A client has joined a rowing team and has been enjoying the activity for approximately 1 month
The client comes to the clinic for a routine physical examination and shows the nurse the hands, which are observed to have thickened areas in several areas. What does the nurse recognize these are in response to the repeated friction of the oars? A) Calluses
B) Senile keratosis
C) Senile lentigines
D) Rheumatoid nodules
A
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Areas of skin subjected to friction, such as where a pencil is held repeatedly, have accelerated rates of epidermal cell production. A callus, which is a thick layer of epidermal cells, forms in response to recurring friction on an area of skin. Senile keratosis is small, yellow or brown raised lesions that appear on the face and trunk in an older adult client. Senile lentigines are also known as liver spots and are found on the hands and forearms of older people. Rheumatoid nodules affect those clients with rheumatoid arthritis.
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A topical corticosteroid has been prescribed for short-term use on an infant's skin. When planning the use of a topical medication for an infant, what principle should guide the nurse's actions?
A) Topical medications on infants' skin must be covered with an impermeable barrier. B) Infants' skin is more permeable to medication than older patients'. C) Infants have more subcutaneous fat than older patients, so higher concentrations of topical medications are often necessary. D) Systemic drugs are preferable to topical medications in the care of infants.
When assessing the client with Bell's palsy, the nurse anticipates which of the following findings?
1. Fine tremors of the hand; pill rolling of the fingers; and cog wheeling of extremities 2. Unilateral facial paralysis with sagging; inability to close the eye or wrinkle the forehead 3. Loss of memory and inability to plan, organize, and sequence; irritability 4. Lower-extremity weakness progressing in an ascending pattern to the upper body
A school nurse is discussing the anatomy of the female reproductive system with a group of eighth grade girls. Identify the information that the nurse should give to the students
1. The fallopian tubes carry the embryo to the uterus. 2. The endometrium responds to the levels of testosterone in the body. 3. The ovaries hold the ova. 4. The hymen needs to be ruptured in order for pregnancy to occur.
A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
a. have separation anxiety. b. rebel against rules. c. regress because of stress. d. want to know everything.