A nurse is working with a child who has a chronic skin disorder consisting of many vesicles and pustules. Which nursing assessment indicates that a priority long-term goal has been met?
A.
Child states that he no longer gets teased at school because of his appearance.
B.
Parents and child verbalize acceptance of disease process and need for medication.
C.
Patient participates in sporting events and other after school-activities regularly.
D.
Skin around primary lesions remains free of redness, warmth, swelling, and pain.
ANS: D
All options show evidence of positive outcomes. However, physical needs take priority over psychosocial needs, so absence of infection is evidence that a priority goal has been met. Secondary infection can occur due to scratching, picking, and the presence of the lesions themselves.
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