The nurse is conducting a physical examination of a 9-month-old baby with a flat discolored area on the skin. The nurse would describe this as which of the following in the medical record?
A) Papule
B) Macule
C) Vesicle
D) Scaling
B
Response:
A macule is a flat, discolored area on the skin. A papule is a small raised bump on the skin. A vesicle is a fluid-filled bump on the skin. Scaling is flaking of the skin.
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The nurse prepares a teaching plan to help a patient with viral influenza learn how to administer the prescribed drugs at home. Which factor would the nurse be alert to as posing an obstacle in the patient's learning process?
A) Varied or different literacy levels B) Lack of high grasping skills C) Previous experience D) Prior knowledge
A nurse's assessment reveals an area of erythema on an immobilized patient's sacrum. What is the initial nursing action?
a. Apply a wet-to-dry dressing. b. Massage the reddened area. c. Reposition the patient. d. Rub the area with alcohol.
When performing a mental status examination, a nurse notes that the patient keeps repeating, "I didn't do it. I didn't do it. I didn't do it
" This response would be an example of which one of the components of the mental status examination? a. Appearance b. Mood and affect c. Thought content d. Memory and attention
A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process. The nurse knows that their teaching has been effective when a colleague states:
a. "Nurses are discouraged from becoming involved in politics.". b. "The election process has nothing to do with nursing.". c. "It is easy for a nurse to become involved in the election process.". d. "Political campaigns never need any help.".