The client enters the outpatient clinic and says, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts." The nurse assesses the client and finds a rash over the nose and on the cheeks, and suspects a diagnosis of:
1. Fibromyalgia.
2. Systemic lupus erythematosus.
3. Lyme disease.
4. Gout.
2
Rationale: The rash over the nose and cheeks is sometimes called a butterfly rash, and is classic for the diagnosis of systemic lupus erythematosus, although not every client diagnosed with this disorder will have this rash.
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While assessing a client with a laceration on the client's left third finger, the nurse notes the presence of inflammation and swelling of the finger. Which other assessment findings might the nurse expect based on this initial data? Select all that apply
1. 1 cm, nontender, soft, left brachial node. 2. 2 cm, tender, firm, left superior superficial inguinal node. 3. 2 cm, tender, firm, left epitrochlear node. 4. 2 cm, nontender, firm, left ulnar node. 5. 2 cm, tender, firm, left axillary lymph node.
A Navajo Indian client died in the hospital while being treated for a severe illness. The nurse caring for the client would expect family and other tribal members to do which of the following after the client's death?
1. Refrain from touching the client. 2. Touch the client's hand. 3. Kiss the client's forehead. 4. Participate in postmortem care.
A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
a. 10:00 AM b. 12:00 AM c. 2:00 PM d. 4:00 PM
A threshold of 90% is identified for an outcome indicator in the quality improvement program. Which of the following situations indicates a need for further review of the quality improvement plan?
1. The waiting time for clinic appointments has decreased 96%. 2. Clients with renal dialysis expressed a 95% satisfaction with their care. 3. In 93% of clients, subjective expressions of postoperative pain have decreased. 4. Wound infections are evident in 92% of clients after care of their IV access ports.