During a home visit, the nurse assesses the skin of a client with eczema who reports that an exacerbation of symptoms has occurred during the last week. Which information is most useful in determining the possible cause of the symptoms?
Corticosteroid cream was applied to eczema.
A grandson and his new dog recently visited.
Recently received an influenza immunization.
An old friend with eczema came for a visit.
The Correct Answer is B
A. While the use of corticosteroid cream is relevant to treatment, it does not indicate a new cause for symptom exacerbation.
B. The introduction of a new dog could be a potential allergen, triggering an exacerbation of the client's eczema symptoms.
C. Receiving an influenza immunization is unlikely to be related to eczema exacerbations and is not a common trigger.
D. An old friend with eczema does not present a direct cause for the current exacerbation and is less relevant to the client's current condition.
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Correct Answer is B
Explanation
A. While elevated creatinine and BUN are important indicators of kidney function, in the diuretic phase, the focus shifts to monitoring for complications, particularly fluid and electrolyte balance.
B. Hypovolemia can occur due to excessive diuresis during the diuretic phase, which can lead to significant cardiovascular effects, including ECG changes related to electrolyte imbalances, particularly potassium levels.
C. Monitoring for uremic irritation is important but less critical than monitoring for hypovolemia and ECG changes that can lead to acute complications.
D. While monitoring for side effects of TPN is relevant, it is not the priority in the context of AKI transitioning phases where fluid and electrolyte balance are paramount.
Correct Answer is D
Explanation
A. While safe sex practices can reduce the risk of STIs, they do not eliminate the risk entirely, especially in cases where partners have multiple sexual partners.
B. Not all STIs are transmitted solely through sexual intercourse; some can be transmitted through other means, making this statement overly simplistic.
C. It's important to note that asymptomatic individuals can still be carriers of STIs, so this statement may give a false sense of security.
D. Teaching the importance of adhering to the medication regimen and ensuring follow-up appointments is critical in managing gonorrhea effectively and preventing complications or reinfection. This approach emphasizes the importance of treatment compliance and ongoing health management.