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. Assess her feelings about therapeutic abortions in the event the infant has been affected. - While important to consider potential outcomes, immediate care involves preventing transmission and managing the current outbreak.
B. Identify current sexual partners so that they can be evaluated and treated for genital herpes if necessary. - Contact tracing is important but not the highest priority in managing the current outbreak.
C. Instruct her to avoid sexual intercourse while active, visible lesions are present. - This is crucial to prevent transmission of the herpes virus to the sexual partner and to reduce the risk of complications for the pregnancy.
D. Determine if the client has taken acyclovir for this outbreak of genital herpes. - While important for understanding the treatment history, instructing the client on preventive measures has a higher priority.
Correct Answer is D
Explanation
A. Including guidelines for coping in the discharge plan might be important but doesn’t address the immediate concern of the client having access to a potential means of self-harm.
B. Calling dietary for plastic utensils might help remove the immediate risk of harm, but informing the healthcare provider takes priority.
C. Informing the family is essential for support but doesn’t directly address the current risk.
D. Informing the healthcare provider who discharged the client is crucial as they need to reassess the discharge plan in light of the client's current statement and remove the potential means of self-harm.
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