A client residing in an assisted living facility reports to the nurse that she has noted a white patch inside of her mouth. The nurse views the lesion in question and notes it is approximately 2 cm by 2 cm and is on the inner aspect of her left jaw
The client states she believes it is probably just "yeast." What response by the
nurse is indicated?
A) "You are probably right and should rinse with a mild solution of hydrogen peroxide and water."
B) "You should contact your healthcare provider for an evaluation of the area."
C) "I think the patch looks more like a bacterial infection and you will most likely need an antibiotic."
D) "The white patch is the result of aging and no cause for concern."
B
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While evaluating a client's electrocardiogram (ECG) before surgery, the preoperative nurse identifies large, wide Q waves. What is the nurse's best interpretation of this finding?
a. An acute myocardial infarction is occur-ring. b. The client had a myocardial infarction in the past. c. The ventricles are enlarged and failing. d. The ECG is a common variation of normal sinus rhythm.
The nurse is working with a couple who have been married for 40 years. The wife does not work outside the home. The husband handles all the family finances, stating, "She doesn't know the first thing about money management
I do it so she doesn't have to worry about bills." The wife says she depends on her husband to take care of her. The husband is diagnosed with lung cancer, but doesn't want his wife to know he has cancer until the end, because this news will "upset her." According to Bowen, this family is using ____________________ to manage anxiety. Fill in the blank(s) with correct word
The client is admitted to the emergency department with a number of diagnoses and is being admitted for observation. On the wellness–illness continuum, what is the implication for the acute illness that the client is being admitted?
A) Occurrence of detectable structural change in one or more organs that also alters usual function B) Interferes with the wellness–illness continuum for a short period of time C) A disorder in which a structural cause cannot be identified D) Results in long-term health impairment
A mother phones the clinic and tells the nurse, "My 5-year-old son had a fever seizure this morning." She adds that this is the child's first seizure experience. The nurse responds by asking the mother to bring the child in to be seen today
What other information should the nurse offer? Standard Text: Select all that apply. 1. "Febrile seizures are uncommon in boys." 2. "High temperatures generally induce seizures." 3. "Five-year-olds are too old for febrile seizures." 4. "Febrile seizures occur in up to 5% of children." 5. "Seizure medications are usually not necessary for febrile seizures."