Nursing (Comprehens sive) A 28-year-old HIV positive patient complains of burning pain and lesions over the face for one day. On physical examination , the patient has vesicles with erythematous base on the right face and eyelid. The patient is worried about the disfiguring of her body. What is the priority nursing diagnosis for this patient? a. Acute pain b. Impaired skin integrity c. Anxiety d. Body image disturbance A 22-year-old male patient came to a health center with complaint of rash on the face. On physical examination, the rash appears as oozing, thin-roofed vesicle that rapidly grows and it developed a honey-colored crust.The patient reported that the disease has been transmitted to his brother. What is the most effective management for this patient? a. Acyclovir ointment b. Steroids c. Antibiotic d. Antifungal cream

For the first scenario, the priority nursing diagnosis for the 28-year-old HIV positive patient with burning pain and lesions over the face would be:<br /><br />b. Impaired skin integrity<br /><br />The presence of vesicles with an erythematous base on the patient's face and eyelid indicates a disruption in the skin's integrity, which is a priority concern in this case. The patient's worry about disfigurement is significant, but the immediate physical manifestation of impaired skin integrity takes precedence.<br /><br />For the second scenario, the most effective management for the 22-year-old male patient with a rash that appears as oozing, thin-roofed vesicles developing a honey-colored crust would be:<br /><br />a. Acyclovir ointment<br /><br />The description of the rash is consistent with herpes simplex virus (HSV) infection, and acyclovir ointment is the appropriate treatment for this condition. It helps to reduce the duration and severity of the outbreak and can prevent future recurrences.