During an assessment of a 20-year-old man, the nurse finds a small palpable lesion with a tuft of hair located directly over the coccyx. The nurse knows that this lesion would most likely be a:

a. Rectal polyp.
b. Pruritus ani.
c. Carcinoma. d.
Pilonidal cyst.


ANS: D
A pilonidal cyst or sinus is a hair-containing cyst or sinus located in the midline over the coccyx or lower sacrum. It often opens as a dimple with a visible tuft of hair and, possibly, an erythematous halo.

Nursing

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The nurse is caring for a terminally ill patient who will probably die within the next 2 weeks. What is the priority nursing intervention?

a. Encouraging the patient to limit fluid intake to minimize congestion b. Limiting the use of pain medications so that the patient can visit with family c. Helping the patient to identify and complete desired tasks and activities d. Completing funeral arrangements with the patient's next of kin

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Subjective signs and symptoms of viral hepatitis include which of the following?

a. severe vomiting and diarrhea c. generalized weight gain b. anxiety and hyperactivity d. anorexia and photophobia

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Which part of the decidua rests directly between the embryo and the uterine wall under the embryo?

a. Decidua basalis c. Decidua parietalis b. Decidua capsularis d. Chorionic villi

Nursing

Which statement regarding needleless infusion systems is true?

A. Needleless systems cannot be used with central lines. B. The needleless system cannot be used for administration of hypertonic solutions. C. The risk for a needle stick injury is reduced for the client and the health care worker. D. Sterile technique is not necessary when attaching a piggyback through a needle-less system.

Nursing