A patient with a history of sun exposure is concerned about broken blood vessels on the cheeks. What should the nurse realize this patient is describing?
A. Nevus flammeus
B. Venus lakes
C. Skin tags
D. Telangiectases
Answer: D
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A nursing student, who maintained a 4.0 GPA since starting nursing school, started working the past semester, is planning a wedding, and has moved into a new home
The student has not been able to maintain the 4.0 GPA this semester, and as a result is feeling like a failure. How is this loss best described? a. Maturational b. Situational c. Actual d. Perceived
Your organization has made a decision to implement TCAB in your hospital. As a manager, what strategies would you use to implement TCAB? (Select all that apply.)
a. Encourage recognition among staff of their knowledge of the patient-care envi-ronment. b. With staff, select small changes for con-sideration. c. Select only projects that have widespread impact. d. Secure external advisors to evaluate in-novation. e. Present ideas based on best practices and ask staff for advice on implementation.
A nurse assesses a resident in a long-term care facility with the "get up and go" technique. What should this involve observing the resident do?
a. Walk carefully through a cluttered area without incident. b. Rise from the bed, and go to the bath-room. c. Sit and rise from an armless chair. d. Ambulate in a straight line for 1 foot.
The nurse caring for a 2-hour postoperative transurethral resection (TUR) immediately reports to the charge nurse the presence of large clots in the catheter and drainage bag. The nurse anticipates that the physician will:
1. instill ice water into the bladder. 2. decrease the amount of fluid in the balloon of the indwelling catheter. 3. apply traction to the catheter by taping it to thigh. 4. order a potent vasoconstrictor to reduce hemorrhage.