The nurse is assessing the skin of an adolescent client and notes ...

[FButt]

The nurse is assessing the skin of an adolescent client and notes the presence of a musky odor. The client states that this is embarrassing for him and that he showers daily. Which action should the nurse take in this situation?
 
  1. Reassure the teen that this is normal.
  2. Notify the client's healthcare provider.
  3. Obtain a dietary referral.
  4. Educate the client regarding the importance of increased water intake.

Question 2

The nurse is caring for a client complaining of a painful, hot area located on the client's leg. Erythema and edema are present in the localized area. Which action should the nurse perform next?
 
  1. Palpate the area.
  2. Place a heating pad on the area.
  3. Notify the healthcare provider.
  4. Place client on bed rest.

[ryrychapman11]

Answer to Question 1

Correct Answer: 1

The apocrine glands are dormant until the onset of puberty, when they become active and produce secretion of water, salts, fatty acids, and proteins. This secretion is released into hair follicles primarily in auxiliary and anogenital areas, and when mixed with bacteria on skin surface produces a musky odor. This is a normal part of normal growth and development. The teenage client's healthcare provider does not need to be notified because this odor is associated with normal growth and development. The nurse does not need to obtain a dietary referral because this odor is associated with normal growth and development. Increasing fluid intake will not help prevent the occurrence of this odor. It is a normal part of normal growth and development.

Answer to Question 2

Correct Answer: 3
Reddened, swollen, localized, painful areas should not be palpated because these signs and symptoms indicate the presence of inflammation and possible infection. Disturbance may spread the infection into skin layers. The healthcare provider should be notified. The nurse would not palpate the area. The nurse would not apply a heating pad to this site. The nurse would not necessarily place the client on bed rest.