The nurse organizes the nursing care plan on the nursing diagnosis of Acute pain related to postherpetic neuralgia." The least appropriate implementation would be to:
1. give antiviral medication as prescribed.
2. generously administer pain medication.
3. offer guided imagery or distraction techniques.
4. have the patient ambulate several times daily.
4
Ambulation certainly is not helpful for the pain. Very little helps the neuralgic pain except direct implementation.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1140
OBJ: 7 TOP: Herpes Zoster
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
21. The nurse explains that the major characteristic that differentiates cutaneous T-cell lymphoma from squamous cell and basal cell carcinomas is that cutaneous T-cell lymphoma:
1. does not metastasize.
2. has a cause unrelated to sun exposure.
3. can be treated with radiation.
4. can be treated topically.
2
Cutaneous T-cell carcinoma appears in areas protected by the sun. All three neoplasms can metastasize and can be treated by radiation or topically.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1144
OBJ: 6 TOP: Cutaneous T-Cell Carcinoma
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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The nurse is explaining the three layers of tissue which make up the heart wall. As the nurse draws the layers in different colors to highlight the layers, which color would the nurse use for the heart valves?
A) Blue, the same color as the pericardium B) Green, a mix of the pericardium and myocardium C) Purple, the same color as the myocardium D) Orange, the same color as the endocardium
Symptoms of vitamin D toxicity include
a. lethargy and loss of coordination. b. rickets, osteomalacia, and osteoporosis. c. blistered skin, joint pain, and liver dam-age. d. high levels of calcium in the blood and urine.
The nurse researcher is reviewing a research article that used a cluster sample. What is a cluster sample?
A) Selection of every kth case from a list B) Standard distance between the selected elements in the sample C) Multistaged selection of random samples from larger units D) Divides the population into homogeneous strata to ensure representation of subgroups
The first step in the treatment of the client who is anorexic is:
a. nutritional rehabilitation b. psychotherapy to enhance self-esteem c. group therapy to share experiences d. developing internal strategies