A woman complains of malaise and arthralgias. You note a butterfly-shaped, macular, erythematous rash across her cheeks and nose. These conditions are common in:
A. Psoriasis
B. Lichen planus
C. Systemic lupus erythematosus
D. Erythema nodosum
ANS: C
In systemic lupus erythematosus, the patient will have a range of symptoms relevant to the diagnosis, depending on the affected organs. There is often coexisting arthralgia and malaise. The rash is macular and erythematous. It is described as a "butterfly rash" because the distribution resembles a butterfly's wings overlying the forehead and cheeks.
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!" Which response made by the nurse would be most helpful?
a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
After giving birth to a stillborn infant, the woman turns to the nurse and says, "I just fi-nished painting the baby's room. Do you think that caused my baby to die?" The nurse's best response to this woman is:
a. "That's an old wives' tale; lots of women are around paint during pregnancy, and this doesn't happen to them." b. "That's not likely. Paint is associated with elevated pediatric lead levels." c. Silence. d. "I can understand your need to find an answer to what caused this. What else are you thinking about?"
Which client would be highest risk to develop acute pyelonephritis?
a. 42-year-old man b. 2-year-old girl c. 18-year-old man d. 34-year-old woman
When seeking employment, a community health nurse decides to focus the search on official health care agencies, based on the understanding that these agencies are
A) voluntary. B) tax supported. C) proprietary. D) privately funded.