The nurse suspects that a school-age child has ringworm of the scalp. What did the nurse assess to come to this conclusion? Select all that apply.
A. Oval nits on the hair shaft
B. Areas of hair loss
C. Coarse, dry hair
D. Pustules on the scalp
E. Scaling on the scalp
Answer: E
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The student nurse realizes that individuals who self-mutilate may:
1. Process feeling verbally if someone listens. 2. Never learn how to control their urges. 3. Cut for attention only. 4. Have difficulty processing feelings.
The nurse is caring for a child diagnosed with autism spectrum disorder (ASD) who is being admitted to the hospital with dehydration. Which action by the nurse is appropriate when the child arrives to the care area?
A) Take the child on a tour of the pediatric unit. B) Take the child to the playroom for arts and crafts. C) Quietly orient the child to a single-bed hospital room. D) Orient the child to a four-bed unit.
Mr. G is called "Gloomy Gus" by his family, as he always sees the dark side of things. He has even threatened several times to kill himself, although he has not followed through on the threats
Lately, he seems preoccupied and has accidentally taken an overdose of a medication. He has just threatened suicide again. What should the nurse be sure that the family understand is important? A) Encourage him to find a psychoanalyst. B) Make sure he gets immediate attention by a psychiatrist. C) Ignore his "crying wolf" again. D) Remind him of his many blessings.
What nursing intervention would be the priority for an 82-year-old woman admitted with severe gastroenteritis and who is having up to 15 watery stools per day?
A. Replacing fluids B. Ensuring skin care C. Changing positions frequently D. Providing a bedside commode