Your are assigned to a 69-year-old patient in a nursing home. Your patient complains that his legs are cold all the time and his skin is dry and itchy
You note that the patient is wearing flannel nightclothes and has a wool blanket over his legs as he sits in a chair. Your hypothesize that he has areas of lichenification and excoriations on his arms and legs, which have most likely developed because of tissue damage from which of the following? a. excessive scratching c. poor nutrition and circulation
b. repeated skin infections d. scabies infestation
A
Localized thickening and roughness of the epidermis, known as lichenification, can be a result of chronic pruritus (lichenification) from excessive scratching. Excoriation, or loss of the epidermis, can also be caused by excessive scratching. Repeated skin infections can result in scars. Coolness of the arms and legs can be the result of poor nutrition and impaired circulation. Scabies is caused by the Sarcoptes scabiei mite which burrows into the stratum corneum and deposits feces. This produces lesions that are red pruritic papules or vesicles with S-shaped or straight-lined burrows and are intensely pruritic.
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A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and cool, with 1+/4+ pedal pulses. What action by the nurse is best?
a. Assess the neurovascular status of the right leg. b. Document the findings in the client's chart. c. Elevate the left leg on at least two pillows. d. Notify the provider of the findings immediately.
The nurse is aware that long bones in children continue to grow until puberty when:
a. Cartilage is ossified b. Connective tissue is diminished c. Epiphyseal fusion occurs d. Bone is no longer synthesized
The slight curve in the surface of a liquid in a medicine cup is the ________.
Fill in the blank(s) with the appropriate word(s).
The nurse notes that a patient who has been receiving paroxetine (Paxil) for symptoms of major depression begins to behave in a confused and elated manner with the presence of restlessness, muscle jerking, and diaphoresis
The nurse should assess these symptoms as probable: a. Neuroleptic malignant syndrome b. Anticholinergic blockade c. Serotonin syndrome d. Dystonia