The nurse is providing care to a pediatric client who is diagnosed with psoriasis. Which clinical manifestations does the nurse anticipate upon assessment of this client?
1. Thick, silvery, scaly erythematous plaque
2. Pruritus
3. Dry skin, likely to crack and fissure
4. Fragile skin and blisters
5. Irregular border surrounded by normal skin
Correct Answer: 1,2,5
Rationale: Clinical manifestations that support the diagnosis of psoriasis include thick, silvery, scaly erythematous plaque; pruritis; and irregular border surrounded by normal skin. Dry skin that is likely to crack and fissure is a clinical manifestation of atopic dermatitis. Fragile skin and blisters are clinical manifestations of epidermolysis bullosa.
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A nurse provides phone triage to a pregnant client. The client states, "I am experiencing a burning pain when I urinate." How should the nurse respond?
a. "This means labor will start soon. Prepare to go to the hospital." b. "You probably have a urinary tract infection. Drink more cranberry juice." c. "Make an appointment with your provider to have your infection treated." d. "Your pelvic wall is weakening. Pelvic muscle exercises should help."
Following a myelogram the nurse should include in the postprocedure care assessment for:
a. elevation of blood pressure. b. urine retention. c. sensation in lower extremities. d. slurred speech.
The ability to think through hypotheses, or "what if" questions, is acquired during what stage of growth?
A) Toddlerhood B) Preschool period C) School-age period D) Adolescence
Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen (Advil) for long-term therapy?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Electrolytes B. Hemoglobin and hematocrit C. Bleeding times D. Liver function tests E. Serum amylase