A client is experiencing elevated fluid-filled lesions on the skin. The nurse would document these lesions as being:
1. macules.
2. nodules.
3. vesicles.
4. wheals.
3
Vesicles are elevated, fluid-containing lesions. Macules are flat, circumscribed changes of the skin. Nodules are elevated, solid lesions. Wheals are solid elevations formed by local, superficial, transient edema, usually in response to a pruritic condition.
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A client is being admitted to an inpatient clinical unit for treatment of obsessive-compulsive anxiety disorder. The nurse understands that this anxiety disorder is associated with which of the following?
A) Feelings of terror B) Nightmares C) Persistent unwanted thoughts and ritualistic behaviors D) Flashbacks
The wife of a critically injured husband has been at bedside for 2 days. As the nurse speaks to the wife, the nurse assesses that she is tired and irritable. The nurse realizes that the wife is experiencing:
1. fear. 2. denial. 3. compensation. 4. stress.
Which of the following is the role of the nurse when providing care to a client with a phobic disorder?
1. Encouraging the client to confront fears 2. Telling the client that the hospital is a safe place 3. Providing medication to help reduce the symptoms of the disorder 4. Providing comfort and alleviate emotional distress
The nurse notes that a client is having difficulty deciding to have surgery, has a heart rate of 110 beats per minute and is diaphoretic. What should the nurse consider this client is demonstrating?
1. Verbal cues of anger 2. Physical cues of anxiety 3. Physical cues of depression 4. Emotional cues of depression