During the assessment of a client's integumentary status the nurse notes "vitiligo present bilateral hands." Which analysis of this information is the most appropriate by the nurse?
1. Nodules with ulcerations.
2. Dark, asymmetrical colored patches.
3. Grouped vesicles.
4. Abnormal loss of melanin in patches.
Correct Answer: 4
Vitiligo is an abnormal loss of melanin in patches, typically occurring over the face, hands, or groin. The term vitiligo does not indicate the presence of nodules with ulcerations; the presence of dark, asymmetrical colored patches; or the presence of grouped vesicles.
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A patient with a diagnosis of gastric cancer has been unable to tolerate oral food and fluid intake and her tumor location precludes the use of enteral feeding. What intervention should the nurse identify as best meeting this patient's nutritional needs?
A) Administration of parenteral feeds via a peripheral IV B) TPN administered via a peripherally inserted central catheter C) Insertion of an NG tube for administration of feeds D) Maintaining NPO status and IV hydration until treatment completion
Nursing management of a postoperative patient who is experiencing prolonged vomiting includes
a. withholding all pain medication until the nausea has subsided. b. removing the nasogastric tube. c. inserting an oral airway. d. increasing intravenous fluids.
The client's care plan is developed based on data collected during therapeutic and social communication
Indicate whether the statement is true or false
Which statement regarding ethical decision making is true?
A) Outcomes are the basic criterion for evaluating ethical decision making B) Only desirable alternatives are identified when solving ethical dilemmas C) Critical ethical decisions are made quickly so the situation does not worsen D) Accepting some ambiguity and uncertainty are a part of ethical decision making