammation in my joints during a flare-up." Allopurinol does not have anti-inflammatory properties. It lowers uric acid levels over time, reducing the risk of future gout attacks but not treating acute inflammation.

A. Deep Tissue Injury B. Stage III Pressure Ulcer C. Unstageable Pressure Ulcer D. Stage II Pressure Ulcer

Correct Answer is C

Explanation

A. Deep Tissue Injury. Deep tissue injuries appear as intact or discolored skin (purple or maroon) due to underlying soft tissue damage. This wound is already open with slough, so it does not fit this category.

B. Stage III Pressure Ulcer. A Stage III pressure ulcer involves full-thickness skin loss with visible subcutaneous tissue, but the wound depth must be assessable. Since the slough covers the wound, the depth cannot be determined.

C. Unstageable Pressure Ulcer. An unstageable pressure ulcer is one where the base of the wound is covered with slough or eschar, preventing assessment of the full depth of tissue damage. Until the slough is removed, the stage cannot be determined.

D. Stage II Pressure Ulcer. A Stage II ulcer has partial-thickness skin loss with exposed dermis, often appearing as an open blister or shallow wound. The presence of thick slough suggests deeper involvement, making this an incorrect classification.

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A nurse is teaching a patient diagnosed with psoriasis about disease management. Which statement made by the patient indicates a correct understanding of the condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with chronic gout is prescribed allopurinol. Which statement by the patient indicates a correct understanding of the medication's purpose?

Correct Answer is A

Explanation

A nurse is assessing a patient with a pressure ulcer on the heel (as shown in the image). The wound is covered with thick yellow slough, making it difficult to determine the depth of tissue damage. How should the nurse classify this wound?

Correct Answer is C

Explanation

A nurse is performing a skin assessment on a patient and suspects basal cell carcinoma (BCC). Which of the following findings would support this suspicion?

A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture. Which of the following findings requires immediate notification of the provider?

A nurse is reviewing the medical record of a patient diagnosed with Stevens-Johnson Syndrome (SJS). Which of the following findings should the nurse identify as the most likely cause of this condition?

A nurse is providing teaching for a client who is postoperative following below-the-knee amputation. The nurse should instruct the client that which of the following nutrients is necessary for wound healing?

A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the client could be developing a serious complication?

A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?