A client's medical record reveals presence of an erythematous ...

[lindiwe]

A client's medical record reveals presence of an erythematous urticaric rash with pruritus. What assessment findings would the nurse expect?
 
  1. The area of the rash is red.
  2. The area has a raised, bumpy texture.
  3. The area involved is warm to the touch.
  4. The area itches.
  5. The area is scaly.

Question 2

A client calls the clinic and asks the nurse how to treat a skin injury. What questions should the nurse ask prior to formulating a response?
 
  1. How deep is the injury?
  2. How large is the injured area?
  3. How did the injury happen?
  4. Did the injury happen over 3 hours ago?
  5. Where is the injury?

[owenfalvey]

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Erythema refers to redness often associated with skin rashes.
Rationale 2: Urticaria refers to hives which present as raised bumps.
Rationale 3: This may be the case, but the nurse would not expect that from the description given.
Rationale 4: Pruritus is itching.
Rationale 5: While pruritus is often associated with scaly skin, there is nothing in the description that indicates the area is scaly.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: The depth of injury is important in determining if treatment should be topical, systemic, or both.
Rationale 2: Size of skin injury is important in determining if the treatment should be topical, systemic, or both.
Rationale 3: The mechanism of injury is important in determining the potential for the injury to become infected.
Rationale 4: There is no specific length of time that would change therapy.
Rationale 5: The position of the injury is important in determining potential for infection.

[lindiwe]

Gracias!

[EAN94]

Wow, this really help