A patient has a lesion in the left axilla that is deep, painful, and contains pus. The lesion is three centimeters in diameter and is walled off. The nurse anticipates treatment to be initiated for which condition?
1. A furuncle
2. Folliculitis
3. A carbuncle
4. Herpes zoster
1
Rationale 1: A furuncle is a walled-off, deep, painful, firm mass that contains pus. It is usually 1 to 5 centimeters in diameter.
Rationale 2: Folliculitis is inflammation of the hair follicles. It presents as circular papules and pustules associated with the hair follicles and surrounded by an area of erythema.
Rationale 3: A carbuncle is a larger abscess that interconnects several hair follicles and is about 3 to 10 centimeters in diameter.
Rationale 4: Herpes zoster is a viral skin infection that manifests as erythematous vesicles scattered over the skin surface along one or two adjacent dermatomes.
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The role of the nurse in the spiritual care of patients includes which of the following? Select all that apply
a. Choosing the most appropriate treatment for the patient b. Evaluating the patient's use of prayer in the health care setting c. Formulating a medical diagnosis based on the spiritual assessment d. Becoming knowledgeable about different religions and spiritual practices e. Performing a spiritual assessment in order to learn more about the patient's beliefs f. Planning, implementing, and evaluating appropriate strategies for spiritual care of the patient
The nurse is assessing the patellar reflex on a client and obtains no reflexive activity. The client is alert and oriented. The nurse should do which of the following in this situation?
1. Document the findings as normal. 2. Notify the healthcare provider immediately. 3. Look at the medication records for central nervous system depressants. 4. Retest the reflex after having the client use distraction during the exam.
Which feature of a drug agonist increases its potency?
a. It is water soluble. b. It binds tighter and longer to its receptors than do other drugs. c. It is excreted through the intestinal tract rather than through the kidneys. d. It is administered intramuscularly rather than by the intravenous route.
Identify the action the nurse should take first when the low tidal volume alarm on a positive pressure, volume-cycled ventilator begins and continues to sound
a. Check for water buildup in the ventilator tubing. b. Disconnect the oxygen supply to the ven-tilator. c. Check for separation of the ventilator tube from the endotracheal tube. d. Encourage the client to cough to remove excessive secretions.