The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit:
1. Skin that is uniformly dark in color
2. Very pale skin with little pigmentation
3. Patches of skin that have loss of pigmentation
4. Blotchy brown macules across the cheeks and forehead
4
Rationale: Melasma is a condition caused by hormonal influences on melanin production and is noted by the appearance of blotchy brown macules across the cheeks and forehead. "Skin that is uniformly dark in color" describes vitiligo. "Very pale skin with little pigmentation" and "patches of skin that have loss of pigmentation" refer to normal variations in skin color.
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The nurse notes that a client with depression has an order for phenelzine (Nardil). The nurse plans to teach the client about avoiding foods high in tyramine because:
1. tyramine interferes with Nardil. 2. tyramine causes constipation. 3. tyramine and Nardil can cause a hypertensive crisis. 4. Nardil is absorbed better without tyramine.
A client's genetic disorder is thought to be attributable to unbalanced translocation. How would the nurse explain this phenomenon to the client's family?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Portions of your child's chromosomes are not arranged normally." 2. "Aneuploidy has occurred." 3. "Some genetic material is missing." 4. "Duplications of genetic material have occurred." 5. "Your child's cells are missing an entire chromosome."
Which of the following is a priority nursing diagnosis for a patient with newly developed significant ST segment elevation in leads V1 throughV4?
1. denial 2. activity intolerance 3. decreased cardiac output 4. anxiety
A patient will be wearing a Holter monitor for 2 days. What should the nurse instruct the patient about bathing while wearing the monitor?
a. "Take a sponge bath." b. "You may take a tub bath." c. "Take a shower with the monitor on." d. "Remove the monitor before showering."