An older client expresses concern about developing new "age spots." Which instruction is most important for the nurse to provide to the client?
a. "Limit the time you spend in the sun."
b. "Monitor for signs of infection."
c. "Monitor spots for color change."
d. "Use skin creams to prevent drying."
C
The ABCDE method (check for asymmetry, border irregularity, color variation, diameter, and evolving [changing] in any feature) should be used to assess lesions for signs associated with cancer. Any positive finding using this method requires the lesion to be examined by a derma-tologist or a surgeon. The other options are good instructions for clients too, but this client is worried about lesions that are already present.
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A nurse who provides care on an acute medical unit has observed that physicians are frequently reluctant to refer patients to hospice care. What are contributing factors that are known to underlie this tendency? Select all that apply
A) Financial pressures on health care providers B) Patient reluctance to accept this type of care C) Strong association of hospice care with prolonging death D) Advances in "curative" treatment in late-stage illness E) Ease of making a terminal diagnosis
What is a weakness of the traditional problem-solving model?
A) The amount of time needed for implementation B) Its lack of a step requiring evaluation of results C) Its failure to gather sufficient data D) Its failure to evaluate alternatives
What is the primary reason to back up data entered into electronic health records?
a. In the event of a system failure, the EHR system can be recovered with accurate data. b. The work of physicians will be disrupted in the clinics if the system fails and there is no backup. c. Administrators cannot continue to bill patients if the EHR fails and no backup exists. d. The interface engine will not be able to function if the EHR fails and no backup is available.
The risk of ovarian cancer is increased by:
a. the use of oral contraceptives. b. cigarette smoking. c. age between 35 and 50 years. d. early age at first intercourse.