The nurse is performing a skin assessment on an African American client and notes an elevated, irregular band of jagged tissue on the client's left arm
The client states, "I had a burn here a long time ago, but it seemed to keep on getting bigger.". The nurse would correctly document this finding in which of the following ways? 1. Ulcer
2. Keloid
3. Fissure
4. Scar
2
Rationale 1: An ulcer is a deep, irregularly shaped area of skin loss extending into the dermis or subcutaneous tissue. This tissue is best described as a keloid.
Rationale 2: This is most likely a keloid, which is an elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. There is higher incidence in people of African descent.
Rationale 3: A fissure is a crack in the skin extending to the dermis. This tissue is best described as a keloid.
Rationale 4: A scar is connective tissue left after healing, but is flat and usually linear. This is most likely a keloid, which is an elevated, irregular, darkened area of excess scar tissue caused by excessive collagen formation during healing. It extends beyond the site of the original injury. There is higher incidence in people of African descent.
You might also like to view...
The nurse teaches a woman how to palpate the nipple during a breast self-exam. Which of the following is correct?
a. Compress the nipple between the thumb and forefinger. b. Press the nipple against the rib cage. c. Pull it upward and release it. d. Roll it in a clockwise motion.
The nurse preparing to discharge a client with acute hepatitis B instructs the client to avoid
a. acetaminophen and aspirin. b. laxatives and stool softeners. c. nicotine and caffeine. d. oral decongestants.
Which statement made by a new graduate nurse about invasive mechanical ventilation techniques is incorrect and requires additional teaching?
1. "Assist control mode refers to the patient receiving a set total lung capacity (TLC) but the rate can be modified by the patient's own rate of breathing." 2. "Total control mode controls both the rate and volume that are preset and delivered without the machine responding to any of the patient's own breaths." 3. "Synchronized intermittent mandatory ventilation (SIMV) refers to the patient setting an independent rate but limited tidal volume based on the patient's own strength. A minimum rate is also used as a backup to prevent hypoventilation." 4. "Continuous positive airway pressure will increase the residual capacity and keep the alveoli open. Rate and volume are controlled by the patient. This is one step in the weaning process."
________ is the anesthetic of choice for induction with an inhalation agent because it lacks pungency and does not promote secretion production.
A. Sevoflurane B. Isoflurane C. Ketamine D. Propofol