The nurse palpates a downward small protrusion of the helix known as Darwin's tubercle. The nurse should document this as which of these?
a. An abnormal palpable calcification
b. Within normal limits
c. A lump filled with fluid
d. A tumor
ANS: B
A downward protrusion of the helix, called Darwin's tubercle, is a normal finding.
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A nurse is caring for a patient who is to be discharged with a prescription for eye drops. The nurse knows that the patient understands how to administer eye drops correctly when the patient states that eye drops should be instilled on the:
a. sclera. b. cornea. c. conjunctival sac. d. area between the iris and lower eyelid.
The nurse is receiving shift report about a patient who has a tracheostomy. The nurse learns that the patient was suctioned seven times during the past shift and has questioned the necessity of such frequent suctioning
Why is it important not to perform unnecessary tracheal suctioning? A) Excessive suctioning can result in bronchospasm. B) Frequent suctioning inhibits the patient's existing cough reflex. C) Excessive suctioning produces "rebound" production of secretions. D) Frequent suctioning is a risk factor for respiratory alkalosis.
The nurse points out that negative symptoms of schizophrenia are more difficult to modify. Examples of negative symptoms are: (Select all that apply.)
a. avolition. b. hallucination. c. psychomotor retardation. d. delusions. e. anhedonia.
When providing care to the client with an exacerbation of gout resulting in foot pain, which of the following nursing interventions will aid in promoting comfort?
1. Elevating the extremity using a foot cradle 2. Wrapping the extremity in an ace bandage 3. Encouraging liberal fluid intake 4. Providing passive range-of-motion exercises