A nurse gathered the assessment findings from a group of clients assigned to her during the shift. Among the details of information she noted, which of the following is most likely attributed to poor hygiene care?

  1. Dry and flaky skin over the ear and scalp
  2. Reddish skin that doesn't blanch when touched.
  3. Dry, itchy and highly demarcated scaling plaques.
  4. A reddish rash on the wrist underlying a watch strap
Explanation

Answer: B - Among the data gathered from the group of clients, reddish skin that doesn't blanch when touched is highly attributable to poor hygiene care. This condition indicates an early stage of pressure ulcer. Option A refers to seborrheic dermatitis which is a chronic inflammation of skin formed in oily areas. Option C refers to psoriasis, which is an auto-immune disease. Option D indicates allergic contact dermatitis due to nickel exposure.

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