Based on this description, what is the most likely diagnosis?
A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back.
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
A) Pityriasis rosea
This is a classic description of pityriasis rosea. The description of a large single or “herald” patch preceding the eruption is a good way to distinguish this rash from other conditions.
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The nurse observes that the patient has an abnormal respiratory pattern and has documented that the patient is demonstrating Cheyne-Stokes respirations. What respiratory pattern description is characteristic of a patient who has Cheyne-Stokes respirations?
A) Rapid shallow breaths B) Low respiratory rate with hiccups C) Alternating periods of deep breathing and periods of apnea D) Increased rate and depth in breaths
A nurse is preparing to administer a drug that is used to prevent uterine contractions. Which drug might the nurse be preparing to administer? Select all that apply
A) Misoprostol (Cytotec) B) Indomethacin (Indocin) C) Terbutaline (Brethine) D) Oxytocin (Pitocin) E) Dinoprostone (Cervidil)
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct
1. Older adults because of reduced renal function 2. Administration of aldosterone antagonist diuretics because of decreased potassium levels 3. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin 4. Doses between 0.25 and 0.5 mg/day
The nurse is caring for a child with congestive heart failure (CHF). The nurse provides instructions to the mother regarding the procedure for administration of the prescribed digoxin (Lanoxin)
Which of the following statements, if made by the mother, indicates a need for further education? 1. "I can mix the medication with food." 2. "If more than one dose is missed, I need to call the physician." 3. "I need to take the child's pulse before administering the medication." 4. "If the child vomits after being given the medication, I should not repeat the dose."