Based on this description, what is your most likely diagnosis?
An 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible.
A) Alopecia areata
B) Trichotillomania
C) Tinea capitis
D) Traction alopecia
A) Alopecia areata
This is a typical description for alopecia areata. There are no risk factors for trichotillomania or for traction alopecia. The physical examination is not consistent with tinea capitis because the skin is intact.
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1. sympathetic 2. enmeshed 3. complementary 4. nonjudgmental
The nurse is working with a male client who is approximately the same age as the nurse's father. The client is a substance abuser who has relapsed for the third time this year. The nurse's father is also a substance abuser
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Which action should the nurse take after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?
a. Assess the patient for symptoms of hyperglycemia. b. Give the patient a snack of peanut butter and crackers. c. Have the patient drink a glass of orange juice or nonfat milk. d. Administer a continuous infusion of 5% dextrose for 24 hours.
Which question is most important for the nurse to ask the client who has been diagnosed with osteoporosis?
1. "How much weight have you gained in the last year?" 2. "How many dairy products do you consume per day?" 3. "Does someone in your household smoke?" 4. "What would you estimate your cholesterol intake to be?"