The nurse notes the presence of this lesion on the patient's anterior chest. How should the nurse document this finding in the medical record?
1. purpura
2. ecchymosis
3. venous star
4. spider angioma
Correct Answer: 3
This is a venous star, which is a flat blue lesion with radiating, cascading, or linear veins extending from the center. It ranges in size from 3 to 25 cm. Purpura are flat, reddish blue, irregularly shaped, extensive patches of varying size. Ecchymoses are flat, nonblanchable areas resulting from release of blood into superficial tissues. Spider angiomas are a form of telangiectasis that are bright red dots with tiny radiating blood vessels, ranging in size from a pinpoint to 2 cm.
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A) "Quitting smoking will significantly increase the chance that this drug will heal your ulcer." B) "This drug will help to eliminate the bacteria in your stomach that caused your ulcer." C) "You should eat several small meals each day rather than three larger meals." D) "Take each dose of ranitidine with an antacid of your choice."
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A) "There are many drug-resistant strains of gonorrhea, so more than one antibiotic may be required for successful treatment." B) "The combination of these two antibiotics reduces the later risk of reinfection." C) "Many people infected with gonorrhea are infected with chlamydia as well." D) "This combination of medications will eradicate the infection twice as fast than a single antibiotic."
After several weeks of caring for a child who is dying, a nurse finds herself hoping that the child will die on the weekend she is scheduled not to work. This behavior is consistent with which stage of grief?
A) Acceptance B) Bargaining C) Anger D) Depression
A client has chosen to discontinue hemodialysis, but the client's family is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement?
1. "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make.". 2. "I need to try and help the family understand the client's decision so they can work through this situation together.". 3. "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death.". 4. "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die.".