Performing hair care gives a nurse a chance to assess a patient's scalp for which of the following? Select all that apply
1. Sordes
2. Tinea capitis
3. Seborrhea
4. Nits
5. Leukoplakia
ANS: 2, 3, 4
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The nurse, caring for an elderly postoperative client with rheumatoid arthritis, is concerned about wound healing. Which of the following would be a priority intervention for this client?
a. Make sure the client gets plenty of IV fluids to prevent dehydration. b. Medicate the client for pain around the clock to increase her ability to move. c. Order a dietary consult and monitor the client closely for signs of infection. d. Monitor the client's vital signs closely for signs of hypotension.
A patient says, "I've been hearing about aromatherapy as part of treatment for serious illness. What do you think about me trying it?" Which nursing responses are indicated?
1. "Some studies have shown that using lavender oil can reduce anxiety." 2. "I would focus my energy on more traditional forms of healing." 3. "Other than jasmine oil, you are probably safe using aromatherapy." 4. "You should discuss this plan with your physician before purchasing anything." 5. "I know that some massage therapists use essential oils."
A 27-year-old female patient is admitted to the hospital for evaluation of right lower quadrant abdominal pain with nausea and vomiting. Which action should the nurse take?
a. Encourage the patient to sip clear liquids. b. Assess the abdomen for rebound tenderness. c. Assist the patient to cough and deep breathe. d. Apply an ice pack to the right lower quadrant.
A young woman has just consumed a serving of ice cream pie and develops severe cramping and diarrhea. The school nurse suspects the woman is
A) Allergic to sugar B) Lactose intolerant C) Experiencing infectious diarrhea D) Deficit in fiber