A patient in the dermatology clinic has a thin, scaly erythematous plaque on the right cheek. Which action should the nurse take?
a. Prepare the patient for a biopsy.
b. Teach about the use of corticosteroid creams.
c. Explain how to apply tretinoin (Retin-A) to the face.
d. Discuss the need for topical application of antibiotics.
ANS: A
Because the appearance of the lesion suggests actinic keratosis or possible squamous cell carcinoma (SCC), the appropriate treatment would be excision and biopsy. Over-the-counter (OTC) corticosteroids, topical antibiotics, and Retin-A would not be used for this lesion.
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The nurse is preparing to administer medications to a patient. The patient is complaining of shortness of breath. The nurse should:
a. provide the patient with oxygen since it does not require a provider order. b. complete at least two checks to ensure that the proper medication is given. c. check the provider orders for all forms of prescription medications. d. remember that medication administration is an independent nursing action.
Part of the facility's performance evaluation is based on the nurse's strength in the three types of decisions
During a nurse manager's performance evaluation the supervisor says, "You are very good at adaptive decisions, but you need to be more precise in routine decisions. When the situation calls for really innovative decisions, you do not seem sure of yourself." How should the manager interpret this information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I am not following the policies and rules well." 2. "I should review the procedure manual." 3. "I'm good at using my previous experiences to guide my decisions." 4. "I am strongest in making decisions when the problems are very unusual or unclear." 5. "I make good decisions when the situation is novel."
A mother asks why her 6-year-old requires a daily dose of digoxin that is twice that of an adult. The nurse explains that the larger dose is necessary because of which characteristics of children?
a. Greater resistance to medications b. Variations in development of drug receptors c. A slower metabolic rate than adults d. More total body water, which dilutes the drug
A 33-year-old male patient with a gunshot wound to the abdomen undergoes surgery, and a colostomy is formed as shown in the accompanying figure. Which information will be included in patient teaching?
a. Stool will be expelled from both stomas. b. This type of colostomy is usually temporary. c. Soft, formed stool can be expected as drainage. d. Irrigations can regulate drainage from the stomas.