You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:
a. vascular from nonvascular lesions.
b. furuncles from folliculitis lesions.
c. fluid-filled lesions from solid cysts or masses.
d. herpes zoster from varicella.
C
Transillumination is used to determine the presence of fluid in cysts and masses. Fluid-filled le-sions will transilluminate with a red glow, and solid masses will not transilluminate.
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A group of students is discussing pancreatitis with their nursing instructor. What should the instructor tell the students is an important nursing intervention for a patient with pancreatitis?
A) Assess current nutritional status and increased metabolic requirements. B) Feed the patient 6 small meals a day. C) Provide only liquid nourishment. D) Encourage activity.
A patient's vital signs prior to a blood transfusion were: T = 97.6°F (36.4°C); P = 72 beats/min; R = 22 breaths/min; and BP = 132/76 mm Hg
Twenty minutes after the transfusion was begun, the patient began complaining of feeling "itchy and hot." The nurse discovered a rash on the patient's trunk. Vital signs were T = 100.8°F (38.2°C); P = 82 beats/min; R = 24 breaths/min; BP = 146/88 mm Hg. Based on these findings, what is the priority intervention? a. Administer an antihistamine (antiallergenic) medication. b. Flush the blood tubing with D5W immediately. c. Prepare for emergency resuscitation. d. Stop the blood transfusion immediately.
The nurse plans to administer medication to a 6-month-old infant based on which understanding?
1. The gluteal site is the preferred site for intramuscular (IM) administration of medication. 2. The dosage should be based on milligrams per kilogram weight per day. 3. Oral medications are the preferred route due to fewer side effects. 4. Medications should be calculated based on the infant's age.
The cholesterol category triglycerides is a type of ____________.?
A) plaque B) fat C) protein D) lipoprotein