An older patient reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm lesion on the inner aspect of the left jaw. How should the nurse respond to the patient?
1. "Rinse with a mild solution of hydrogen peroxide and water."
2. "The white patch is the result of aging and no cause for concern."
3. "You should contact your healthcare provider for an evaluation of the area."
4. "I think the patch looks like a bacterial infection and you will most likely need an antibiotic."
3
Rationale: The patient should not be directed to use hydrogen peroxide since this is irritating to delicate oral tissues.
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The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse?
1. "Would you like to increase your therapy visits?" 2. "Let's look at the plan of care together." 3. "Who told you that you weren't accomplishing your goals?" 4. "I will discuss your feelings with the doctor."
Place these pathophysiologic mechanisms of DIC in the order in which they occur
1 . Activation of the fibrinolytic system 2 . Breakdown of thrombi; spontaneous hemorrhage 3 . Consumption of coagulation factors; failure of regulatory mechanisms 4 . Endothelial damage; release of tissue factor 5 . Thrombin formation; clots form along epithelial walls a. 4, 5, 3, 1, 2 c. 5, 1, 2, 4, 3 b. 4, 1, 3, 2, 5 d. 2, 3, 1, 5, 4
An older patient who is prescribed doxazosin mesylate (Cardura) has a lying blood pressure of 124/76 mm Hg and a sitting blood pressure of 100/64 mm Hg. What additional observation is needed for this patient?
1. Fall risk 2. Nausea and vomiting 3. Decreased urine output 4. Change in mental status
There are differences between a program funded by the government and a policy formed and funded by the government. Which best describes a program?
A) Process of influencing the allocation of scarce resources B) Set of principles that is frequently formally agreed upon C) Based on the institution's mission and goals D) Set of actions to achieve a goal