The patient has a large dark-red area involving the left lower face and jaw. There is no swelling or pain or history of trauma to the face or jaw. The patient states this mark has been present as long as she can remember
What is the most appropriate nursing action?
A) Obtain radiographs of the head and neck.
B) Report symptoms to adult protective services.
C) Document findings in permanent record.
D) Obtain clotting panel laboratory studies.
C
You might also like to view...
A woman has a miniature dachshund that sleeps with her. Her newlywed husband has allergic rhinitis. The nurse should instruct the couple to:
A) Remove the pet from the bedroom B) Allow the dog in bed but vacuum daily C) Sleep with a down comforter and pillows D) Sleep with the windows open
Which of these best describes an example of usability?
a. The IT department is surveying your unit to determine the placement of new computer workstations. b. A researcher is conducting a study of how nurses interact with electronic documentation to organize care handoffs. c. The leadership in your institution is asking for your help to determine oncology patient flow across regional institutions. d. The administration has asked you to take responsibility for orientation of new hires and the retraining of selected current employees on use of the automated medication administration system because there have been a consistent number of user errors.
A 73-year-old man receives hydralazine (Apresoline) 20 mg PO at 0800 . When the nurse checks his blood pressure at 0900, she obtains a reading of 72/44 mm Hg. The client has been taking this same dose of medication for 3 years
The nurse finds all of the following data in the client's chart. Identify the finding that is most significant for producing the client's current blood pressure. a. Pedal pulses 1 + and weak b. 24-hour fluid intake 1000 mL x 3 days c. Serum potassium 3.3 mEq/L d. Apical pulse 150 BPM, slightly irregular
A reviewer is asked to critically appraise a report to help determine whether funding will be allocated for a research study. This reviewer will be appraising a research
a. abstract. b. article. c. literature review. d. proposal.