A 50-year-old client is concerned because several firm, deep-red papules have appeared on both legs and the number is increasing. The nurse recognizes these lesions as:

1. Cherry angiomas.
2. Purpura.
3. Venous stars.
4. Spider angiomas.


Cherry angiomas.

Rationale: A cherry angioma is a firm, deep-red papule and is a benign vascular lesion. It is generally found on most people after age 30, and the incidence increases with age. Purpura is a red-purple lesion that is greater than 0.5 centimeter in diameter and is caused by intravascular defects or infection. A venous star is a bluish irregular spider shape with linear lines and is caused by increased pressure in superficial veins. A spider angioma has a red central body with radiating spider-like legs and can be caused by liver disease or vitamin B deficiency.

Nursing

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A patient in the cardiac PACU was just extubated, 5 hours after the conclusion of a coronary artery bypass graft (CABG). How can the patient's nurse best promote adequate gas exchange for this patient?

A) Apply continuous positive airway pressure (CPAP) as ordered. B) Perform deep suctioning q1h. C) Reposition the patient frequently. D) Administer nebulized bronchodilators and corticosteroids as ordered.

Nursing

The perinatal nurse describes pre-labor or Braxton-Hicks contractions to the prenatal class attendants as:

A) Irregular B) Felt in the abdomen or groin C) Contributing to cervical effacement and dilatation D) Intensely painful

Nursing

The nurse is preparing to perform a fundal assessment on a postpartum client. The nurse understands that the initial nursing action when performing this assessment is which of the fol-lowing?

1. Ask the client to turn on her side. 2. Ask the client to urinate and empty her bladder. 3. Ask the client to lie flat on her back, with her knees and legs flat and straight. 4. Massage the fundus gently prior to determining the level of the fundus.

Nursing