A nurse in a dermatology clinic notices hypertrophied scar tissue on the left shoulder of patient who underwent a mole removal 2 weeks ago. The nurse would document this finding as which of the following?
A) Vesicle
B) Ulcer
C) Atrophy
D) Keloid
Ans: D
Feedback: A keloid is hypertrophied scar tissue caused by excessive collagen formation during healing. A vesicle is an elevated, palpable mass containing serous fluid. An ulcer is skin loss extending past the epidermis. When the skin atrophies, the epidermis becomes thin, dry, and transparent. Refer to Chart 55-3.
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The population health nurse is reviewing health information for a group of community members. Which client should the nurse identify as having comorbidities?
1. The 65-year-old client and his spouse both have diabetes mellitus. 2. The 72-year-old client is taking an antihypertensive medication that interferes with his asthma. 3. The 86-year-old client is the primary caregiver for his 90-year-old spouse. 4. The 67-year-old client does not experience the usual symptoms that are associated with emphysema.
Sometimes patients communicate by crying, moaning, or laughing. What should this behavior be considered?
a. Verbal communication b. Nonverbal communication c. Acting out and seeking attention d. Seeking holistic support
Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?
a. From 1800 to 2200 calories per day b. From 2000 to 2500 calories per day c. From 2200 to 2530 calories per day d. From 2500 to 2730 calories per day
A nurse provides health teaching for a patient diagnosed with binge-purge bulimia. Priority information the nurse should provide relates to:
a. self-monitoring of daily food and fluid intake. b. establishing the desired daily weight gain. c. how to recognize hypokalemia. d. self-esteem maintenance.