The nurse is completing an integumentary examination with an African American patient. Which findings should the nurse recognize are associated with the patient's genetics?
Select all that apply.
1. an ashen hue to black skin
2. a yellowish cast on the palms
3. very dry scalp and dry, fragile hair
4. several keloids
5. patches of white spots on the hands
Correct Answer: 3, 4, 5
Dry scalp and dry, fragile hair may have a genetic origin in African American individuals. Keloids also occur in African American individuals with a familial tendency. An ashen hue to the skin is a sign of anemia. A yellowish cast to the skin noticed on the palms may indicate jaundice. White patches, or vitiligo, often found over the skin of the face, hands, or groin, occur in individuals with a familial tendency.
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The nurse is providing teaching to a client diagnosed with a social phobia. Which client statement indicates appropriate understanding of the information presented?
A) "I try to avoid all situations where I am expected to talk in front of other people." B) "I can control anxiety by deep breathing and relaxing before talking in front of other people." C) "I take an antianxiety pill before I have to do anything in front of other people." D) "I can have a drink before I speak in front of other people."
It is most important for the nurse to include which instruction in the healthcare teaching of a client who has had laryngeal papillomas removed?
1. "If you experience recurrent hoarseness, come in for a check-up.". 2. "Papillomas rarely cause airway obstruction.". 3. "Next time, we can remove them in the office, so no admission is necessary.". 4. "You should come in if you have worsening respiratory distress, so we can intubate you quickly.".
A nurse needs to have a thorough understanding of the musculoskeletal system to be able to care for clients with disorders of the musculoskeletal system. How is most of the heat in body generated?
1 . Involuntary muscle activity 2 . Cellular muscle activity of ATP 3 . Oxygen 4 . Carbon dioxide A) 1, 3 B) 1, 4 C) 2, 3 D) 2, 4
Which action is contraindicated when a child with Down syndrome is hospitalized?
a. Determine the child's vocabulary for specific body functions. b. Assess the child's hearing and visual capabilities. c. Encourage parents to leave the child alone for extended periods of time. d. Have meals served at the child's usual mealtimes.