client with plaque psoriasis reports pinpoint bleeding if he lifts his scales. The nurse explains that this is called:
A) Koebner phenomenon.
B) Auspitz sign.
C) café au lait spots.
D) lichenification.
B) Auspitz sign.
Explanation: A) Koebner phenomenon occurs in clients with plaque psoriasis when injury to normal skin leads to plaque formation.
B) Increased vascularization of the lesions leads to Auspitz sign, where pinpoint bleeding will occur when the scale is lifted.
C) Café au lait spots are hyperpigmented spots on the skin.
D) Lichenification (thick leathery skin) occurs in acute dermatitis due to increased rubbing and scratching.
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When instructing a patient about the therapeutic effectiveness of an anthelmintic drug, the nurse would be sure to include what?
A) Any person exposed to the patient should also be treated. B) The drugs should never be taken with food. C) The infected person should be isolated. D) Strict hygiene measures are important in eradicating the worm.
The prescriber orders propranolol (Inderal) for a patient with a blood pressure reading of 200/106 . An electrocardiogram taken shortly afterward shows an atrioventricular (AV) block
The nurse should immediately hold the propranolol and report this finding to the prescriber for which rea-son? a. Lowering the blood pressure will require at least two different drugs. b. Beta blockers can intensify an AV block. c. Some reflex tachycardia may be associated with this agent. d. The drug may cause a cough, which might further disrupt the cardiac rhythm.
A health care organization serves many patients from different racial and ethnic groups. One group in particular does not take advantage of specific programs offered. The nurse manager could infer that
a. members of this cultural group need further education on the program's benefits. b. the cultural group shares an experience that creates barriers to using the service. c. the program simply is not equally beneficial to all cultural and racial groups. d. these programs should be mainly marketed to groups that actually use them.
A nurse is performing an assessment on four patients at 22 weeks' gestation. The nurse reports to the obstetrician that which patient might be carrying twins?
1. The patient who states that she feels "huge" 2. The patient with a weight gain of 15 pounds 3. The patient whose fundal height is 27 cm 4. The patient whose heart rate is 90