The doctor has asked the client to come in for the removal of a skin lesion after it is determined that the lesion meets all four criteria for removal according to the ABCD rule. The nurse interprets this to mean which of the following?
1. The lesion is symmetrical, with a smooth border, a single color, and the diameter has stayed the same.
2. The lesion is symmetrical with an irregular border, a single color, and the diameter has increased.
3. The lesion is asymmetrical with a regular border, two colors, and the diameter has decreased.
4. The lesion is asymmetrical with an irregular border, two colors, and the diameter has increased.
4. The lesion is asymmetrical with an irregular border, two colors, and the diameter has increased.
Rationale:
To meet all four criteria for removal of a lesion, the lesion will be asymmetrical, have an irregular border, show color change or more than one color, and have increased in diameter.
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Angiotensin-converting enzyme (ACE) inhibitors such as captopril (Capoten) and enalapril (Vasotec) decrease peripheral vascular resistance and decrease blood pressure by the mechanism of
a. direct arterial vasodilation. b. blocking the conversion of angiotensin I to angiotensin II. c. increased fluid excretion at the loop of Henle in the renal tubules. d. peripheral vasoconstriction and central vasodilation.
Which coping skill would be helpful as a strategy for stress reduction and time management?
1. Avoid being assigned to committees at work. 2. Delegate only when it is absolutely necessary. 3. Attend a support group to help give up the need for perfection. 4. Learn to use communication skills to win conflicts at work.
The nurse is providing care for a patient who is unhappy with the health care provider's care. The patient signs the Against Medical Advice (AMA) form and leaves the hospital against medical advice
What should the nurse include in the documentation of this event in the patient's medical record or on the AMA form? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Documentation that the patient was informed that he or she cannot come back to the hospital 2. Documentation that the patient was informed that he or she was leaving against medical advice 3. Documentation that the risks of leaving against medical advice were explained to the patient 4. Documentation of any discharge instructions given to the patient 5. Documentation indicating an incident report has been completed
The main purpose of the Nursing Interventions Classification (NIC) system is to
a. evaluate nursing interventions b. develop nursing interventions c. sort, label, and describe nursing interventions d. remove those interventions from the national list that are not appropriate