Isotretinoin has many side effects. It is a known teratogen and can cause severe birth defects. A pregnancy test is required before therapy is initiated, and strict birth control measures must be used during therapy. Sun exposure, alcohol ingestion, and f
“Which method of contraception are you using?”
“Have you or any family members ever had skin cancer?”
“Do you spend a great deal of time in the sun?”
“Do you drink alcoholic beverages?”
Ketoconazole is an antifungal. Clindamycin and linezolid are antibiotics. Acyclovir is an antiviral drug.
a. Viral infection – Clindamycin (Cleocin)
Fungal infection – Ketoconazole (Nizoral)
Yeast infection – Linezolid (Zyvox)
Bacterial infection – Acyclovir (Zovirax)
The hospital nurse should provide details about the wound, including size and appearance and any special wound needs, in a hand-off report to the home health nurse. Insurance information is important to the home health agency and manager, but this is not
Recent wound assessment, including size and appearance
Complete health history and physical assessment findings
Insurance information for billing and coding purposes
Resources available to the client for wound care supplies
Clients with psoriatic lesions are often self-conscious of their skin. The nurse should first provide direct contact and touch without gloves to establish a good report with the client. Psoriasis is not an infectious disease, nor is it contagious. The nur
Shake the client’s hand and introduce self.
Don gloves and an isolation gown.
Assess for signs and symptoms of infections.
Ask the client if she might be pregnant.
A client with a Braden Scale score of 9 is at high risk for skin breakdown and requires moderate to maximum assistance to prevent further breakdown. Family members who care for clients at home may experience a disruption in family routines and added stres
“Are you sharing a bed with your husband?”
“Do you have a bedpan at home?”
“How are you coping with providing this care?”
“What are you doing to prevent pediculosis?”
The white blood cell count is not directly related to nutritional status. Albumin, prealbumin, and lymphocyte counts all give information related to nutritional status. The prealbumin count is a more specific indicator of nutritional status than is the al
Assess the client’s vital signs.
Request a dietary consult.
Initiate Contact Precautions.
Perform a neuromuscular assessment.
A client on anticoagulants is not a candidate for VAC because of the incidence of bleeding complications. The health care provider needs this information quickly to plan other therapy for the client’s wound. The nurse should contact the wound care nurse a
Obtain a prescription for a low-fat, high-protein diet with vitamin supplements.
Contact the provider and express concerns related to the wound treatment prescribed.
Consult the wound care nurse to apply the VAC device.
Assess the client’s vital signs and initiate continuous telemetry monitoring.
Necrotic tissue should be removed so that healing can take place. Whirlpool treatment can gently remove the necrosis. A wound covered with eschar most likely needs surgical débridement. Warm water would not be recommended for a client with erythema. A wet
Client with urticaria – Wet-to-dry dressing changes every 6 hours
Client with a sunburn and erythema – Soaking in warm water for 20 minutes
Client with a left heel ulcer with slight necrosis – Whirlpool treatments
Client with an eschar-covered sacral ulcer – Surgical débridement
Client with a sacral ulcer with purulent drainage – Transparent film dressing
A small pillow decreases the risk for pressure between bony prominences, a lift sheet decreases friction and shear, and heels have poor circulation and are at high risk for pressure sores, so they should be kept off hard surfaces. Head-of-the-bed elevatio
Keep the client’s heels off the bed surfaces.
Use a lift sheet to assist with re-positioning.
Limit fluids and proteins in the diet.
Use a rubber ring to decrease sacral pressure when up in the chair.
Elevate the head of the bed to 45 degrees.
Re-position the client who is in a chair every 2 hours.
Place a small pillow between bony surfaces.
Herpes zoster (shingles) is caused by reactivation of the same virus, varicella zoster, in clients who have previously had chickenpox. Anyone who has not had the disease or has not been vaccinated for it is at high risk for getting chickenpox. Herpes zost
Prepare a room for reverse isolation.
Choose a roommate who also is immune suppressed.
Ensure that gloves are available in the room.
Check the admission orders for analgesia.
Assess staff for a history of or vaccination for chickenpox.
Using a lift sheet will prevent shearing forces from tearing skin. Tape should be avoided so that the skin won’t tear. Using pressure-relieving devices for clients who are at risk for pressure ulcer formation, including older adults, is a proactive approa
Use loose dressing on all wounds.
Implement pressure-relieving devices.
Use a lift sheet when moving the client in bed.
Avoid whirlpool therapy.
Avoid tape when applying dressings.
Systemic factors, hormonal changes, psychological stress, medications, and general health factors can aggravate psoriasis. Psoriatic lesions are not triggered by chocolate, public showers, or international travel.
“Have you eaten a large amount of chocolate lately?”
“Have you changed any medications recently?”
“Have you recently had any other health problems?”
“Have you been under a lot of stress lately?”
“Have you recently used a public shower?”
“Have you been out of the country recently?”
All health care providers should follow Standard Precautions when caring for clients who have any open skin areas. This includes hand hygiene and wearing gloves when in contact with the lesions. The UAP is not qualified to assess the client’s skin. The ot
“Wear gloves when bathing the client.”
“Wash your hands before touching the client.”
“Assess skin for breakdown during the bath.”
“Apply lotion to lesions while the skin is wet.”
“Use a damp cloth to scrub the lesions.”
For a client with eczematous dermatitis, the goal of comfort measures is to decrease inflammation and help débride crusts and scales. The nurse should implement cool, moist compresses and tepid baths with additives such as cornstarch. Topical corticostero
Tepid bath with cornstarch
Back rub with baby oil
Cool, moist compresses
너는 정확하게 대답했다.
당신이 잘못 대답했습니다.
너는 시간이 없어.
점수 또는 평점을 저장하려면 로그인하거나 등록해야합니다.
텍스트에 적합한 오디오 언어를 설정하십시오.
단어를 강조 표시하여 학습을 향상시킵니다.
로그인 할 필요없이 퀴즈, 코스 및 플래시 카드를 재생할 수 있습니다. 그러나 점수를 저장하고 퀴즈, 코스 및 플래시 카드를 만들려면 로그인해야합니다. 오디오를 재생하려면 전문 계정에 로그인해야합니다.
학습을 한 차원 높여보십시오. 프로페셔널 계정으로 업그레이드하면 질문을 큰소리로 듣고 다른 많은 혜택을 누릴 수 있습니다.
귀하가 작성한 질문이나 답변에 대한 오디오가 생성됩니다.
많은 사람들이 그들이 배운 것을 듣고 더 잘 배웁니다. 외국어 학습을 위해 우리는 18 개 이상의 언어를 지원했습니다.
지원 언어로는 덴마크어, 네덜란드어, 영어, 프랑스어, 독일어, 아이슬란드 어, 이탈리아어, 일본어, 한국어, 노르웨이어, 폴란드어, 포르투갈어, 루마니아어, 러시아어, 스페인어, 스웨덴어, 터키어, 웨일스 어 등이 있습니다.
또한 단어를 소리내어 읽음으로써 자동 단어 단위 강조 기능을 지원합니다.
Apple App Store에서 볼 Topgrade 응용 프로그램을 선택하십시오.
Google Play에서 볼 수있는 Topgrade 앱을 선택합니다.