Medical-Surgical test bank for Nursing 6th Edition ignatavicius.

Medical-Surgical test bank for Nursing 6th Edition ignatavicius. The client has dry skin and a history of cardiovascular disease. Which is the best intervention for the nurse to teach the client? a. "Wear pajamas to cover your legs at night." b. "Avoid wearing stockings." c. "Increase your fluid intake to 3 L/day." d. "Bathe in warm water and then apply lotion immediately." - answers-ANS: D The client should bathe in warm water for at least 20 minutes and then apply lotion immediately because this will keep the moisture in the skin. Covering the legs at night will not increase moisture. Increasing fluid intake to 3 L/day would not be recommended for a client with a history of cardiovascular disease. Stockings may dry the skin, so the best intervention is to keep moisture in the skin with lotion. Which intervention will best assist the client with pruritus? a. "Avoid activities and environments that increase perspiration." b. "Drinking alcoholic beverages will decrease stimulation of the itch receptors." c. "Wear clothing to keep the skin warm." d. "Avoid immersing the affected areas in water." - answers-ANS: A Pruritus is exacerbated by poor skin hydration, increased skin temperature, perspiration, and vasodilation. Drinking alcoholic beverages will further dehydrate clients. Warm clothing will vasodilate, adding to dehydration. Warm baths are recommended, with lotion applied immediately afterward. Which precaution will the nurse teach the client with urticaria who is prescribed to take diphenhydramine (Benadryl)? a. "Avoid sun exposure." b. "Avoid alcoholic beverages." c. "Avoid aspirin or aspirin-containing drugs." d. "Avoid weight gain." - answers-ANS: B Benadryl is an antihistamine that will decrease itching. For most people, diphenhydramine causes drowsiness. This side effect is intensified when alcohol also is consumed, placing the client at increased risk