Dry skin (xerosis) can lead to itching (pruritus). What statement by the client indicates a need for further teaching about dry skin?
"I will use a humidifier during the winter months."
"I will shower every day in hot water."
"I will avoid tight belts."
"I will drink at least 3000 mL of water daily."
The Correct Answer is B
Choice A reason: "I will use a humidifier during the winter months." is not the correct answer, because it indicates a good understanding of dry skin. Using a humidifier during the winter months is a helpful measure to prevent or treat dry skin, as it can increase the moisture level in the air, which can hydrate the skin and reduce the loss of natural oils.
Choice B reason: "I will shower every day in hot water." is the correct answer, because it indicates a need for further teaching about dry skin. Showering every day in hot water is a harmful practice that can worsen dry skin, as it can strip the skin of its natural oils, damage the skin barrier, and cause irritation and inflammation.
Choice C reason: "I will avoid tight belts." is not the correct answer, because it indicates a good understanding of dry skin. Avoiding tight belts is a helpful measure to prevent or treat dry skin, as it can reduce the friction and pressure on the skin, which can prevent skin breakdown and infection.
Choice D reason: "I will drink at least 3000 mL of water daily." is not the correct answer, because it indicates a good understanding of dry skin. Drinking at least 3000 mL of water daily is a helpful measure to prevent or treat dry skin, as it can hydrate the body and the skin, and flush out toxins and waste products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Color is a characteristic of exudate that should be included when documenting it. Color can indicate the type and severity of the wound infection or inflammation. For example, yellow or green exudate may indicate a bacterial infection, while red or brown exudate may indicate bleeding or necrosis.
Choice B reason: Odor is a characteristic of exudate that should be included when documenting it. Odor can indicate the presence and type of microorganisms in the wound. For example, a foul or putrid odor may indicate anaerobic bacteria, while a sweet or fruity odor may indicate pseudomonas.
Choice C reason: Heat is not a characteristic of exudate that should be included when documenting it. Heat is a sign of inflammation that can be assessed by palpating the skin around the wound, not by observing the exudate. Heat does not directly reflect the quality or quantity of the exudate.
Choice D reason: Consistency is a characteristic of exudate that should be included when documenting it. Consistency can indicate the viscosity and composition of the exudate. For example, thin or watery exudate may indicate a serous or serosanguineous fluid, while thick or creamy exudate may indicate a purulent or fibrinous fluid.
Choice E reason: Amount is a characteristic of exudate that should be included when documenting it. Amount can indicate the extent and stage of the wound healing process. For example, a large amount of exudate may indicate a high level of inflammation or infection, while a small amount of exudate may indicate a low level of inflammation or infection.
Correct Answer is C
Explanation
Choice A reason: Purulent exudate is a thick, yellowgreen, or brown pus that indicates infection. It is not bloodtinged and does not drip from the wound.
Choice B reason: Serous exudate is a clear, thin, and watery fluid that is normal in the inflammatory stage of wound healing. It does not contain blood cells and is not red in color.
Choice C reason: Serosanguineous exudate is a pink or red fluid that contains both serum and blood. It is common in the proliferative stage of wound healing and may drip from the wound due to increased capillary permeability.
Choice D reason: Sanguineous exudate is a bright or dark red fluid that consists mostly of blood. It indicates active bleeding and is usually seen in traumatic or surgical wounds. It is not diluted with serum and is more viscous than serosanguineous exudate.
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