What is not an inappropriate nursing intervention for psoriasis?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Apply rubbing alcohol to plaques. Rubbing alcohol can be extremely drying and irritating to the skin, which can exacerbate the symptoms of psoriasis. Psoriasis is a chronic autoimmune condition characterized by red, itchy, and scaly patches on the skin. Applying rubbing alcohol can further irritate the skin, leading to increased discomfort and potentially worsening the condition. A) Teaching the client how to utilize UV radiation can actually be a helpful intervention for psoriasis. Controlled exposure to UV radiation can help to slow down the rapid skin cell turnover that occurs in psoriasis, reducing symptoms. C) Applying corticosteroids as ordered is a common and appropriate treatment for psoriasis. Corticosteroids help to reduce inflammation and can effectively manage psoriatic symptoms when used as prescribed by a healthcare provider. D) Urging the client to consider participating in support groups is also a beneficial intervention. Support groups can provide emotional support, coping strategies, and a sense of community for individuals living with psoriasis. This holistic approach can help individuals better manage their condition and improve their overall well-being. In an educational context, it is crucial for nursing students to understand the appropriate interventions for various health conditions like psoriasis. By comprehensively understanding the rationale behind each option, students can develop critical thinking skills and provide optimal care for patients with psoriasis. This rationale illustrates the importance of evidence-based practice and patient-centered care in nursing.

Correct Answer: B

Rationale: The correct answer is B) Compartment syndrome. In this scenario, the client's symptoms indicate a potential compartment syndrome, a serious condition caused by increased pressure within a muscle compartment. The acute pain greater than the severity of the fracture, 'pins and needles' sensation distal to the injury, and weak/thready pulse but bounding on unaffected extremities are classic signs of compartment syndrome due to compromised blood flow and nerve function. Option A) Ischial tuberosity is incorrect as it pertains to a bony structure in the pelvis and is not related to the symptoms described. Option C) Broken arm syndrome is not a recognized medical condition, making it an incorrect distractor. Option D) Pulmonary embolism involves a blockage in the pulmonary artery, typically presenting with symptoms like chest pain, shortness of breath, and cough, which are not evident in the client's case. Educationally, understanding the signs and symptoms of compartment syndrome is crucial for nurses to recognize and intervene promptly to prevent permanent damage to muscles and nerves. This case highlights the importance of thorough assessment, critical thinking, and swift action in emergency situations to provide optimal patient care.

Correct Answer: A

Rationale: The correct answer is A) Mental state, which will NOT be utilized in a Braden Scale Assessment. The Braden Scale is a tool used to assess a patient's risk of developing pressure ulcers. The scale considers six parameters: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. In the context of long-term care, it is crucial to assess a patient's risk of developing pressure ulcers due to their decreased mobility and prolonged periods of immobility. Sensory perception is included in the Braden Scale because patients who have impaired sensation are at a higher risk of developing pressure ulcers as they may not be able to feel discomfort or pain from prolonged pressure on their skin. While mental state is essential for overall patient assessment and care, it is not a specific factor considered in the Braden Scale for assessing pressure ulcer risk. This is because mental state does not directly impact a patient's susceptibility to developing pressure ulcers, unlike the other factors included in the scale. Educationally, understanding the components of assessment tools like the Braden Scale is vital for nurses to provide comprehensive care to patients in long-term care settings. It ensures that nurses can accurately identify patients at risk for pressure ulcers and implement appropriate preventive measures to maintain their skin integrity and overall well-being.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Maintaining the integrity of a portal of entry. By providing measures to reduce skin breakdown, such as keeping the skin clean, dry, and intact, the nurse is effectively preventing pathogens from entering the body through breaks in the skin. This action disrupts the chain of infection at the portal of entry stage, thereby reducing the risk of infection transmission. Option A) Sterilizing the area to reduce the reservoir risk is incorrect because sterilizing the area would target eliminating pathogens at the reservoir stage, not necessarily at the portal of entry. The focus should be on preventing entry rather than reducing reservoir risk. Option C) Creating a reservoir to decrease the risk of infection is incorrect because creating a reservoir would actually increase the risk of infection by providing a source for pathogens to multiply and spread. Option D) Creating a susceptible host is incorrect because the goal is to prevent infection by reducing the opportunity for pathogens to enter the body, not by making the host more susceptible to infection. In an educational context, understanding how infection control measures work to break the chain of infection is crucial for healthcare professionals to provide effective care and prevent the spread of infections in healthcare settings. By emphasizing the importance of maintaining skin integrity and implementing proper infection prevention protocols, nurses can play a significant role in reducing the risk of healthcare-associated infections.

Correct Answer: D

Rationale: In the context of multi-dimensional care, understanding the effects of medication classes on various aspects of health is crucial. The correct answer to the question is D) Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation by inhibiting cyclooxygenase enzymes, which are responsible for producing inflammation-inducing prostaglandins. However, NSAIDs can delay bone healing by impairing the early stages of bone repair and remodeling. Option A) Opioids are not typically used to decrease tissue inflammation and do not have a direct impact on bone healing. Option B) Anticoagulants are used to prevent blood clotting and do not directly influence tissue inflammation or bone healing. Option C) Narcotics primarily act on the central nervous system to relieve pain and do not have a specific effect on tissue inflammation or bone healing. In an educational context, it is important for healthcare professionals to be aware of the effects of different medication classes on multiple dimensions of patient care. Understanding the mechanisms of action and potential side effects of medications like NSAIDs can help in making informed decisions regarding patient treatment plans, especially when considering factors like tissue inflammation and bone healing. This knowledge is essential in providing comprehensive and effective care to patients across various healthcare settings.