The nurse is performing an oral assessment on a 40-year-old Black patient and notices the presence of a 1 cm, nontender, grayish-white lesion on the left buccal mucosa. Which one of these statements is true? This lesion is:
a. Leukoedema and is common in dark-pigmented persons.
b. The result of hyperpigmentation and is normal.
c. Torus palatinus and would normally be found only in smokers.
d. Indicative of cancer and should be immediately tested.
ANS: A
Leukoedema, a grayish-white benign lesion occurring on the buccal mucosa, is most often observed in Blacks.
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An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. The nurse's health education should include which of the following?
A) Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker B) Maintaining a diet high in dairy to increase protein necessary to prevent organ damage C) Use of strategies to prevent falls stemming from postural hypotension D) Limiting exercise to avoid injury that can be caused by increased intracranial pressure
The home health nurse instructs a young single mother that the Supplemental Food Program for Women, Infants, and Children (WIC) provides nutritious foods for children up to:
a. 5 years of age b. 7 years of age c. 8 years of age d. 9 years of age
The nurse realizes that effective nursing documentation encourages: (Select all that apply.)
1. Safe nursing practice 2. Continuity of client care 3. Positive client outcomes 4. Efficient time management 5. Cost-conscious nursing care 6. Effective nurse-client relationships
A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority?
A) Impaired skin integrity related to trauma secondary to pruritus and scratching B) Fluid volume deficit related to increased metabolic demands and insensible losses C) Social isolation related to infectivity and inability to go to the playroom D) Deficient knowledge related to how infection is transmitted