Practice Quiz

NCLEX-RN

Category - Physiological

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A nurse is assigned to Carol Joyce, a morbidly obese client scheduled to have a gastric surgery. While performing a bed bath on the client, the nurse notes that the client demonstrates changes in skin character. Which of the following findings should the nurse is most concerned about?
  1. Dry and flaky layer over the scalp
  2. Redness or rash in between the skin fold on the belly and back
  3. Swelling, tenderness, and redness in the lumbar area
  4. Skin ripples with rashes in the armpit and groin
Explanation
Answer: C - The nurse should be most concerned when she notes swelling, tenderness, and redness in the lumbar area since this may be infected tissue. Morbidly obese individuals suffer from a plethora of skin problems. A dry and flaky layer over the scalp or other body parts may suggest seborrheic dermatitis. Options B and C are likely caused by skin friction.
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