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 A
Explanation
. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.
B. Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.
C. Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.
D. Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.
Correct Answer is A
Explanation
A. Body image. Body image refers to an individual's perceptions, thoughts, and feelings about their physical appearance and bodily functions.
B. Role performance. Role performance relates to how individuals perceive their ability to fulfill various roles in their life, such as student, parent, or employee, rather than how they feel about their body functions.
C. Personal identity. Personal identity encompasses the sense of self as a unique individual, including values, beliefs, and goals, but does not specifically pertain to feelings about bodily functions.
D. Self-esteem. Self-esteem involves overall feelings of self-worth or self-value, which can be influenced by body image but is a broader concept.
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