The nurse is planning an educational program on clinical manifestations seen in communicable diseases. Which statement best describes erythema?
A) Redness of the skin produced by congestion of the capillaries
B) Small, circumscribed, solid elevation of the skin
C) Discolored skin spot not elevated at the surface
D) Small elevation of epidermis filled with a viscous fluid
Ans: A
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The client on the psychiatric unit is asking questions about prevention of sexually transmitted diseases
Given the Psychiatric–Mental Health Nursing Standards of Practice, which action would be most appropriate for the nurse to take at this time? 1. Consult with the mental health care team. 2. Teach safer sexual practices. 3. Investigate the questions in individual psychotherapy. 4. Notify the attending psychiatrist.
Which cultural considerations should a nurse identify as reflective of Western European Americans?
1. They are present-time oriented and perceive the future as God's will. 2. They value youth, and older adults are commonly placed in nursing homes. 3. They are at high risk for alcoholism, because of a genetic predisposition. 4. They are future oriented and practice preventive health care.
A patient requires digital removal of a fecal impaction. Which action should the nurse perform before beginning this procedure?
a. Administer large-volume tap water enemas until clear. b. Assist the patient into the dorsal recum-bent position. c. Check for an order from the healthcare provider. d. Delegate the procedure to nursing assistive personnel (NAP).
After the client begins taking glucocorticoid medications, the nurse would observe for adverse effects of
1. hypoglycemia. 2. hypotension. 3. bruising of the skin. 4. weight loss.