A client has exhibited repeated return of hordeolum (sty). Which assessment finding is most important in determining care for this client?
A) Use of mascara
B) Low blood sugar
C) Use of disposable wash cloths
D) Antibacterial facial wash
A
Feedback:
Hordeolum is an infection usually caused by Staphylococcus aureus. To avoid transferring microorganisms, the use of eye cosmetics should be eliminated or at least products frequently replaced. Clients with high blood sugar are more likely to develop hordeolum. Use of disposable wash cloths, antibacterial cleansers, and good hygiene practices are preventable techniques.
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A nurse assesses a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic processes? (Select all that apply.)
a. Indirect inguinal hernia - An enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac b. Femoral hernia - A peritoneum sac pushes downward and may descend into the scrotum c. Direct inguinal hernia - A peritoneum sac passes through a weak point in the abdominal wall d. Ventral hernia - Results from inadequate healing of an incision e. Incarcerated hernia - Contents of the hernia sac cannot be reduced back into the abdominal cavity
The student nurse assessed the client's skin. The student nurse documented "+1 edema right lower leg.". The experienced nurse expects to find which of the following based on the student nurse's documentation?
1. The presence of slight pitting, no obvious distortion 2. Deep pitting, obvious distortion 3. Pitting is obvious, extremities are swollen 4. Moderate amount of edema
The breastfeeding mother is concerned about her decreased production of milk. The nurse knows further teaching is needed based on which statement?
1. "I am drinking a minimum of 8–10 glasses of liquid a day." 2. "I have started cutting back on my protein intake." 3. "At least three times a day, I am drinking a glass of milk." 4. "I try to take a nap in the morning and afternoon when the baby is sleeping."
The classifications of malignant neoplasms are: (Select all that apply.)
a. carcinomas. b. lymphomas. c. fibromas. d. lipomas. e. sarcomas.