A nurse assesses a client who has psoriasis. Which action should ...

[KimWrice]

A nurse assesses a client who has psoriasis. Which action should the nurse take first?
 
  a. Don gloves and an isolation gown.
  b. Shake the client's hand and introduce self.
  c. Assess for signs and symptoms of infections.
  d. Ask the client if she might be pregnant.

Question 2

A nurse prepares to discharge a client who has a wound and is prescribed home health care. Which information should the nurse include in the hand-off report to the home health nurse?
 
  a. Recent wound assessment, including size and appearance
  b. Insurance information for billing and coding purposes
  c. Complete health history and physical assessment findings
  d. Resources available to the client for wound care supplies

[JCABRERA33]

Answer to Question 1

ANS: B
Clients with psoriatic lesions are often self-conscious of their skin. The nurse should first provide direct contact and touch without gloves to establish a good report with the client. Psoriasis is not an infectious disease, nor is it contagious. The nurse would not need to wear gloves or an isolation gown. Obtaining a health history and assessing for an infection and pregnancy should be completed after establishing a report with the client.

Answer to Question 2

ANS: A
The hospital nurse should provide details about the wound, including size and appearance and any special wound needs, in a hand-off report to the home health nurse. Insurance information is important to the home health agency and manager, but this is not appropriate during this hand-off report. The nurse should report focused assessment findings instead of a complete health history and physical assessment. The home health nurse should work with the client to identify community resources.