The nurse teaches the patient the "ABCD" technique for evaluating melanomas. What does the "D" in this memory prompt represent?
a. Darkness
b. Drainage
c. Dimpling
d. Diameter
D
The "D" stands for diameter. The "A" is for asymmetrical, the "B" is for border, and the "C" is for color change.
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The nurse plans care for an older adult who is from Jamaica and resides in New York City. Which should the nurse include in planning care?
a. Attribute his illness to breaking a voodoo. b. Help him to improve social relationships. c. Maintain blood pressure below 120/70 mm Hg. d. Review principles of the magicoreligious system.
The patient is in isolation and in a room without windows. Which nursing action is most appropriate to help reduce or prevent sensory deprivation?
a. At regular intervals, ask the patient who she is and where she is. b. Engage the patient in conversation every two hours. c. Be sure the patient has a plant in her room. d. Tell the patient what day and time it is and discuss the weather at frequent intervals.
Even a moderate amount of anxiety is detrimental to a person's normal functioning
Indicate whether the statement is true or false.
A newborn has just been admitted to the special care nursery. What criteria should the nurse use to determine this newborn's classification and neonatal mortality risk? Select all that apply
1. Length 2. Birth weight 3. Gestational age 4. Amount of lanugo 5. Occipital–frontal head circumference