The client tells the nurse that his skin is darker now than a week ago. Which condition could be responsible for this change?
A. Exposure to heat
B. Exposure to cold
C. Exposure to excess moisture
D. Exposure to ultraviolet light
D
UV light stimulates the production of melanin, which protects against the harmful effects of sun exposure.
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An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to the clinic, where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot
The child's vital signs are within normal range for age. What action by the nurse is best? A. Explain that growth spurts can cause fatigue. B. Prepare the family for a "fever" workup. C. Provide reassurance to the father and child. D. Review side effects of immunosuppressants.
A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation
The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? A) "Because we become more prone to constipation as we age, you'll likely need to increase the number of stool softeners you take." B) "I'll refer you to a specialist because it could be that you have a disease affecting your bowels or stomach." C) "Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation." D) "Try using a different over-the-counter laxative and see that if you resolves your problem."
An older man who has heart failure (HF) complains of increasing dyspnea over 2 days. Which of the following should the nurse assess to help determine whether the patient has adhered to his therapy?
a. Check for peripheral edema. b. Ask about his bowel pattern. c. Auscultate the lungs bilaterally. d. Compare his weight with baseline. e. Determine coughing frequency. f. Assess his diet over the past 48 hours.
The patient, newly diagnosed with hypothyroidism, seems very anxious to begin her drug regimen. The nurse's instructions include:
1. "Be certain that no dose is skipped." 2. "If a dose is skipped one day, double the dose the next day." 3. "Know the signs and symptoms of hyperthyroidism." 4. "You will be able to notice the benefits of thyroid replacement therapy right away."