The nurse notes that the older adult client has a number of bright, ruby-colored, round lesions scattered on the trunk and thighs. The nurse correctly interprets the finding as alterations in blood vessels of the skin and defines them as:
1. Purpura
2. Venous star
3. Cherry angioma
4. Spider angioma
3
Rationale: A cherry angioma occurs with increasing age and has no clinical significance. It is noted by the appearance of small, bright, ruby-colored round lesions on the trunk and/or extremities. Purpura results from hemorrhage into the skin. A venous star results from increased pressure in veins, usually in the lower legs, and has an irregularly shaped bluish center with radiating branches. Spider angiomas have a bright red center, with legs that radiate outward. These are commonly seen in those with liver disease or vitamin B deficiency, although they can occur occasionally without underlying pathology.
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The nurse obtains the following vital signs on a 1-year-old child—T: 37.8°C rectal; P: 76; R: 24; BP: 92/60. The nurse evaluates vital signs as which of the following?
1. Vital signs are within normal range. 2. The client is hypothermic. 3. The client is hypertensive, and the physician should be notified. 4. The pulse is borderline low, and requires further assessment.
A man is diagnosed with prostatitis and is being treated with a broad-spectrum antibiotic. The goal of treatment is to prevent the development of:
A) Cancer B) Abscess C) Pain D) Bladder spasm
The state now mandates a detailed consent for all hospitals receiving state funding. Which information should the committee designing this form include?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Description of risks and alternatives of the proposed procedure, including no treatment 2. Estimated cost of the procedure 3. Date and time the procedure is scheduled 4. Signature of the competent patient or a legal representative 5. Name and full description of the proposed procedure
A pediatrician orders a voiding cystourethrogram for a child to confirm a diagnosis of vesicoureteral reflux. After examining the results, the nurse finds that urine is backing up into the ureter and collecting system
The ureter and pelvis also appear mildly dilated with mildly blunted calyces. The nurse is aware that this type of reflux is graded as: A) grade I. B) grade II. C) grade III. D) grade IV.