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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?

A.

Corticosteroid cream was applied to eczema.

B.

A grandson and his new dog recently visited.

C.

Recently received an influenza immunization.

D.

An old friend with eczema came for a visit.

Answer and Explanation

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. "Don't worry, I'm sure your son will visit."
This response is dismissive and assumes that the son will visit, which may not be the case. It may come across as insensitive.

B. "Your son hasn't been around much lately?"
This response reflects the patient's statement, encouraging them to elaborate. It shows empathy and gives the patient space to express their feelings.

C. "My son doesn't come to visit me either."
This response shifts focus away from the patient and may make them feel that their concern is trivialized.

D. "How terrible that he doesn't visit you."
This response is judgmental and might make the patient feel worse or lead them to think the nurse disapproves of their son.

Correct Answer is A

Explanation

A. The elevated heart rate and respirations suggest the client may be experiencing hypoxia, especially following a thoracotomy. Administering oxygen will help improve oxygen saturation levels and address potential respiratory distress.

B. While pain management is essential, the immediate concern is ensuring adequate oxygenation.

C. Administering IV fluids may be necessary but is secondary to ensuring the client's oxygenation.

D. Encouraging the client to splint and cough is important for preventing complications but does not address the immediate issue of vital signs indicating possible respiratory compromise.

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