When taking a history on a client who has had a severe flare-up of psoriasis, the nurse should determine which condition?
1. Recent changes in work or home environment
2. Age at onset of his psoriasis
3. Allergy history
4. Where the symptoms first appeared
Answer: 1
1. The exact cause of psoriasis is unknown, but many factors appear to make the condition worse, including stress, sunlight, seasonal changes, and various medications. Determining contributing factors to the flare-up will help the client to prevent future exposures.
2. Age of onset does not have an impact on the current flare-up.
3. History of allergies does not have an impact on the current flare-up.
4. First appearing symptoms do not have an impact on the current flare-up.
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The nurse performs digital removal of a fecal impaction for a patient with atrial fibrillation and heart failure. Which is the most serious unexpected outcome that the nurse assesses during the procedure?
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After a full medical workup, it is determined that G.G.'s condition is stable. His shortness of breath and anxiety resolve after he is given lorazepam (ativan) 1 mg IV push (IVP)
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The nurse is caring for a patient whose nasogastric (NG) tube, attached to low intermittent suction to decompress a bowel obstruction, is not draining. After checking placement, which of these ac-tions should the nurse take?
a. Irrigate the NG tube with 30 milliliters of normal saline. b. Change the suction setting to high. c. Reinsert the NG tube in the other nare. d. Advance the NG tube 2 inches.