A nurse assesses a client who has a lesion on the skin that is suspicious for skin cancer, as shown below:
Which diagnostic test should the nurse anticipate being ordered for this client?
a.
Punch skin biopsy
b.
Viral cultures
c.
Wood's lamp examination
d.
Diascopy
ANS: A
This lesion is suspicious for skin cancer and a biopsy is needed. A viral culture would not be appropriate. A Wood's lamp examination is used to determine if skin lesions have characteristic color changes. Diascopy eliminates erythema, making skin lesions easier to examine.
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A nurse takes a dinner tray to a patient who has been pacing and preoccupied. The patient suddenly places his butter knife against his throat and demands that everyone stay back
Which of the following considerations should be kept in mind in responding to this situation? Select all that apply. a. Maintaining and conveying a sense of calm confidence helps calm the patient. b. The patient will require restraint because he has presented a danger to self. c. In that the patient is not in control, the nurse should control what happens. d. Determine what the patient considers to be his need, to be important to him. e. Ask the patient for ideas about what he thinks would help resolve the crisis. f. Tell the patient that your goal is that everyone remains safe while you talk.
The nurse decides to take a few days of personal time to invest in self-nurturing activities. Which activities indicate the nurse is taking steps to care for self?
Select all that apply. A) Sleeping 4 hours each night B) Eating one meal a day C) Being active in church D) Participating in regular exercise E) Participating in daily meditation
The nurse caring for a patient with hepatitis B should initiate the precaution of:
1. reverse isolation. 2. standard precautions. 3. respiratory precautions. 4. enteric precautions.
A community health nurse, visits an 81-year-old newly diagnosed insulin-dependent diabetic who lives alone. The nurse has visited the family three previous times and is visiting early in the morning to observe his client's insulin administration technique
The nurse finds the client depressed over his or her situation one morning. The nurse suggests that together they list positive points about his or her situation and discuss his or her feelings. This is an example of which of the following? A) Strengthening B) Data collection C) Goal-directed questioning D) Measuring family functioning