A student comes to the school nurse and shows her a mosquito bite. The bite is elevated and has serous fluid contained in the dermis. This lesion would be classified as what?
A) Vesicle
B) Macule
C) Nodule
D) Wheal
Ans: D
Feedback: A wheal is a primary skin lesion that is elevated and has fluid contained in the dermis. An example of a wheal would be an insect bite or hives.
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Place the steps of assisting the client with combing and brushing of the hair in the appropriate order. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Brush or comb from the scalp toward the hair ends. Response 2. Move fingers through hair to loosen any larger tangles Response 3. Use a wide-tooth comb, start on either side of the head, and insert the comb with the teeth upward to the hair near the scalp. Comb through the hair in a circular motion by turning the wrist while lifting up and out. Continue until all hair is combed through, and then comb into place to shape and style. Response 4. Moisten hair lightly with water, conditioner, or an alcohol-free detangle product before combing. Response 5. Part the hair into two sections, then separate hair into two more sections.
Which assessment finding is most important in determining nursing care for a client with pneumonia?
A) A slight cough and fatigue B) Confusion and restlessness C) Mild pleuritic chest pain D) Fever
The nurse is admitting a patient with terminal brain cancer who is legally blind in both eyes. When planning care for this patient, which is the priority for the nurse to consider?
1) Nutrition 2) Mobility 3) Communication 4) Hygiene
A patient with a history of end-stage renal disease secondary to diabetes mellitus has presented to the outpatient dialysis unit for his scheduled hemodialysis. Which of the following assessments should the nurse prioritize before, during, and after his treatment?
A. Level of consciousness B. Blood pressure and fluid balance C. Temperature, heart rate, and blood pressure D. Assessment for signs and symptoms of infection