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This image shows a yellow crusting lesion which suggests impetigo or a secondary skin infection, not psoriasis. Impetigo typically presents with honey-colored crusts, caused by bacterial infection, usually. Psoriasis lesions are usually dry and scaly, not moist or oozing.

This image shows red bumps on arm suggesting an allergic reaction, folliculitis, or possibly contact dermatitis. These are small papules often scattered or in clusters, and do not have the thick scaling seen in psoriasis.

The fourth image shows linear striae-like marks likely striae distensae (stretch marks), unrelated to psoriasis. Stretch marks are atrophic, linear scars typically due to skin stretching from growth or weight changes. They lack inflammation, plaques, and scale—all key signs of psoriasis.

Milk the chest tube at least three times a day: Milking is generally not recommended as it can increase intrathoracic pressure and damage lung tissue. It should only be done with a provider’s order and specific indication.

Empty the drainage collection chamber when full: The collection chamber is a closed system and should not be emptied. When full, the entire drainage unit should be replaced to maintain sterility.

Clamp the chest tube when transferring the client from bed to the chair: Clamping the tube is contraindicated during transport, as it can cause tension pneumothorax. The system should remain unclamped and below chest level.

Prop the feet up: Proping the feet up may not be effective in preventing plantar flexion contractures, as it does not provide sustained support to keep the feet in a neutral position. Plantar flexion can still occur with this position.

Apply an abduction pillow to the legs: An abduction pillow is used to keep the hips in a neutral position, not to prevent plantar flexion contractures. It is useful for preventing hip contractures but not specifically for the feet.

Use a trochanter roll: A trochanter roll helps prevent external rotation of the hip joint, not plantar flexion of the feet. It is used for positioning to prevent hip complications, but it does not address foot position or contracture prevention.

Apply suction to the catheter during insertion: Suction should not be applied during insertion of the catheter, as this can cause trauma to the mucous membranes. Suctioning should only occur when the catheter is in the appropriate position and being withdrawn.

Have the client tuck his chin to his chest during suctioning: The client should not tuck the chin to the chest during suctioning. Instead, the client should be asked to either cough or breathe normally. Tucking the chin may obstruct the airway and make suctioning difficult.

Apply a petroleum-based lubricant to the catheter: Petroleum-based lubricants should not be used as they can cause a fire hazard when oxygen is present. Instead, a water-soluble lubricant should be applied to the catheter if needed.

Rinse the linens prior to removing them from the client's room: Rinsing the linens is not required when removing soiled linens. The main concern is preventing contamination, and double-bagging ensures that the linens are safely contained.

Tie the linens' bag securely at the top: While it is important to securely close the bag, double-bagging is the key step in preventing contamination. Tying the bag is part of the process, but it is not the primary focus for contact precautions.

Wear sterile gloves when handling the linens: Sterile gloves are not necessary for handling soiled linens in contact precautions. Clean gloves are sufficient to handle linens. Sterile gloves are typically used for invasive procedures, not for routine linen handling.

Read the medication label twice prior to administration: Best practice requires reading the label three times (when retrieving, preparing, and before administering), so reading it only twice is insufficient for safety.

Ask the client if they have ever taken a similar medication: While helpful, this does not replace the need for the nurse to verify the medication's action, side effects, and interactions independently.

Use one patient identifier prior to medication administration: Safe practice requires using two patient identifiers (e.g., name and date of birth), so using only one is inadequate and unsafe.

"You should try putting the baby in a carrier so you can take a walk when they start crying.": This response may not address the client's emotional frustration. It's important to first listen and understand the full context before offering advice.

"Many parents have told me it gets better when the baby is about 3 months old.": It's important to explore the client’s current experience and feelings rather than assuming their situation will improve without validating their concerns.

"As a new parent, you should be enjoying your time with the baby.": This statement may come across as judgmental as it implies the client should be feeling something different. It is important to acknowledge and validate the client's feelings.

Notify the primary care provider: Notifying the provider is important, but first, the nurse should assess the client’s condition by obtaining vital signs. This helps determine if immediate intervention is needed, like administering antidotes or treatments.

Educate the client about potential adverse effects: Education is important, but it’s not the first priority in the case of an overdose. The nurse should first focus on assessing and stabilizing the client before providing information on potential adverse effects.

Complete an incident report: While an incident report is necessary, it is not the immediate priority. The nurse must first ensure the client’s safety and health by assessing and managing the overdose.