The client with psoriasis asks the nurse if the plaque buildups can be scraped off to remove them. The nurse explains:
1. Plaque cannot be removed surgically.
2. Surgical removal is considered plastic surgery, and is very costly.
3. The client would require screening to see if he is a candidate for the procedure.
4. Only very young children respond to that form of treatment.
1
Rationale: Psoriasis plaques are very vascular, and cannot be surgically removed. Furthermore, any break in skin integrity is likely to result in plaque formation. Psoriasis is generally found for the first time in people between the ages of 15 and 35, and is rarely seen in young children.
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The nurse is aware that many of the diseases of the lower gastrointestinal tract can be identified by the characteristics of the patient's stool. What would voluminous, greasy stools suggest?
A) Intestinal malabsorption B) Inflammatory colitis C) Colon cancer D) Small bowel obstruction
A nurse practitioner is aware of the high incidence and prevalence of hypothyroidism and regularly encourages many patients to undergo screening of their thyroid secreting hormone (TSH) levels
Which of the following individuals likely faces the greatest risk of developing hypothyroidism? A) A 49-year-old man who works in an iron smelter B) A 55-year-old woman who complains of fatigue C) A 30-year-old man with poorly controlled type 2 diabetes D) A 71-year-old man who has experienced nausea and vomiting secondary to influenza
The female client is visiting family from Iran and develops appendicitis during the night. The nurse in the emergency department would do which of the following when notifying the doctor to assess the client?
1. Ask for a female doctor to assess the client 2. Ask for a male doctor to assess the client 3. Explain the assessment procedure and ask the family their preference 4. Ask the physicians which one should see the client
Parents of a newborn ask the nurse why their newborn's head seems lopsided and not round, as they thought it should be. How should the nurse respond to these parents?
1. "I don't think it looks unusual; actually the head is beautifully shaped." 2. "Your baby's head had to shape itself to the birth canal. It will look round in a few days." 3. "You're right. We'll make sure your doctor checks this out." 4. "Babies' heads always look funny. Once his hair grows out, you'll hardly notice it."