Explanation: A) The increased rate at which normal epidermis is turned over increases in exfoliative dermatitis. Therefore, the exfoliated scales contain material that the skin normally retains (proteins, amino acids, and nucleic acids), and the result may be a negative nitrogen balance. The insensible fluid loss along with the nitrogen level should be monitored. B) Because the skin is
erythematous and scaly, self-image may be a problem, but it is not the issue that the nurse should first address. C) Exfoliative dermatitis can cause pruritus so, although comfort is an issue, it is not the first issue that the nurse should address. D) In exfoliative dermatitis, the skin sloughs, and widespread sloughing leads to abnormal thermoregulation, nutritional deficiencies, increased metabolic rate, and hypovolemia. Although nutritional deficiencies may occur, they are not the nurse's highest priority.
A) Fluid volume deficit
B) Self-image issues
C) Comfort
D) Altered nutrition
A) Fluid volume deficit
Explanation: A) The increased rate at which normal epidermis is turned over increases in exfoliative dermatitis. Therefore, the exfoliated scales contain material that the skin normally retains (proteins, amino acids, and nucleic acids), and the result may be a negative nitrogen balance. The insensible fluid loss along with the nitrogen level should be monitored.
B) Because the skin is erythematous and scaly, self-image may be a problem, but it is not the issue that the nurse should first address.
C) Exfoliative dermatitis can cause pruritus so, although comfort is an issue, it is not the first issue that the nurse should address.
D) In exfoliative dermatitis, the skin sloughs, and widespread sloughing leads to abnormal thermoregulation, nutritional deficiencies, increased metabolic rate, and hypovolemia. Although nutritional deficiencies may occur, they are not the nurse's highest priority.
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