Question

When assessing a new patient at the outpatient clinic, the nurse notes dry, scaly skin; thin hair; and thick, brittle nails. Which action is best for the nurse to take at this time?

a.Instruct the patient about the importance of nutrition in skin heath.
b.Make a referral to a podiatrist so that the nails can be safely trimmed.
c.Consult with the health care provider about the need for further diagnostic testing.
d.Teach the patient about using moisturizing creams and lotions to decrease dry skin.

Answer 1

The best action for the nurse is to consult with the health care provider about the need for further diagnostic testing to identify any underlying health issues causing the patient's dry skin, thin hair, and brittle nails.

Step-by-step explanation:

When assessing a new patient who exhibits dry, scaly skin; thin hair; and thick, brittle nails, the nurse should consider that these symptoms could be indicative of a deeper health issue, which may include nutrient deficiency or an endocrine disorder such as hypothyroidism. While advising the patient to use moisturizing creams could help alleviate dry skin, it's crucial to investigate the underlying cause of the symptoms.

The best action for the nurse is to consult with the health care provider about the need for further diagnostic testing. Appropriate blood tests can be performed to rule out or confirm a range of conditions, such as hypothyroidism, which often yields similar clinical presentations. While making dietary recommendations and referrals for nail care may be helpful, they do not address the root cause of the observed symptoms.

After consultation, if no underlying health issues are identified, the nurse can focus on nails and health guidance, providing advice on proper nutrition, hygiene practices, and the use of moisturizers to aid in skin, hair, and nail health.