A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?

Trim the fingernails short to prevent skin damage from scratching.

Use cool, wet dressings and baths to promote vasoconstriction.

Expose the areas to the sun to promote drying and healing of the lesions.

Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.

Answer and Explanation

The Correct Answer is B

A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.

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Correct Answer is C

Explanation

A. The sites of entry and exit: While important for assessing burn severity, immediate concern is not the primary issue.
B. Control of bleeding: Electrical burns do not typically cause significant external bleeding.
C. The likelihood of cardiac arrest: Electrical burns can cause cardiac arrhythmias or arrest, making this the primary concern.
D. The extent and depth of the burn While important for treatment, the immediate concern is cardiac arrest.

A. Site of the lesions B. Severity of the symptoms C. Surface area of the lesions D. Symptomatology of the lesions

Correct Answer is B

Explanation

A. Site of the lesions: The site of the lesions is addressed by the "S" in some mnemonics, but in PQRST, it refers to severity.

B. Severity of the symptoms: In the PQRST mnemonic for pain assessment, "S" stands for severity, referring to how intense or bothersome the symptoms are.

C. Surface area of the lesions: Surface area is not typically included in the PQRST mnemonic but may be relevant for other assessments.

D. Symptomatology of the lesions: Symptomatology encompasses the overall symptoms but is not specifically what "S" represents in PQRST.

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A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse arrives at an accident scene where the victim has just received an electrical burn. Which is the nurse's primary concern?

Correct Answer is C

Explanation

The home health nurse assessing skin lesions uses the PQRST mnemonic as a guide. What does the S in this guide indicate?

Correct Answer is B

Explanation

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