A teenage client is diagnosed with psoriasis. Which of the following would be the highest priority observation of the nurse who is caring for this client?
A) Difficulty breathing
B) Low self-esteem
C) Pigment changes
D) Skin infections
B
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The client with a skin disorder, such as psoriasis, may also require assistance in meeting daily self-care needs, dealing with itching or pain, or working through the emotional aspects of a disfiguring or chronic disorder. That this client is a teenager makes exploring self-esteem issues even more of a concern. Difficulty breathing (may occur with urticaria) and pigment changes (manifestation of vitiligo) are not aspects of this condition. Skin infections may occur from scratching the skin, but are not the highest priority concern in this case.
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The parent of a child with Tourette's disorder says, "My child's tics come and go. I think my child is faking them.". Select the accurate response by the nurse
a. "Perhaps your child was misdiagnosed.". b. "Your observation indicates the medication is effective.". c. "Tics often change frequency or severity. That does not mean they are not real.". d. "This finding indicates worsening of the condition. Let's review how you've been giving the child's medication.".
During a home visit an older patient with heart disease tells the nurse of plans to shovel the snow as soon as the visit concludes. How should the nurse instruct the patient at this time?
1. Shovel the steps only. 2. Avoid shoveling at this time. 3. Shovel for 30 minutes at a time. 4. Shovel for 10 minutes and then stop.
The client has complaints of being tired, listless, and unable to tolerate activity at usual levels. Which laboratory value should the nurse review first while assessing this complaint?
1. Blood urea nitrogen 2. Hemoglobin and hematocrit 3. Blood sugar 4. Serum potassium
The patient's health care provider prescribed dantrolene sodium (Dantrium) 25 mg daily for the treatment of neck spasms secondary to spinal cord injury
The patient reports that the medication is "not working," even though it has been 45 days since the medication was started. What changes in this patient's plan of care would the nurse anticipate? 1. Increase in the dosage frequency to twice a day 2. Discontinuation of the medication 3. Increase in the frequency of hepatic function tests 4. Change to a different medication 5. Addition of succinylcholine (Anectine) to the patient's medications