The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m2. What is the nurse's best action?
a. Teach the patient about the treatment of fungal infection.
b. Discuss the use of drying agents to minimize infection risk.
c. Instruct the patient about the use of mild soap to clean skinfolds.
d. Ask the patient about type 2 diabetes or if there is a family history of it.
ANS: D
The presence of acanthosis nigricans in skinfolds suggests either having type 2 diabetes or being at an increased risk for it. The description of the patient's skin does not indicate problems with fungal infection, poor hygiene, or the need to dry the skinfolds better.
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The nurse assesses the spirituality of an adolescent. Which of the following are normal moral and spiritual milestones in this age group? Select all answers that apply
A) Adolescents will base their actions on the avoidance of punishment and the attainment of pleasure. B) Adolescents develop their own set of morals and values and question the status quo. C) Adolescents undergo the process of developing their own set of morals at different rates. D) Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion. E) Adolescents can understand the concepts of right and wrong and are developing a conscience. F) Adolescents are able to understand and incorporate into their behavior the concept of the "golden rule."
The nurse documents that the client's communication is congruent. What does this indicate?
1. The client's communication is therapeutic. 2. The client's nonverbal behaviors match the verbal message. 3. Nonverbal behaviors are expressed more strongly than the verbal message. 4. The verbal message is more important than the nonverbal message.
Animal assisted, guided imagery, and massage are all examples of
a. alternative therapy. b. holistic care. c. complementary care. d. individualized care.
The order is to infuse heparin at 315 units/hr using a solution strength of 14,000 units in 250 mL D5NS. Calculate the flow rate in mL/hr
What will be an ideal response?