During an assessment of the client's integument, the nurse notes a flat, nonpalpable change in skin color that is smaller than 1 cm. This finding is documented by the nurse as a:
1. Macule
2. Papule
3. Vesicle
4. Nodule
ANS: 1
This finding is consistent with the definition of a macule. A papule is a palpable, circumscribed, solid elevation in skin, smaller than 0.5 cm. A vesicle is a circumscribed elevation of skin filled with serous fluid, smaller than 0.5 cm. A nodule is an elevated solid mass, deeper and firmer than a papule, 0.5-2.0 cm.
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In order to promote thermal stabilization in a neonate, which action by the nurse is best?
A. Lay the infant in an incubator. B. Place the infant in skin-to-skin contact with the mom. C. Put a knitted cap on the baby's head. D. Wrap the baby in warmed blankets.
A client's genetic disorder is thought to be attributable to unbalanced translocation. How would the nurse explain this phenomenon to the client's family?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Portions of your child's chromosomes are not arranged normally." 2. "Aneuploidy has occurred." 3. "Some genetic material is missing." 4. "Duplications of genetic material have occurred." 5. "Your child's cells are missing an entire chromosome."
Maternal hypotension is a major adverse reaction to which method of pain relief?
a. Epidural block b. Pudendal block c. Cutaneous stimulation d. Cognitive stimulation
Which of the following are recommended guidelines for the nurse who is administering a piggyback intermittent intravenous infusion of medication?
A) Place the additive solution lower than the primary solution container. B) Ask the physician to calculate and regulate the infusion with an infusion pump. C) Using clean technique, remove the cap on the tubing spike and the cap on the port of the medication container. D) Attach infusion tubing to the medication container by inserting the tubing spike into the port with a firm push and twisting motion.