The nurse assessing a client notices a lesion on the skin as shown in the photograph below. For which diagnostic test does the nurse prepare the client?
a. Punch skin biopsy
b. Viral cultures
c. Wood's lamp examination
d. Diascopy
A
This lesion is suspicious for skin cancer and a biopsy is needed. A viral culture would not be ap-propriate. A Wood's lamp examination is used to determine if skin lesions have characteristic color changes. Diascopy eliminates erythema, making skin lesions easier to examine.
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A client is being evaluated every 8 hours using the Glasgow Coma Scale. At 0800 the client's score is 13, and at 1600 the client's score is 10 . Which action should the nurse take NEXT?
a. Bring the score to the health care provider's attention during rounds. b. Call the health care provider now. c. Chart the score and repeat the evaluation as ordered. d. Chart the score and repeat the evaluation in 4 hours.
The nurse is assigned to work with a new nursing assistant. Which action by the nursing assistant requires intervention by the registered nurse?
a. Using an alcohol-based hand rub after caring for a client with diarrhea b. Washing hands for 20 seconds using warm water and friction c. Cleaning especially carefully under fin-gernails and around a wedding band d. Using chlorhexidine for handwashing when caring for clients on neutropenic precautions
Which of the following are risk factors for varicose veins? (Select all that apply.)
a. Gender b. Alcohol use c. Lower extremity trauma d. Increased body mass e. Hypertension f. Diabetes
The nurse administers a vaginal suppository to the client. What does the nurse include in client teaching about postadministration events?
1. Use a tampon to hold the suppository in place. 2. Prepare for a small amount of liquid discharge. 3. Expect moderate localized burning and itching. 4. Remain in semi-Fowler's position for 2 hours.