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. Excessive exercise routine: Exercise generally helps prevent constipation by stimulating bowel movements.
B. Eating two apples a day: Apples are high in fiber and can help prevent constipation.
C. Intake of antacids several times a day: Antacids, especially those containing calcium or aluminum, can contribute to constipation.
D. Taking a laxative once a week: Taking a laxative once a week should help manage constipation rather than contribute to it, although reliance on laxatives can lead to other issues if used excessively.
Correct Answer is B
Explanation
A. The drug is addictive. LSD is not typically considered addictive as it does not cause physical dependence.
B. The drug causes flashbacks. One of the greatest problems with LSD is the occurrence of flashbacks, where the person re-experiences aspects of the drug effects long after use.
C. The drug stimulates drug-seeking behavior. While this can be an issue, it is not the most significant problem with LSD use.
D. The drug sets off hypertensive episodes. Hypertension is not a common or primary issue with LSD use.
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