What would account for these findings?
A young man comes to you with an extremely pruritic rash over his knees and elbows which has come and gone for several years. It seems to be worse in the winter and improves with some sun exposure. On examination, you notice scabbing and crusting with some silvery scale, and you are observant enough to notice small “pits” in his nails.
A) Eczema
B) Pityriasis rosea
C) Psoriasis
D) Tinea infection
C) Psoriasis
This is a classic presentation of plaque psoriasis. Eczema is usually over the flexor surfaces and does not scale, whereas psoriasis affects the extensor surfaces. Pityriasis usually is limited to the trunk and proximal extremities. Tinea has a much finer scale associated with it, almost like powder, and is found in dark and moist areas.
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A patient has been given isoniazid (INH). Why should the nurse assess the liver enzymes before administering this medication?
A) The liver metabolizes the medication. B) The liver works to bind the medication. C) The renal system allows for elimination. D) The medication is eliminated in the feces.
To maintain hematocrit levels in people with kidney failure, the nurse should be prepared to
A) arrange for frequent blood transfusions in an outpatient clinic. B) administer iron dextran intravenously. C) administer a subcutaneous injection of recombinant human erythropoietin (rhEPO). D) administer prenatal vitamins twice a day.
A child receives a combination of regular and NPH insulin at 8:00 AM. At 8:45 AM, when the breakfast trays have not yet arrived from the kitchen, the nurse should:
a. Notify the charge nurse b. Give the patient a snack of graham crackers and milk c. Ambulate the patient in the hall for a short time d. Give the patient more insulin according to the sliding scale
Patients should be advised not to overuse laxatives, because the smooth muscle in the colon can lose its tone. What condition should the nurse warn the client can occur if this happens?
1. Chronic constipation 2. Chronic diarrhea 3. Chronic nausea 4. Frequent vomiting