A client has a nonpalpable skin lesion that is causing a change in skin color greater than 1 cm in diameter. The nurse would document this finding as being a(n):
1. patch.
2. macule.
3. wheal.
4. vesicle.
1
A patch is a localized change in skin color of greater than 1 cm in diameter. A macule is a localized change in skin color of less than 1 cm in diameter. A wheal is localized edema in the epidermis causing irregular elevation that may be red or pale. A vesicle is an accumulation of fluid between the upper layers of the skin.
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A 66-year-old male client has had a diagnosis of benign prostatic hyperplasia (BPH) for several months and is now slated for transurethral prostate resection (TURP) surgery
The man states to the nurse, "Finally I'll be able to get my sex life back in order.". How can the nurse best respond? A) Tell the client that the surgery is likely to result in erectile dysfunction B) Explain that the surgery is unlikely to bring a rejuvenation of sexual performance C) Explain that while sexual performance is likely to improve, incontinence is often a consequence of the surgery. D) Tell the client that there will probably be no effect on sexual performance.
Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows. This is often characterized by which response?
a. Denial b. Guilt and anger c. Social reintegration d. Acceptance of child's limitations
The nurse is caring for a preschool child who is receiving palliative care for end-stage cancer. Which of the following would be the focus of age-appropriate interventions for this child?
A) Providing unconditional love and trust B) Providing a familiar and consistent routine C) Teaching the child that death is not punishment D) Providing specific, honest details of death
A busy neurologic ICU and step-down unit most likely would use which patient classification system?
a. Factor evaluation b. Prototype evaluation c. Hybrid system d. AHRQ system