A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most likely are:
a. chickenpox.
b. impetigo.
c. shingles.
d. herpes simplex type I.
ANS: B
Impetigo is seen at all ages, but is particularly common in children. The crust is honey-colored and easily removed and is associated with pruritus. The disease is highly contagious and spreads by contact.
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In a naturalistic or holistic approach to health, an example of a hot symptom would be:
a. diarrhea. b. an earache. c. a headache. d. a nasal cold.
One of the nurses on your unit tells you that his grandmother, who speaks no English, was recently admitted to the hospital with a heart condition. The nurses caring for the grandmother have labeled her a difficult patient
The nurse further explains that the grandmother immigrated from China just 6 months ago and generally only interacts with family members and close family friends. You hypothesize that the grandmother is most likely experiencing which of the following? a. Cultural intensity c. Cultural stereotyping b. Culture shock d. Cultural incompetence
A client with a left arm fracture complains of severe diffuse pain that is unrelieved by pain medication. On further assessment, the nurse notes that the client experiences increased pain during passive motion, compared with active motion, of the left arm. On the basis of these assessment findings, which action should the nurse take first?
A. Contacting the health care provider B. Reassessing the client in 30 minutes C. Checking to see whether it is time for more pain medication D. Encouraging the client to continue active range of motion exercises of the left arm
The nurse is administering a tube feeding to a patient who has been receiving feedings at 50 mL/hour for 1 day. The nurse is checking placement and residual volume and is able to aspirate back 250 mL of undigested tube feeding
What action should the nurse take? a. Return aspirated tube feeding to the patient, and run feeding at a slower rate of 20 mL/hour. b. Discard aspirated tube feeding, and run tube feeding as ordered by the physician. c. Report amount of aspirated tube feeding to the RN for consultation with the physician. d. Return aspirated tube feeding to the patient, and wait 2 hours before restarting tube feeding at 50 mL/hr.