Author Question: A client's medical record reveals presence of an erythematous urticarial rash with pruritus. What ... (Read 19 times)

kamilo84 · **on:** Jul 23, 2018

A client's medical record reveals presence of an erythematous urticarial 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 is admitted to the hospital for surgery. The nurse is explaining major routes of applying local anesthesia to the client. Which routes should be included in the teaching?(Select all that apply.)

1. Spinal
2. Topical
3. Epidural
4. Tendon block
5. Infiltration

lorealeza77 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.
Global Rationale: Erythema refers to redness often associated with skin rashes. Urticaria refers to hives, which present as raised bumps. Pruritus is itching. Warmth may be present, but the nurse would not expect that from the description given. While pruritus is often associated with scaly skin, there is nothing in the description that indicates the area is scaly.

Answer to Question 2

1, 2, 3, 5

Rationale 1: The five major routes for applying local anesthetics are topical, infiltration, nerve block, spinal, and epidural.
Rationale 2: The five major routes for applying local anesthetics are topical, infiltration, nerve block, spinal, and epidural.
Rationale 3: The five major routes for applying local anesthetics are topical, infiltration, nerve block, spinal, and epidural.
Rationale 4:Tendon block is not a major route of local anesthesia.
Rationale 5: The five major routes for applying local anesthetics are topical, infiltration, nerve block, spinal, and epidural.

Global Rationale: The five major routes for applying local anesthetics are topical, infiltration, nerve block, spinal, and epidural. A tendon block is not a major route for applying local anesthetics.