The nurse is conducting a focused interview with an elderly client. The client states that she is concerned about "All of these little bumps on my neck and chest.". Moist, brownish, wart-like lesions are noted on the neck and chest
The nurse would suspect which of the following conditions? 1. Cherry angiomas
2. Acrochordons
3. Actinic keratoses
4. Seborrhea keratoses
4
Rationale 1: Cherry angiomas are vascular lesions that produce tiny, red spots usually on the trunk.
Rationale 2: They are pedunculated, flesh-colored lesions that occur on the neck, back, axillary area, and eyelids.
Rationale 3: Actinic keratoses are normal aging growths that appear as callus-like red, yellow, or flesh-colored plaques appearing on exposed areas such as ears, cheeks, lips, nose, upper extremities, or balding scalp.
Rationale 4: Seborrhea keratoses are benign, greasy, wart-like lesions that are yellow-brown in color. They commonly appear of the neck, chest, and back.
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A patient with obstructive sleep apnea is unhappy using CPAP therapy and asks the nurse if there is something else he can try. What is the best statement by the nurse?
1. "Perhaps a class in sleep hygiene would be helpful." 2. "Certain classes of sleeping pills are sometimes effective in OSA." 3. "Cognitive-behavioral therapy works for some people with OSA." 4. "Oral-pharyngeal surgery, some appliances, or weight loss are sometimes utilized."
An APRN is assessing the tympanic membrane of a 15-year-old boy who has come to the clinic. What would the APRN expect to visualize if the patient has a normal otoscopic evaluation?
A) The arm of the stapes B) The short process of the malleus C) The head of the incus D) The long process of the stapes
A child has been diagnosed with having dopamine deficiencies. The nurse would anticipate signs of _________ during an assessment
1. Fatigue 2. Compulsions 3. Decreased motivation 4. A depressed mood
Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?
A. Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people. B. Insurance will not pay for children to stay in the hospital, but they will pay for home care. C. It is too dangerous to use unlicensed assistive personnel to staff pediatric units and too expensive to hire professional nurses. D. There are not enough expert pediatric nurses to staff additional pediatric units.