The nurse reviewing a client record notes a documented finding of "vitiligo present bilateral hands." Which assessment finding should the nurse anticipate?

A. Dark, asymmetrical colored patches.
B. Nodules with ulcerations.
C. Abnormal loss of melanin in patches.
D. Grouped vesicles.


Answer: C

Nursing

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The nurse is working with a client receiving an intravenous heparin sodium drip. The nurse should review which of the following laboratory studies to determine the therapeutic effect of heparin for the client?

1. Bleeding time 2. Thrombin time 3. Prothrombin time (PT) 4. Partial thromboplastin time (PTT)

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When a patient is properly positioned in a wheelchair

A. the hips are positioned at a 90° angle, at the back of the chair. B. the arms are on the armrests with the shoulders slightly elevated. C. there should be at least an inch between the backs of the knees and the seat. D. the inner thighs should be internally rotated to reduce pressure on the buttocks.

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Which tube interferes with hearing lung sounds during auscultation? Select all that apply

a. Gastrostomy tube b. Chest tube c. Nasogastric tube d. Tracheostomy tube e. Oral endotracheal tube

Nursing

The nurse is caring for residents on an Alzheimer's unit. What assessment findings indicate that a patient is in early stages of the disease?

a. Increased intracranial pressure (ICP) b. Forgetfulness c. Combativeness d. Agitation

Nursing