A 30-year-old African American had surgery 6 months ago. Her incisional site is now raised, indurated, and shiny. This tissue growth is most likely a(n)
a. angioma.
b. keloid.
c. melanoma.
d. nevus.
B
Keloids, which originate in scars, are hard and shiny and are seen more often in African Americans than Caucasians.
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Mrs. Bert is being evaluated for osteoporosis. Which laboratory finding would you anticipate?
a. Decreased white blood cell count b. Increased alanine aminotransferase c. Increased calcium d. Increased alkaline phosphatase
A home health nurse has a patient who is taking lithium. What should be included in the teaching plan?
a. Examine her skin closely for eruptions b. Take her blood pressure twice a day to check for hypertension c. Have her drug blood level checked every month d. Avoid aged cheese and red wine
A client had a transurethral prostatectomy and has incontinence. Which statement by the client indicates a need for clarification about managing this condition?
a. "I will practice stopping the urine stream to strengthen my sphincter control." b. "I will limit my fluid intake every day to prevent incontinence." c. "I will avoid vigorous activity for the first 3 weeks after surgery." d. "I will avoid caffeinated beverages and spicy foods."
Which of the following is the nurse's best course of action when he or she finds out that a family is using herbal remedies?
a. Ignore the use of herbs because there is little time to research them. b. Question the caregiver about the herb(s) because some herbs are not safe or have adverse interactions with prescribed medications. c. Encourage the family to use alternative medications and treatments to supplement traditional medicine. d. Advise the family to cut the adult dose of herbal remedies down by three-fourths or one-half, depending on the age and weight of the child.