Which intervention should the practical nurse (PN) reinforce for a client with pruritus?
Encourage a warm sleeping environment.
Keep fingernails trimmed short.
Discourage use of skin lubricants.
Do not take any type of tub bath.
The Correct Answer is B
Encouraging a warm sleeping environment might exacerbate itching for some individuals.
Keeping fingernails trimmed short prevents skin damage from scratching and reduces the risk of infection.
Using skin lubricants can often alleviate pruritus by moisturizing the skin.
Tub baths with certain additives can exacerbate itching, but not all types of tub baths need to be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Oriented x 3. - The client must recall the time, day, date, location, and reason for being there to be considered oriented x 3. As the client can only remember his name and location, it does not fulfill the criteria for oriented x 3.
B. Oriented x 1. - This is inaccurate as the patient is oriented in two aspects: person and place.
C. Oriented x 2. - The client recalls their name and place, hence is oriented in two aspects. This is therefore accurate.
D. Oriented x 4. - This would require the client to recall all four aspects of orientation (time, day, date, location, and reason for being there), which the client did not demonstrate in this scenario.
Correct Answer is D
Explanation
A. Ineffective pain management reported while using morphine PCA is concerning but may not be immediately life-threatening.
B. Inability to void after discontinuing an indwelling catheter should be addressed but might not require immediate attention.
C. Oral ice chips eaten after vomiting postoperatively might need monitoring, but it's not typically an urgent issue.
D. Coffee-ground secretions draining via nasogastric tube suction could indicate bleeding in the upper gastrointestinal tract, which requires immediate attention due to the potential for severe
bleeding.
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