Which is important for the nurse to assess when inspecting the skin of a patient?
Wear gloves only if the skin appears broken or inflamed.
Ask the patient about personal skin care.
Avoid potentially embarrassing questions about rashes or scars.
Have artificial, preferably fluorescent, lighting for proper illumination of the skin.
The Correct Answer is B
A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increase activity to promote mobility. While moderate activity is beneficial, excessive activity can exacerbate symptoms of SLE.
B. Increase exposure to the sun to increase vitamin D absorption. Sun exposure can trigger lupus flares, so it should be minimized.
C. Increase sodium consumption. Increased sodium intake is not recommended as it can lead to hypertension, a common concern in SLE patients.
D. Maintain a balance between rest and activity. Balancing rest and activity helps manage fatigue and prevent symptom exacerbation in SLE.
Correct Answer is B
Explanation
A. Age 55 and above: Age 55 is often considered middle-aged or early retirement age, not typically categorized as older adulthood.
B. Age 65 and above: The term older adulthood usually applies to individuals aged 65 and above, aligning with common retirement age and eligibility for senior benefits.
C. Age 75 and above: Age 75 is considered older adulthood but does not encompass all individuals typically categorized as older adults.
D. Age 70 and above: While age 70 is within the range of older adulthood, it does not include those aged 65 to 69, who are also considered older adults.
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