The nurse is taking care of a 2-year-old child with a macule skin lesion. Which clinical finding should the nurse expect to assess with this type of lesion?

a. Flat, nonpalpable, and irregularly shaped lesion that is greater than 1 cm in diameter
b. Heaped-up keratinized cells, flaky exfoliation, irregular, thick or thin, dry or oily, varied in size
c. Flat, brown mole less than 1 cm in diameter
d. Elevated, flat-topped, firm, rough, superficial papule greater than 1 cm in diameter


ANS: C
A macule is flat; nonpalpable; circumscribed; less than 1 cm in diameter; and brown, red, purple, white, or tan. A patch is a flat, nonpalpable, and irregularly shaped macule that is greater than 1 cm in diameter. Scale is heaped-up keratinized cells, flaky exfoliation, irregular, thick or thin, dry or oily, varied in size, and silver white or tan. A plaque is an elevated, flat-topped, firm, rough, superficial papule greater than 1 cm in diameter. It may be coalesced papules.

Nursing

You might also like to view...

The illustration below identifies which type of chart?

a. Productivity b. Organizational c. Resource d. Staffing

Nursing

The patient is receiving a statin drug. Which assessment data would be a priority for the nurse to report to the physician?

1. Bowel sounds markedly increased in all four quadrants of the abdomen 2. Urine output of 200 mL/hour 3. Urine output of 20 mL/hour 4. Moderate elevation in liver function tests (LFTs)

Nursing

A primigravida is admitted to the labor unit with contractions every 7–8 minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes

Which of the following would be the most effective nursing intervention? 1. Instruct the patient in abdominal breathing and progressive relaxation. 2. Instruct the patient in patterned, paced breathing and touch relaxation. 3. Instruct the patient in pelvic tilt and pelvic rock exercises. 4. Call the physician and request a sedative.

Nursing

The client is weighed each month while residing in the long-term care facility. This month the client weighs 110 lb (50 kg). The nurse compares this weight to the last 3 months' results and discovers the client has lost 22 lb (10 kg)

There has been no attempt to lose this weight. How does the nurse interpret this weight loss? 1. No malnutrition 2. Mild malnutrition 3. Moderate malnutrition 4. Severe malnutrition

Nursing